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Med."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Patients forget up to 80% of information conveyed during medical consultations. While clinicians may provide hand-written notes to patients during in-person appointments, such opportunities are limited in telehealth. Palliative care patients with complex information needs may benefit from consultation summaries. We developed a consultation summary application (CSA) to generate patient-facing summaries during video telehealth, in a palliative care context. Traditional research methods fall short in early identification and resolution of socio-technical factors, e.g., workflow compatibility, which impact the adoption of digital health innovations. Drawing on the Service Readiness Level Framework, we adopted a phased approach to generating evidence for the CSA. We conducted clinical simulations with seven clinician-simulated patient dyads involving the metastatic lung cancer scenario to examine and address usability and workflow integration issues prior to real-world implementation. Both clinicians and simulated patients perceived the CSA as a valuable tool to support palliative care patients with information recall and self-management. We recommend clinical simulation to de-risk real-world deployment, and optimise the digital health innovations.<\/jats:p>","DOI":"10.1038\/s41746-026-02506-8","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T10:34:25Z","timestamp":1773225265000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Using clinical simulation to evaluate a video telehealth consultation summary application"],"prefix":"10.1038","volume":"9","author":[{"given":"Teresa","family":"O\u2019Brien","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kit","family":"Huckvale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Metcalf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"Ferdous","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashina","family":"Hoda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Poon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andy","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Bird","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Hall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmy","family":"Trinh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Bain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Georgy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahima","family":"Kalla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"2506_CR1","unstructured":"Office, A. 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