text: **Conclusions**
  
  This study’s results suggest promise for future thoughtful integration of LLM-generated EM-to-IP 
  
  handoff notes into clinical admission workflows, as well as the associated potential downstream 
  
  quality and efficiency gains. Our novel clinical evaluation framework demonstrates an effective 
  
  preimplementation strategy to measure potential patient safety implications of incorrectness 
  
  identified in LLM-generated clinical care summaries, which will guide future model refinement and 
  
  implementation strategies. In the absence of a current written standard of care in EM, this innovation 
  
  could represent a transformative advancement in the quality of EM-to-IP transitions of care. 