FactsR: A Safer Method for Producing High Quality Healthcare Documentation

Fuente: arXiv
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Hauptverfasser: Hansen, Victor Petrén Bach, Krogsbøll, Lasse, Lyngsø, Jonas, Baltzersen, Mathias, Motzfeldt, Andreas, Pelgrims, Kevin, Maaløe, Lars
Format: Preprint
Veröffentlicht: 2025
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author Hansen, Victor Petrén Bach
Krogsbøll, Lasse
Lyngsø, Jonas
Baltzersen, Mathias
Motzfeldt, Andreas
Pelgrims, Kevin
Maaløe, Lars
author_facet Hansen, Victor Petrén Bach
Krogsbøll, Lasse
Lyngsø, Jonas
Baltzersen, Mathias
Motzfeldt, Andreas
Pelgrims, Kevin
Maaløe, Lars
contents There are now a multitude of AI-scribing solutions for healthcare promising the utilization of large language models for ambient documentation. However, these AI scribes still rely on one-shot, or few-shot prompts for generating notes after the consultation has ended, employing little to no reasoning. This risks long notes with an increase in hallucinations, misrepresentation of the intent of the clinician, and reliance on the proofreading of the clinician to catch errors. A dangerous combination for patient safety if vigilance is compromised by workload and fatigue. In this paper, we introduce a method for extracting salient clinical information in real-time alongside the healthcare consultation, denoted Facts, and use that information recursively to generate the final note. The FactsR method results in more accurate and concise notes by placing the clinician-in-the-loop of note generation, while opening up new use cases within real-time decision support.
format Preprint
id arxiv_https___arxiv_org_abs_2505_10360
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle FactsR: A Safer Method for Producing High Quality Healthcare Documentation
Hansen, Victor Petrén Bach
Krogsbøll, Lasse
Lyngsø, Jonas
Baltzersen, Mathias
Motzfeldt, Andreas
Pelgrims, Kevin
Maaløe, Lars
Machine Learning
Artificial Intelligence
Applications
There are now a multitude of AI-scribing solutions for healthcare promising the utilization of large language models for ambient documentation. However, these AI scribes still rely on one-shot, or few-shot prompts for generating notes after the consultation has ended, employing little to no reasoning. This risks long notes with an increase in hallucinations, misrepresentation of the intent of the clinician, and reliance on the proofreading of the clinician to catch errors. A dangerous combination for patient safety if vigilance is compromised by workload and fatigue. In this paper, we introduce a method for extracting salient clinical information in real-time alongside the healthcare consultation, denoted Facts, and use that information recursively to generate the final note. The FactsR method results in more accurate and concise notes by placing the clinician-in-the-loop of note generation, while opening up new use cases within real-time decision support.
title FactsR: A Safer Method for Producing High Quality Healthcare Documentation
topic Machine Learning
Artificial Intelligence
Applications
url https://arxiv.org/abs/2505.10360