Search arXiv⌕ Search
Home/Archive/arXiv

arXiv · 2505.17047

Assessing the Quality of AI-Generated Clinical Notes: A Validated Evaluation of a Large Language Model Scribe

Erin Palm·Astrit Manikantan·Mark E. Pepin·Herprit Mahal·Srikanth Subramanya Belwadi
View original source ↗Read source document ↗Export metadata ↓

Abstract

In medical practices across the United States, physicians have begun implementing generative artificial intelligence (AI) tools to perform the function of scribes in order to reduce the burden of documenting clinical encounters. Despite their widespread use, no established methods exist to gauge the quality of AI scribes. To address this gap, we developed a blinded study comparing the relative performance of large language model (LLM) generated clinical notes with those from field experts based on audio-recorded clinical encounters. Quantitative metrics from the Physician Documentation Quality Instrument (PDQI9) provided a framework to measure note quality, which we adapted to assess relative performance of AI generated notes. Clinical experts spanning 5 medical specialties used the PDQI9 tool to evaluate specialist-drafted Gold notes and LLM authored Ambient notes. Two evaluators from each specialty scored notes drafted from a total of 97 patient visits. We found uniformly high inter rater agreement (RWG greater than 0.7) between evaluators in general medicine, orthopedics, and obstetrics and gynecology, and moderate (RWG 0.5 to 0.7) to high inter rater agreement in pediatrics and cardiology. We found a modest yet significant difference in the overall note quality, wherein Gold notes achieved a score of 4.25 out of 5 and Ambient notes scored 4.20 out of 5 (p = 0.04). Our findings support the use of the PDQI9 instrument as a practical method to gauge the quality of LLM authored notes, as compared to human-authored notes.

Explore related subjects

cs.CLcs.AI

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Erin Palm, Astrit Manikantan, Mark E. Pepin, Herprit Mahal, Srikanth Subramanya Belwadi. 2025-05-15. Assessing the Quality of AI-Generated Clinical Notes: A Validated Evaluation of a Large Language Model Scribe. https://arxiv.org/abs/2505.17047

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related papers

arXiv2026

DA-Cramming: Enhancing Cost-Effective Language Model Pretraining with Dependency Agreement Integration

Pretraining language models is still a challenge for many researchers due to its substantial computational costs. As such, there is growing interest in developing more affordable pretraining methods. One notable advancement in this area is the Cramming technique (Geiping and Goldstein, 2022), which enables the pretraining of BERT-style language models using just one GPU in a single day. Building on this innovative approach, we introduce the Dependency Agreement Cramming (DA-Cramming), an efficient framework that integrates information about dependency agreements into the pretraining process. Unlike existing methods that leverage similar semantic information during finetuning, our approach represents a pioneering effort focusing on enhancing the foundational language understanding with semantic information during pretraining. We meticulously design a dual-stage pretraining work flow with four dedicated submodels to capture representative dependency agreements at the chunk level, effectively transforming these agreements into embeddings to benefit the pretraining. Extensive empirical results demonstrate that our method significantly outperforms previous methods across various tasks.

cs.CL↗
arXiv2026

BigO(Bench): Can LLMs Generate Code with Controlled Time and Space Complexity?

We introduce BigO(Bench), a novel coding benchmark designed to evaluate the capabilities of generative language models in understanding and generating code with specified time and space complexities. This benchmark addresses the gap in current evaluations that often overlook the ability of models to comprehend and produce code constrained by computational complexity. BigO(Bench) includes tooling to infer the algorithmic complexity of any Python function from profiling measurements, including human- or LLM-generated solutions. BigO(Bench) also includes of set of 3,105 coding problems and 1,190,250 solutions from Code Contests annotated with inferred (synthetic) time and space complexity labels from the complexity framework, as well as corresponding runtime and memory footprint values for a large set of input sizes. We present results from evaluating multiple state-of-the-art language models on this benchmark, highlighting their strengths and weaknesses in handling complexity requirements. In particular, token-space reasoning models are unrivaled in code generation but not in complexity understanding, hinting that they may not generalize well to tasks for which no reward was given at training time.

cs.CL↗
arXiv2026

SafetyFlow: An Agent-Flow System for Automated LLM Safety Benchmarking

The rapid proliferation of large language models (LLMs) has intensified the requirement for reliable safety evaluation to uncover model vulnerabilities. To this end, numerous LLM safety evaluation benchmarks are proposed. However, existing benchmarks generally rely on labor-intensive manual curation, which causes excessive time and resource consumption. They also exhibit significant redundancy and limited difficulty. To alleviate these problems, we introduce SafetyFlow, the first agent-flow system designed to automate the construction of LLM safety benchmarks. SafetyFlow can automatically build a comprehensive safety benchmark in only four days without any human intervention by orchestrating seven specialized agents, significantly reducing time and resource cost. Equipped with versatile tools, the agents of SafetyFlow ensure process and cost controllability while integrating human expertise into the automatic pipeline. The final constructed dataset, SafetyFlowBench, contains 23,446 queries with low redundancy and strong discriminative power. Our contribution includes the first fully automated benchmarking pipeline and a comprehensive safety benchmark. We evaluate the safety of 49 advanced LLMs on our dataset and conduct extensive experiments to validate our efficacy and efficiency.

cs.CL↗