Objective: To characterize the kinds of internal documentation inconsistencies a general-domain large language model (LLM) can surface from real-world discharge summaries, and to identify recurring failure modes that limit reliability at scale. Materials and Methods: We applied a two-stage LLM pipeline---open-ended candidate identification (Gemini 2.5 Pro) followed by context-grounded verification (Gemini 2.5 Flash)---to 3,000 randomly sampled MIMIC-IV-Note discharge summaries. A subset of the pipeline output was then reviewed manually by clinical experts. Results: Our pipeline surfaced 3,460 candidate inconsistencies, affecting 69.7% of admissions. Representative examples spanned demographics, allergies, procedures, diagnoses, laboratory, medications, and care-planning domains, with direct implications for clinical reasoning or patient safety. Expert review also revealed recurring failure modes that arise when verification requires temporal reasoning, evolving-diagnosis context, or knowledge of outpatient-prescribing conventions the model does not natively possess. Discussion: Detection is highly context-dependent: many flagged pairs require anchoring each statement to its source section and clinical domain, then assessing whether the conflict reflects a true contradiction or missing context. We propose a graded ontology spanning strict contradiction and ambiguity, with a schema characterizing each flagged case by category, section, domain, and inconsistency axis. Conclusion: This formative study establishes a methodological foundation and conceptual framework to guide subsequent validated, large-scale EHR-inconsistency analysis.
Jiankang Lu, Panyu Chen, Miriam Treggiari et al.· 0 citations
SVD-based low-rank compression has become a fast-growing direction for reducing the memory and computational cost of large language models (LLMs). However, meaningful comparison across existing studies remains difficult as prior evaluations use varied benchmarks, inconsistent ratios, and diverse setups, often failing to isolate low-rank effects from auxiliary techniques. As a result, it remains unclear whether reported gains reflect method-level improvements or differences in evaluation protocol. This lack of comparability highlights the need for a unified, reproducible evaluation platform. To address this problem, we present LowRankArena, a standardized evaluation platform for SVD-based LLM compression. LowRankArena unifies task versions, uniform-precision compression budgets, comparison regimes, and inference measurements, and provides a reproducible pipeline with over 3 TiB released compressed checkpoints. Using LowRankArena, our aligned audit of five representative SVD methods reveals that prior findings are highly conditional under standardized protocols: clear leaders and performance tiers shift across backbones and keep ratios, multiple-choice accuracy can hide large perplexity degradation, and nominal low-rank savings yield workload-dependent and often limited end-to-end speedups. Our code is available at: https://github.com/Zishan-Shao/lowrankarena.git.
Zishan Shao, Lixun Zhang, Kangning Cui et al.· 0 citations
A simple yet effective zero-shot ReAct-style framework built solely on iterative reasoning and a constrained action space defined by a typed Domain-Specific Language (DSL) of 15 relational operations, rather than free-form SQL generation.
Jian Lu, Haiwei Yu, Raymond M. Xiong et al.· 0 citations