Generation of Patient After-Visit Summaries to Support Physicians
Pengshan Cai, Fei Liu, Adarsha Bajracharya, Joe Sills, Alok Kapoor, Weisong Liu, Dan Berlowitz, David Levy
Abstract
An after-visit summary (AVS) is a summary note given to patients after their clinical visit. It recaps what happened during their clinical visit and guides patients’ disease self-management. Studies have shown that a majority of patients found after-visit summaries useful. However, many physicians face excessive workloads and do not have time to write clear and informative summaries. In this paper, we study the problem of automatic generation of after-visit summaries and examine whether those summaries can convey the gist of clinical visits. We report our findings on a new clinical dataset that contains a large number of electronic health record (EHR) notes and their associated summaries. Our results suggest that generation of lay language after-visit summaries remains a challenging task. Crucially, we introduce a feedback mechanism that alerts physicians when an automatic summary fails to capture the important details of the clinical notes or when it contains hallucinated facts that are potentially detrimental to the summary quality. Automatic and human evaluation demonstrates the effectiveness of our approach in providing writing feedback and supporting physicians.
BibTeX
@inproceedings{cai-etal-2022-generation,
title = "Generation of Patient After-Visit Summaries to Support Physicians",
author = "Cai, Pengshan and
Liu, Fei and
Bajracharya, Adarsha and
Sills, Joe and
Kapoor, Alok and
Liu, Weisong and
Berlowitz, Dan and
Levy, David and
Pradhan, Richeek and
Yu, Hong",
editor = "Calzolari, Nicoletta and
Huang, Chu-Ren and
Kim, Hansaem and
Pustejovsky, James and
Wanner, Leo and
Choi, Key-Sun and
Ryu, Pum-Mo and
Chen, Hsin-Hsi and
Donatelli, Lucia and
Ji, Heng and
Kurohashi, Sadao and
Paggio, Patrizia and
Xue, Nianwen and
Kim, Seokhwan and
Hahm, Younggyun and
He, Zhong and
Lee, Tony Kyungil and
Santus, Enrico and
Bond, Francis and
Na, Seung-Hoon",
booktitle = "Proceedings of the 29th International Conference on Computational Linguistics",
month = oct,
year = "2022",
address = "Gyeongju, Republic of Korea",
publisher = "International Committee on Computational Linguistics",
url = "https://aclanthology.org/2022.coling-1.544/",
pages = "6234--6247"
}