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Paper · arXiv

CareTransition-Audit: A Benchmark to Audit Discharge Summaries for Efficient Care Transitions

Incomplete or inconsistent discharge documentation drives care fragmentation and avoidable readmissions. Despite its critical role in patient safety, auditing discharge summaries relies on manual review and does not scale. We propose an automated framework for auditing discharge summaries using large language models (LLMs). Our approach operationalizes the DISCHARGED framework into a checklist of 46 questions. Using 50 summaries from the MIMIC-IV database, with clinician ground-truth labels, we benchmark 11 LLMs. Model-assessed mean documentation completeness ranges from 54.9% to 74.2%, and the best-performing models achieve a Cohen's kappa values around 0.5 against clinician labels, indi...

AuthorsAkshat Dasula, Prasanna Desikan, Jaideep Srivastava et al.
Primary categorycs.AI
Published7 April 2026
Last updated at source17 June 2026
cs.AI
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