Mitigating Hallucinations in Healthcare LLMs with Granular Fact-Checking and Domain-Specific Adaptation 文章

arXiv:2512.16189v3 Announce Type: replace Abstract: In healthcare, it is essential for any LLM-generated output to be reliable and accurate, particularly in cases involving decision-making and patient safety. However, the outputs are often unreliable in such critical areas due to the risk of hallucinated outputs from the LLMs. To address this issue, we propose a fact-checking module that operates independently of any LLM, along with a domain-specific summarization model designed to minimize hallucination rates. Our model is fine-tuned using Low-Rank Adaptation (LoRa) on the MIMIC III dataset and is paired with the fact-checking module, which uses numerical tests for correctness and logical checks at a granular level through discrete logic in natural language processing (NLP) to validate facts against electronic health records (EHRs). We trained the LLM model on the full MIMIC-III dataset.