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Importance of Prompt Optimisation for Error Detection in Medical Notes Using Language Models

Craig Myles, Patrick Schrempf, David Harris-Birtill · Feb 25, 2026 · Citations: 0

Automatic Metrics
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How to use this paper page

Coverage: Stale

Use this page to decide whether the paper is strong enough to influence an eval design. It summarizes the abstract plus available structured metadata. If the signal is thin, use it as background context and compare it against stronger hub pages before making protocol choices.

Best use

Background context only

Metadata: Stale

Trust level

Low

Signals: Stale

What still needs checking

Extraction flags indicate low-signal or possible false-positive protocol mapping.

Signal confidence: 0.35

Abstract

Errors in medical text can cause delays or even result in incorrect treatment for patients. Recently, language models have shown promise in their ability to automatically detect errors in medical text, an ability that has the opportunity to significantly benefit healthcare systems. In this paper, we explore the importance of prompt optimisation for small and large language models when applied to the task of error detection. We perform rigorous experiments and analysis across frontier language models and open-source language models. We show that automatic prompt optimisation with Genetic-Pareto (GEPA) improves error detection over the baseline accuracy performance from 0.669 to 0.785 with GPT-5 and 0.578 to 0.690 with Qwen3-32B, approaching the performance of medical doctors and achieving state-of-the-art performance on the MEDEC benchmark dataset. Code available on GitHub: https://github.com/CraigMyles/clinical-note-error-detection

Use caution before copying this protocol

Use this page for context, then validate protocol choices against stronger HFEPX references before implementation decisions.

  • Extraction flags indicate low-signal or possible false-positive protocol mapping.
  • Extraction confidence is 0.35 (below strong-reference threshold).
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HFEPX Relevance Assessment

This paper is adjacent to HFEPX scope and is best used for background context, not as a primary protocol reference.

Best use

Background context only

Use if you need

A secondary eval reference to pair with stronger protocol papers.

Main weakness

Extraction flags indicate low-signal or possible false-positive protocol mapping.

Trust level

Low

Eval-Fit Score

0/100 • Low

Treat as adjacent context, not a core eval-method reference.

Human Feedback Signal

Not explicit in abstract metadata

Evaluation Signal

Detected

HFEPX Fit

Adjacent candidate

Extraction confidence: Low

If you are doing eval pipeline work, start here:

Human Eval Hub LLM-as-Judge Hub Pairwise Preference Hub Tool-Use Eval Hub

What This Page Found In The Paper

Each field below shows whether the signal looked explicit, partial, or missing in the available metadata. Use this to judge what is safe to trust directly and what still needs full-paper validation.

Human Feedback Types

missing

None explicit

Confidence: Low Not found

No explicit feedback protocol extracted.

Evidence snippet: Errors in medical text can cause delays or even result in incorrect treatment for patients.

Evaluation Modes

partial

Automatic Metrics

Confidence: Low Direct evidence

Includes extracted eval setup.

Evidence snippet: Errors in medical text can cause delays or even result in incorrect treatment for patients.

Quality Controls

missing

Not reported

Confidence: Low Not found

No explicit QC controls found.

Evidence snippet: Errors in medical text can cause delays or even result in incorrect treatment for patients.

Benchmarks / Datasets

missing

Not extracted

Confidence: Low Not found

No benchmark anchors detected.

Evidence snippet: Errors in medical text can cause delays or even result in incorrect treatment for patients.

Reported Metrics

partial

Accuracy

Confidence: Low Direct evidence

Useful for evaluation criteria comparison.

Evidence snippet: We show that automatic prompt optimisation with Genetic-Pareto (GEPA) improves error detection over the baseline accuracy performance from 0.669 to 0.785 with GPT-5 and 0.578 to 0.690 with Qwen3-32B, approaching the performance of medical doctors and achieving state-of-the-art performance on the MEDEC benchmark dataset.

Rater Population

partial

Domain Experts

Confidence: Low Direct evidence

Helpful for staffing comparability.

Evidence snippet: Errors in medical text can cause delays or even result in incorrect treatment for patients.

Human Data Lens

  • Uses human feedback: No
  • Feedback types: None
  • Rater population: Domain Experts
  • Unit of annotation: Unknown
  • Expertise required: Medicine, Coding
  • Signal basis: Structured extraction plus abstract evidence.

Evaluation Lens

  • Evaluation modes: Automatic Metrics
  • Agentic eval: None
  • Quality controls: Not reported
  • Signal confidence: 0.35
  • Known cautions: low_signal, possible_false_positive

Protocol And Measurement Signals

Benchmarks / Datasets

No benchmark or dataset names were extracted from the available abstract.

Reported Metrics

accuracy

Research Brief

Metadata summary

Errors in medical text can cause delays or even result in incorrect treatment for patients.

Based on abstract + metadata only. Check the source paper before making high-confidence protocol decisions.

Key Takeaways

  • Errors in medical text can cause delays or even result in incorrect treatment for patients.
  • Recently, language models have shown promise in their ability to automatically detect errors in medical text, an ability that has the opportunity to significantly benefit healthcare systems.
  • In this paper, we explore the importance of prompt optimisation for small and large language models when applied to the task of error detection.

Researcher Actions

  • Compare this paper against nearby papers in the same arXiv category before using it for protocol decisions.
  • Validate inferred eval signals (Automatic metrics) against the full paper.
  • Use related-paper links to find stronger protocol-specific references.

Caveats

  • Generated from abstract + metadata only; no PDF parsing.
  • Signals below are heuristic and may miss details reported outside the abstract.

Recommended Queries

Accuracy

Research Summary

Contribution Summary

  • We show that automatic prompt optimisation with Genetic-Pareto (GEPA) improves error detection over the baseline accuracy performance from 0.669 to 0.785 with GPT-5 and 0.578 to 0.690 with Qwen3-32B, approaching the performance of medical…

Why It Matters For Eval

  • We show that automatic prompt optimisation with Genetic-Pareto (GEPA) improves error detection over the baseline accuracy performance from 0.669 to 0.785 with GPT-5 and 0.578 to 0.690 with Qwen3-32B, approaching the performance of medical…

Researcher Checklist

  • Gap: Human feedback protocol is explicit

    No explicit human feedback protocol detected.

  • Pass: Evaluation mode is explicit

    Detected: Automatic Metrics

  • Gap: Quality control reporting appears

    No calibration/adjudication/IAA control explicitly detected.

  • Gap: Benchmark or dataset anchors are present

    No benchmark/dataset anchor extracted from abstract.

  • Pass: Metric reporting is present

    Detected: accuracy

Related Papers

Papers are ranked by protocol overlap, extraction signal alignment, and semantic proximity.

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