Scopus Indexed Publications

Paper Details


Title
GraphFact-Summ: Graph-Augmented Factual Summarization of Hospital Courses from Clinical Notes

Author
Masuduzzaman Niloy,

Email

Abstract

Discharge summaries, particularly the Brief Hospital Course (BHC) section, are critical for continuity of care but remain time-consuming for clinicians to compose. We introduce GraphFact-Summ, a graph-augmented summarization model that integrates unstructured clinical notes with structured data (e.g., labs, medications) to generate accurate and concise BHC summaries. Our model encodes sentencelevel and event-level information using a heterogeneous graph transformer, and applies a factual-gated decoder trained with reinforcement learning to minimize hallucinations. Evaluated on over 330,000 admissions from MIMIC-IV, GraphFact-Summ achieved a ROUGE-L of 0.430 and factuality of 91% based on alignment between generated summaries and structured clinical events, outperforming BART and Clinical-BART while maintaining a lower hallucination rate (11.0%) and shorter length ratio (0.96). Temporally held-out records (2020-2022), it sustain strong performance, with a ROUGE-L of 0.425 and a factuality score of 90%. Human evaluation by clinicians further confirms that the summaries are concise, accurate, and clinically useful. These results highlight the potential of GraphFact-Summ to support real-time summarization in electronic health record systems while reducing documentation burden.


Keywords

Journal or Conference Name
2025 3rd International Conference on Artificial Intelligence, Blockchain, and Internet of Things (AIBThings)

Publication Year
2025

Indexing
scopus