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Abstract - AgentEHR: Advancing Autonomous Clinical Decision-Making via Retrospective Summarization
Large Language Models have demonstrated profound utility in the medical domain. However, their application to autonomous Electronic Health Records~(EHRs) navigation remains constrained by a reliance on curated inputs and simplified retrieval tasks. To bridge the gap between idealized experimental settings and realistic clinical environments, we present AgentEHR. This benchmark challenges agents to execute complex decision-making tasks, such as diagnosis and treatment planning, requiring long-range interactive reasoning directly within raw and high-noise databases. In tackling these tasks, we identify that existing summarization methods inevitably suffer from critical information loss and fractured reasoning continuity. To address this, we propose RetroSum, a novel framework that unifies a retrospective summarization mechanism with an evolving experience strategy. By dynamically re-evaluating interaction history, the retrospective mechanism prevents long-context information loss and ensures unbroken logical coherence. Additionally, the evolving strategy bridges the domain gap by retrieving accumulated experience from a memory bank. Extensive empirical evaluations demonstrate that RetroSum achieves performance gains of up to 29.16% over competitive baselines, while significantly decreasing total interaction errors by up to 92.3%.
AgentEHR:通过回顾性总结推进自主临床决策 /
AgentEHR: Advancing Autonomous Clinical Decision-Making via Retrospective Summarization
1️⃣ 一句话总结
这篇论文提出了一个名为AgentEHR的基准测试和一个名为RetroSum的新框架,旨在解决大语言模型在嘈杂的真实电子病历数据中进行长期、复杂临床决策(如诊断和治疗规划)时遇到的信息丢失和逻辑断裂问题,通过回顾性总结和动态经验学习显著提升了决策性能并减少了错误。