# Query-Guided Self-Supervised Summarization of Nursing Notes

arXiv: https://arxiv.org/abs/2407.04125 · HTML: https://mlsanity.com/paper/2407.04125/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 36 of its 57 references that are in the map.
- First posted on arXiv 4 Jul 2024.

## Builds on (most cited first, 30 of 36)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [BART: Denoising Sequence-to-Sequence Pre-training for Natural Language Generation, Translation, and Comprehension](https://mlsanity.com/paper/1910.13461/) (2019)
- [QLoRA: Efficient Finetuning of Quantized LLMs](https://mlsanity.com/paper/2305.14314/) (2023)
- [Mistral 7B](https://mlsanity.com/paper/2310.06825/) (2023)
- [Estimating or Propagating Gradients Through Stochastic Neurons for Conditional Computation](https://mlsanity.com/paper/1308.3432/) (2013)
- [PEGASUS: Pre-training with Extracted Gap-sentences for Abstractive Summarization](https://mlsanity.com/paper/1912.08777/) (2019)
- [MPNet: Masked and Permuted Pre-training for Language Understanding](https://mlsanity.com/paper/2004.09297/) (2020)
- [BARTScore: Evaluating Generated Text as Text Generation](https://mlsanity.com/paper/2106.11520/) (2021)
- [Self-supervised Learning: Generative or Contrastive](https://mlsanity.com/paper/2006.08218/) (2020)
- [ClinicalBERT: Modeling Clinical Notes and Predicting Hospital Readmission](https://mlsanity.com/paper/1904.05342/) (2019)
- [BioMistral: A Collection of Open-Source Pretrained Large Language Models for Medical Domains](https://mlsanity.com/paper/2402.10373/) (2024)
- [Multitask learning and benchmarking with clinical time series data](https://mlsanity.com/paper/1703.07771/) (2017)
- [Can language models learn from explanations in context?](https://mlsanity.com/paper/2204.02329/) (2022)
- [Adapted Large Language Models Can Outperform Medical Experts in Clinical Text Summarization](https://mlsanity.com/paper/2309.07430/) (2023)
- [Re-evaluating Evaluation in Text Summarization](https://mlsanity.com/paper/2010.07100/) (2020)
- [Optimizing the Factual Correctness of a Summary: A Study of Summarizing Radiology Reports](https://mlsanity.com/paper/1911.02541/) (2019)
- [Clinical-Longformer and Clinical-BigBird: Transformers for long clinical sequences](https://mlsanity.com/paper/2201.11838/) (2022)
- [Generating SOAP Notes from Doctor-Patient Conversations Using Modular Summarization Techniques](https://mlsanity.com/paper/2005.01795/) (2020)
- [FactKB: Generalizable Factuality Evaluation using Language Models Enhanced with Factual Knowledge](https://mlsanity.com/paper/2305.08281/) (2023)
- [Exploring Neural Models for Query-Focused Summarization](https://mlsanity.com/paper/2112.07637/) (2021)
- [Leveraging Pretrained Models for Automatic Summarization of Doctor-Patient Conversations](https://mlsanity.com/paper/2109.12174/) (2021)
- [TED: A Pretrained Unsupervised Summarization Model with Theme Modeling and Denoising](https://mlsanity.com/paper/2001.00725/) (2020)
- [Summarizing Patients Problems from Hospital Progress Notes Using Pre-trained Sequence-to-Sequence Models](https://mlsanity.com/paper/2208.08408/) (2022)
- [Learning to Revise References for Faithful Summarization](https://mlsanity.com/paper/2204.10290/) (2022)
- [RadAdapt: Radiology Report Summarization via Lightweight Domain Adaptation of Large Language Models](https://mlsanity.com/paper/2305.01146/) (2023)
- [Self-Supervised and Controlled Multi-Document Opinion Summarization](https://mlsanity.com/paper/2004.14754/) (2020)
- [Towards Clinical Encounter Summarization: Learning to Compose Discharge Summaries from Prior Notes](https://mlsanity.com/paper/2104.13498/) (2021)
- [Discharge Summary Hospital Course Summarisation of In Patient Electronic Health Record Text with Clinical Concept Guided Deep Pre-Trained Transformer Models](https://mlsanity.com/paper/2211.07126/) (2022)
- [Socratic Pretraining: Question-Driven Pretraining for Controllable Summarization](https://mlsanity.com/paper/2212.10449/) (2022)

## Abstract (arXiv)

Nursing notes, an important part of Electronic Health Records (EHRs), track a patient's health during a care episode. Summarizing key information in nursing notes can help clinicians quickly understand patients' conditions. However, existing summarization methods in the clinical setting, especially abstractive methods, have overlooked nursing notes and require reference summaries for training. We introduce QGSumm, a novel query-guided self-supervised domain adaptation approach for abstractive nursing note summarization. The method uses patient-related clinical queries for guidance, and hence does not need reference summaries for training. Through automatic experiments and manual evaluation by an expert clinician, we study our approach and other state-of-the-art Large Language Models (LLMs) for nursing note summarization. Our experiments show: 1) GPT-4 is competitive in maintaining information in the original nursing notes, 2) QGSumm can generate high-quality summaries with a good balance between recall of the original content and hallucination rate lower than other top methods. Ultimately, our work offers a new perspective on conditional text summarization, tailored to clinical applications.