Addressing Hallucinations with RAG and NMISS in Italian Healthcare LLM Chatbots
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Abstract (arXiv)
I combine detection and mitigation techniques to addresses hallucinations in Large Language Models (LLMs). Mitigation is achieved in a question-answering Retrieval-Augmented Generation (RAG) framework while detection is obtained by introducing the Negative Missing Information Scoring System (NMISS), which accounts for contextual relevance in responses. While RAG mitigates hallucinations by grounding answers in external data, NMISS refines the evaluation by identifying cases where traditional metrics incorrectly flag contextually accurate responses as hallucinations. I use Italian health news articles as context to evaluate LLM performance. Results show that Gemma2 and GPT-4 outperform the other models, with GPT-4 producing answers closely aligned with reference responses. Mid-tier models, such as Llama2, Llama3, and Mistral benefit significantly from NMISS, highlighting their ability to provide richer contextual information. This combined approach offers new insights into the reduction and more accurate assessment of hallucinations in LLMs, with applications in real-world healthcare tasks and other domains.
Key facts. Cited by 3 papers in the map (data through 14 Oct 2026). Builds on 44 of its 57 references that are in the map. First posted on arXiv 5 Dec 2024.
Builds on
44 of 57 references.
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32 more
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Citing papers per year: 2025: 2; 2026: 1.
3 papers.
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- 2024HALO: Hallucination Analysis and Learning Optimization to Empower LLMs with Retrieval-Augmented Context for Guided Clinical Decision Making
- 2024Towards Reliable Medical Question Answering: Techniques and Challenges in Mitigating Hallucinations in Language Models
- 2024MedHalu: Hallucinations in Responses to Healthcare Queries by Large Language Models
- 2025Hyper-RAG: Combating LLM Hallucinations using Hypergraph-Driven Retrieval-Augmented Generation
- 2023DelucionQA: Detecting Hallucinations in Domain-specific Question Answering
- 2026Med-HEAL: Analyzing and Mitigating Hallucinations in Medical LLMs with Hallucination-Aware In-Context Learning
- 2024100% Elimination of Hallucinations on RAGTruth for GPT-4 and GPT-3.5 Turbo
- 2023RAGTruth: A Hallucination Corpus for Developing Trustworthy Retrieval-Augmented Language Models