# Medical Incident Causal Factors and Preventive Measures Generation Using Tag-based Example Selection in Few-shot Learning

arXiv: https://arxiv.org/abs/2605.10025 · HTML: https://mlsanity.com/paper/2605.10025/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 17 of its 23 references that are in the map.
- First posted on arXiv 11 May 2026.

## Builds on (most cited first, 17 of 17)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [What Disease does this Patient Have? A Large-scale Open Domain Question Answering Dataset from Medical Exams](https://mlsanity.com/paper/2009.13081/) (2020)
- [PubMedQA: A Dataset for Biomedical Research Question Answering](https://mlsanity.com/paper/1909.06146/) (2019)
- [What Makes Good In-Context Examples for GPT-3?](https://mlsanity.com/paper/2101.06804/) (2021)
- [MEDITRON-70B: Scaling Medical Pretraining for Large Language Models](https://mlsanity.com/paper/2311.16079/) (2023)
- [Adapted Large Language Models Can Outperform Medical Experts in Clinical Text Summarization](https://mlsanity.com/paper/2309.07430/) (2023)
- [Capabilities of Gemini Models in Medicine](https://mlsanity.com/paper/2404.18416/) (2024)
- [Medical Hallucinations in Foundation Models and Their Impact on Healthcare](https://mlsanity.com/paper/2503.05777/) (2025)
- [Towards Building Multilingual Language Model for Medicine](https://mlsanity.com/paper/2402.13963/) (2024)
- [Unleashing the potential of prompt engineering for large language models](https://mlsanity.com/paper/2310.14735/) (2023)
- [Evaluating GPT-4 and ChatGPT on Japanese Medical Licensing Examinations](https://mlsanity.com/paper/2303.18027/) (2023)
- [Skill-Based Few-Shot Selection for In-Context Learning](https://mlsanity.com/paper/2305.14210/) (2023)
- [Use Random Selection for Now: Investigation of Few-Shot Selection Strategies in LLM-based Text Augmentation for Classification](https://mlsanity.com/paper/2410.10756/) (2024)
- [Automatic Combination of Sample Selection Strategies for Few-Shot Learning](https://mlsanity.com/paper/2402.03038/) (2024)

## Abstract (arXiv)

In high-stakes domains such as healthcare, the reliability of Large Language Models (LLMs) is critical, particularly when generating clinical insights from incident reports. This study proposes a tag-based few-shot example selection method for prompting LLMs to generate background/causal factors and preventive measures from details of the medical incidents. For our experiments, we use the Japanese Medical Incident Dataset (JMID), a structured dataset of 3,884 real-world medical accident and near-miss reports. These reports are variably annotated with a wide range of tags--some include descriptive information (e.g., "medications," "blood transfusion therapy"). We compare three few-shot example selection strategies--random sampling, cosine similarity-based selection, and our proposed tag-based method--using GPT-4o and LLaMA 3.3. Results show that the tag-based approach achieves the highest precision and most stable generation behavior, while similarity-based selection often leads to unintended outputs and safety filter activation. These findings suggest that selecting examples based on human-interpretable dataset tags can improve generation precision and stability in clinical LLM applications.