Daily Papers

Ambient AI scribes draft clinical notes, and published audits find their dominant error is omission: information the encounter established that the note fails to record. The standard check is an LLM judge: a second model reads the note against the transcript and flags problems. We ask whether judges detect omissions. Public corpora cannot supply the answer key: their clinician reference notes and transcripts are materially discrepant. Our benchmark has 500 single-error note pairs from audited fact sheets, 298 with a named fact certainly absent and 202 added-or-altered controls. Across eight judge designs, paired discrimination (the flawed note below its clean twin, 0.5 a coin flip) reads 0.79-0.94 on added or altered content and 0.50-0.63 on omissions. On single notes, no design flags omissions reliably more often than perfect notes. Wording changes, voting and GEPA prompt optimisation move the operating point without creating usable detection. Restructuring the task recovers it: list the facts the transcript establishes, then check the note for each. Two methods reach it independently and trade off: a per-fact pipeline, and a GEPA-evolved prompt doing the same in one call. The pipeline's flags name the missing fact and its severity at 2.7% false alarms. The single call detects more (36.9% against 24.6%, p=0.002) at 6.2% false alarms and a tenth of the cost per note. A physician author validated 70 items and, where the two routes disagree, sided with the pipeline on 10 of 10 (p=0.002). A second clinician, not an author, graded the severity rubric blind and agrees to within a grade. On real vendor notes from a companion census no benchmark threshold transfers, but the re-calibrated single call detects more than the best of the eight at half its false-alarm rate. Omissions whose fact is restated elsewhere defeat both routes. We release the benchmark, prompts and judgements.

Video large language models have not yet been widely deployed, largely due to their tendency to hallucinate. Typical benchmarks for Video-LLMs rely simply on multiple-choice questions. Unfortunately, VideoLLMs hallucinate far more aggressively on freeform text generation tasks like video captioning than they do on multiple choice verification tasks. To address this weakness, we propose ARGUS, a VideoLLM benchmark that measures freeform video captioning performance. By comparing VideoLLM outputs to human ground truth captions, ARGUS quantifies dual metrics. First, we measure the rate of hallucinations in the form of incorrect statements about video content or temporal relationships. Second, we measure the rate at which the model omits important descriptive details. Together, these dual metrics form a comprehensive view of video captioning performance.

The goal of automated summarization techniques (Paice, 1990; Kupiec et al, 1995) is to condense text by focusing on the most critical information. Generative large language models (LLMs) have shown to be robust summarizers, yet traditional metrics struggle to capture resulting performance (Goyal et al, 2022) in more powerful LLMs. In safety-critical domains such as medicine, more rigorous evaluation is required, especially given the potential for LLMs to omit important information in the resulting summary. We propose MED-OMIT, a new omission benchmark for medical summarization. Given a doctor-patient conversation and a generated summary, MED-OMIT categorizes the chat into a set of facts and identifies which are omitted from the summary. We further propose to determine fact importance by simulating the impact of each fact on a downstream clinical task: differential diagnosis (DDx) generation. MED-OMIT leverages LLM prompt-based approaches which categorize the importance of facts and cluster them as supporting or negating evidence to the diagnosis. We evaluate MED-OMIT on a publicly-released dataset of patient-doctor conversations and find that MED-OMIT captures omissions better than alternative metrics.

Managing agent thought and observation during multi-turn agent-environment interactions is an emerging strategy to improve agent efficiency. However, existing studies treat the entire interaction trajectories equally, overlooking the thought necessity and observation utility varies across turns. To this end, we first conduct quantitative investigations into how thought and observation affect agent effectiveness and efficiency. Based on our findings, we propose Agent-Omit, a unified training framework that empowers LLM agents to adaptively omit redundant thoughts and observations. Specifically, we first synthesize a small amount of cold-start data, including both single-turn and multi-turn omission scenarios, to fine-tune the agent for omission behaviors. Furthermore, we introduce an omit-aware agentic reinforcement learning approach, incorporating a dual sampling mechanism and a tailored omission reward to incentivize the agent's adaptive omission capability. Theoretically, we prove that the deviation of our omission policy is upper-bounded by KL-divergence. Experimental results on five agent benchmarks show that our constructed Agent-Omit-8B could obtain performance comparable to seven frontier LLM agent, and achieve the best effectiveness-efficiency trade-off than seven efficient LLM agents methods. Our code and data are available at https://github.com/usail-hkust/Agent-Omit.

Multimodal Large Language Models (MLLMs) have achieved impressive advances, yet object hallucination remains a persistent challenge. Existing methods, based on the flawed assumption that omission and fabrication hallucinations share a common cause, often reduce omissions only to trigger more fabrications. In this work, we overturn this view by demonstrating that omission hallucinations arise from insufficient confidence when mapping perceived visual features to linguistic expressions, whereas fabrication hallucinations result from spurious associations within the cross-modal representation space due to statistical biases in the training corpus. Building on findings from visual attention intervention experiments, we propose the Visual-Semantic Attention Potential Field, a conceptual framework that reveals how the model constructs visual evidence to infer the presence or absence of objects. Leveraging this insight, we introduce Visual Potential Field Calibration (VPFC), a plug-and-play hallucination mitigation method that effectively reduces omission hallucinations without introducing additional fabrication hallucinations. Our findings reveal a critical oversight in current object hallucination research and chart new directions for developing more robust and balanced hallucination mitigation strategies.