Domain-Adapted Small Language Models for Reliable Clinical Triage
Quick summary
arXiv:2604.26766v2 Announce Type: replace-cross Abstract: Accurate and consistent Emergency Severity Index (ESI) assignment remains a persistent challenge in emergency departments, where highly variable free-text triage documentation contributes to mistriage and workflow inefficiencies. This study evaluates whether open-source small language models (SLMs) can serve as reliable, privacy-preserving decision-support tools for clinical triage. We systematically compared multiple SLMs across diverse prompting pipelines and found that clinical vignettes, concise summaries of triage narratives, yield
Key takeaways
- arXiv:2604.26766v2 Announce Type: replace-cross Abstract: Accurate and consistent Emergency Severity Index (ESI) assignment remains a persistent challenge in emergency departments, where highly variable free-text triage documentation contributes to mistriage and workflow inefficiencies.
- This study evaluates whether open-source small language models (SLMs) can serve as reliable, privacy-preserving decision-support tools for clinical triage.
- We systematically compared multiple SLMs across diverse prompting pipelines and found that clinical vignettes, concise summaries of triage narratives, yield
Why it matters
The significance is not only the legal text but how it changes product design. Decisions around “Domain-Adapted Small Language Models for Reliable Clinical Triage” may reshape data collection, model training, output accountability and market access.

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