Evidence map›Paper›PMID 42527530›Full record

Articlenpj health systems2026

RAG in clinical practice: a cautionary tale of AI 'Truthfulness'.

HyoJe Jung, Kyusok Cho, Tae Joon Jun, Young-Hak Kim

Abstract read
In one paragraph

Article in npj health systems, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

HyoJe JungDepartment of Information Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Kyusok ChoResearch & Business Development Center, Asan Medical Center, Seoul, Republic of Korea.
Tae Joon Jun *Department of Information Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea. taejoon@amc.seoul.kr.
Young-Hak Kim *Division of Cardiology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Funding

Korea Health Industry Development Institute HR21C0198
6 · The paper itself

Abstract

Retrieval-augmented generation (RAG) aims to curb large language models (LLMs) hallucinations, yet its conversational reliability is uncertain. We tested a clinical RAG by executing the same query 100 times at varying dialogue lengths. The hallucination rate surged from 5%(no history) to 40% with just 10 prior exchanges, revealing a critical failure mode. Rigorous conversational testing is essential for patient safety before clinical deployment of RAG systems.

Identifiers

PMID42527530
PMCPMC13354189

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.