Clinical RAG can attribute real evidence about drug Y to queried drug X at high rates under adversarial retrieval, a failure invisible to faithfulness and citation metrics but detectable by entity-attribution verification.
Groundedness in Retrieval-augmented Long-form Generation: An Empirical Study
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abstract
We present an empirical study of groundedness in long-form question answering (LFQA) by retrieval-augmented large language models (LLMs). In particular, we evaluate whether every generated sentence is grounded in the retrieved documents or the model's pre-training data. Across 3 datasets and 4 model families, our findings reveal that a significant fraction of generated sentences are consistently ungrounded, even when those sentences contain correct ground-truth answers. Additionally, we examine the impacts of factors such as model size, decoding strategy, and instruction tuning on groundedness. Our results show that while larger models tend to ground their outputs more effectively, a significant portion of correct answers remains compromised by hallucinations. This study provides novel insights into the groundedness challenges in LFQA and underscores the necessity for more robust mechanisms in LLMs to mitigate the generation of ungrounded content.
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cs.CL 1years
2026 1verdicts
CONDITIONAL 1representative citing papers
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Deceptive Grounding: Entity Attribution Failure in Clinical Retrieval-Augmented Generation
Clinical RAG can attribute real evidence about drug Y to queried drug X at high rates under adversarial retrieval, a failure invisible to faithfulness and citation metrics but detectable by entity-attribution verification.