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KnowBench: Effort Reduction as a Unified, Deployment-Grounded Benchmark for Clinical AI

arXiv:2609.15794AI14 sep 20261 min readHN ×8PDF

Score clinical AI by how much of its draft doctors sign without editing.

97.99%

Aggregate Effort Reduction, clinical notes

Over one million signed encounters across thirteen specialties

How it works

  1. Wrong yardstick

    Clinical AI is scored by similarity to reference notes or rubric panels. These scores do not measure work saved.

  2. Use the clinician's edits

    Compare the AI draft with the signed version. The share of draft content kept unchanged is Effort Reduction.

  3. High retention reported

    Knowtex's notes kept 97.99% of tokens across one million encounters. Some companion statistics were withheld.

presentededits, signsdiffretained shareAI draftClinicianreviewSignedartifactLCS tokenalignmentEffortReductionpresentededits, signsdiffretained shareAI draftClinicianreviewSignedartifactLCS tokenalignmentEffortReduction
From the paper