Edge-Hosted LLM-Assisted NICU Discharge Summary Generation: Field-Level Evaluation Using a Clinician-Defined Rubric

Objective
To evaluate an edge-hosted large language model framework capable of generating neonatal intensive care discharge summaries while preserving patient privacy.

Methods
MORPHEUS was evaluated using 401 NICU admissions. Performance was measured using a clinician-defined rubric covering 72 clinical documentation fields, including completeness, clarity, coherence, actionability, and factual accuracy.

Key Findings

• Higher completeness than clinician-authored summaries
• Improved documentation consistency
• Privacy-preserving edge deployment without cloud processing
• Demonstrated feasibility for real-world NICU workflows

Impact

This work demonstrates how edge AI can reduce clinician documentation burden while maintaining high-quality discharge summaries and protecting sensitive patient information.