Abstract:We introduce VIGIL (Visual Inconsistency & Generative In-context Lucidity), the first benchmark dataset and framework providing a fine-grained categorization of hallucinations in the multimodal image recontextualization task for large multimodal models (LMMs). While existing research often treats hallucinations as a uniform issue, our work addresses a significant gap in multimodal evaluation by decomposing these errors into five categories: pasted object hallucinations, background hallucinations, object omission, positional & logical inconsistencies, and physical law violations. To address these complexities, we propose a multi-stage detection pipeline. Our architecture processes recontextualized images through a series of specialized steps targeting object-level fidelity, background consistency, and omission detection, leveraging a coordinated ensemble of open-source models, whose effectiveness is demonstrated through extensive experimental evaluations. Our approach enables a deeper understanding of where the models fail with an explanation; thus, we fill a gap in the field, as no prior methods offer such categorization and decomposition for this task. To promote transparency and further exploration, we openly release VIGIL, along with the detection pipeline and benchmark code, through our GitHub repository: https://github.com/mlubneuskaya/vigil and Data repository: https://huggingface.co/datasets/joannaww/VIGIL.
Abstract:Emergency Department overcrowding is a critical issue that compromises patient safety and operational efficiency, necessitating accurate demand forecasting for effective resource allocation. This study evaluates and compares three distinct predictive models: Seasonal AutoRegressive Integrated Moving Average with eXogenous regressors (SARIMAX), EXtreme Gradient Boosting (XGBoost) and Long Short-Term Memory (LSTM) networks for forecasting daily ED arrivals over a seven-day horizon. Utilizing data from an Australian tertiary referral hospital spanning January 2017 to December 2021, this research distinguishes itself by decomposing demand into eight specific ward categories and stratifying patients by clinical complexity. To address data distortions caused by the COVID-19 pandemic, the study employs the Prophet model to generate synthetic counterfactual values for the anomalous period. Experimental results demonstrate that all three proposed models consistently outperform a seasonal naive baseline. XGBoost demonstrated the highest accuracy for predicting total daily admissions with a Mean Absolute Error of 6.63, while the statistical SARIMAX model proved marginally superior for forecasting major complexity cases with an MAE of 3.77. The study concludes that while these techniques successfully reproduce regular day-to-day patterns, they share a common limitation in underestimating sudden, infrequent surges in patient volume.