text: workflow. To extrapolate a theoretical worst case scenario, the physicians rated the safety of the 
  
  LLM-generated summary as defined as the capability of the summary to fully replace a physician- 
  
  written note (unmitigated). 
  
  To improve consistency and agreement, the 3 reviewers met to familiarize themselves with the 
  
  framework and evaluated 10 separate cases from the test dataset that were not included in the 
  
  clinical evaluation results. Additionally, after independently scoring the summaries, they met to 
  
  ensure consensus interpretation of the multidimensional scoring framework. Interrater reliability was 
  
  calculated using intraclass correlation coefficient (ICC), using a 2-way random effects model for 
  
  consistency with the Pingouin statistical package version 0.5.4 in Python (Python Software 
  
  Foundation). The ICC measures the similarity of the 3 raters to confirm the consistency and validity 
  
  of the evaluation protocol; the scores are from 0 to 1, where 1 indicates unanimous agreement and 0 
  represents no agreement.52 Data were analyzed from October 2023 to March 2024. 