arXiv:2606. 19595v1 Announce Type: cross Abstract: Voice agents deployed in structured workflows (customer service, healthcare scheduling, account management) must handle frequent user interruptions while maintaining progress through multi-step procedures.
The study evaluates large language models (LLMs) on sequential emergency department triage, where acuity labels are predicted from progressively longer nurse‑patient conversations. Six LLMs were tested at five checkpoints on simulated and physician‑authored dialogues, showing a decline from moderate‑to‑substantial agreement on full records to only fair‑to‑moderate agreement at each checkpoint. The models consistently anchor on chief complaint exchanges and fail to integrate later evidence, yielding low agreement with clinicians (QWK 0.295 vs. 0.887‑0.929) and concentrating predictions on ESI‑2 and ESI‑3. whyItMatters":"The findings reveal that LLMs, despite strong offline performance, cannot reliably handle the sequential nature of real‑time triage, highlighting a critical gap for safe deployment in emergency settings."
arXiv:2610.08585v1 Announce Type: new Abstract: Large language models (LLMs) are increasingly relied upon to support ambient documentation and clinical reasoning. Here we examine the impact of a fail...
arXiv:2610.08585v2 Announce Type: replace Abstract: Large language models (LLMs) are increasingly relied upon to support ambient documentation and clinical reasoning. Here we examine the impact of a...
The paper introduces a de‑identified corpus of 33 in‑person cognitive assessment conversations, comprising 8,250 utterances annotated for three speaker roles and 56 dialogue acts. The authors benchmark large language models on fine‑grained dialogue‑act classification and next‑patient‑utterance generation, finding that instruction tuning and reasoning‑aware fine‑tuning improve performance but that models still struggle with closely related dialogue acts. The corpus and benchmark are presented as tools to measure interaction structure in cognitive assessments and to support future research on conversational markers, clinician education, and validated simulated patients.
Large language models (LLMs) are increasingly relied upon to support ambient documentation and clinical reasoning. Here we examine the impact of a failure mode shared between these two applications by...
The study evaluates conversational speech models by placing them at 427 pauses and 482 turn ends from 176 unscripted conversations, scoring their responses on timing, latency, length, wording, and recall of recent dialogue. Hosted APIs (GPT Realtime, Gemini 3.1 Flash Live, Grok Voice) respond at almost every pause, with latency ranging from 1–4 s for silence-based endpointers and about 8 s for semantic turn detection, while full‑duplex models (PersonaPlex, Moshi) remain silent more often and can interrupt within human reaction time. Recall rates vary: hosted systems remember 41–60 % of facts under a Claude Opus 5.5 judge and 19–26 % with a strict word matcher; full‑duplex models recall 17–22 % and 12–15 % respectively.
The paper introduces HealthCUES, a real‑time streaming pipeline that extracts and analyzes cough and throat‑clearing events from live spoken conversations. It detects coughs within sub‑second latency, distinguishes cough subtypes (dry, wet, barking, whooping), differentiates coughing from throat clearing, and estimates temporal boundaries, all while gating alerts based on conversational context. The system, built on Qwen3Omni, achieves high accuracy (93% F1 for cough detection) and low latency (340 ms) and has been validated by healthcare professionals for telehealth use.
Full‑duplex speech models can listen and speak simultaneously, but they struggle to decide when to speak. Experiments with five model families show that being addressed or encountering silence are reliable triggers, whereas cues like false facts or hazards are not. Even when models answer questions, they rarely challenge false claims or warn about danger, revealing a gap in content understanding and intervention decisions.
arXiv:2606. 17474v1 Announce Type: cross Abstract: Large language models (LLMs) are increasingly considered for use in clinical consultation tasks, yet most medical evaluations remain static, single-turn, or narrowly outcome-based, limiting their ability to reflect the sequential, uncertain, and interactive nature of real-world care.
arXiv:2607. 25485v1 Announce Type: new Abstract: Health AI is evolving from answering questions to agentic systems that converse with patients, reason about health records, and act on their behalf.
arXiv:2609.38480v1 Announce Type: cross Abstract: Most clinical benchmarks evaluate language models (LMs) on diagnosis using complete case descriptions. In clinical practice, however, patients presen...