arXiv AI

Governing Actions, Not Agents: Institutional Attestation as a Governance Model for Autonomous AI Systems

arXiv:2606. 26298v1 Announce Type: new Abstract: Autonomous AI agents may begin to perform consequential, irreversible actions such as clinical prescribing and production software deployment.

arXiv AI
3d ago

Trust Is Not a Score: Runtime Assurance Contracts for High-Risk AI Agents

The paper introduces Runtime Assurance Contracts (RAC) as a formal policy framework for high‑risk AI agents, addressing the "assurance‑transition gap" by binding autonomy boundaries, component eligibility, evidence state, transition policy, human‑review capacity, and non‑compensatory gates. RAC allows soft metrics to influence routing while mandating retries, switches, escalations, deferrals, or stops when mandatory gates fail or are unknown, ensuring aggregate performance cannot alone authorize action. The authors define the contract, evidence record, permission rule, and five invariants, and evaluate RAC through deterministic failure‑injection studies, hand‑authored traces, and a prospective synthetic holdout, comparing it to score‑only and restricted protocol baselines.

By Serhii Zabolotnii
arXiv AI
Aug 18

ETHOS: Towards a Modular Ethics Framework for Clinical Multi-Agent Systems

arXiv:2608. 15424v1 Announce Type: cross Abstract: The rapid adoption of large language models has enabled the development of clinical multi-agent systems (MAS) capable of integrating multimodal patient data and supporting increasingly complex clinical decision-making.

By Rakesh Sharma, Sydney Pugh, Cameron Beeche, Pankhuri Singhal, Rachel Wu, Margaret Eby, Jeffrey Duda, James Gee, Kyra O'Brien, Hersh Sagreiya, Marina Serper, Victoria Gershuni, Angela Bradbury, Anurag Verma, Eric Eaton, Kevin B. Johnson, Walter Witschey
arXiv Machine Learning
Sep 11

From Protocols to Evidence: Bounded Claims for AI in Service of the Common Good

The paper argues that AI should be evaluated not only by principles but by concrete protocols that translate commitments into roles, requirements, records, oversight, and assessment. It introduces a rupture test linking institutional baselines to system evaluation, and distinguishes evidence‑bounded deployment from measurement‑bounded governance. The authors propose the RISE AI architecture to make bounded, evidence‑based claims about Responsibility, Inclusivity, Safety, and Empowerment, emphasizing the need for engineering, institutional repair, and ongoing moral judgment.

By Nitesh V. Chawla, Paulo Benanti
arXiv AI
Aug 25

The Clinician's Veto: Navigating Trust, Liability, and Uncertainty in Autonomous AI Prescribing

The paper discusses how autonomous AI systems are moving from advisory to agentic roles in medication prescribing, citing recent U.S. legislation and a Utah pilot program. It argues that three architectural features—calibrated per‑prediction confidence, clear differentiation between epistemic and aleatoric uncertainty, and inferential transparency—are essential for safe autonomous prescribing. A survey of 136 U.S. clinicians shows they require a confidence‑based escalation mechanism, prefer different handling of uncertainty types, and will only accept liability when transparency allows informed decision‑making.

By Eileanor LaRocco, Sarah Tan, Adarsh Subbaswamy, Anne Andrews, Andrew Taylor, Cree Gaskin, Chirag Agarwal