arXiv AI

VFR-Audit: Verdict-Level Reliability for Fairness Audits in Hospital Length-of-Stay Prediction

arXiv AI
Aug 11

CliniCARE-Bench: Clinical Calibrated Audit of Medical Reasoning in EHR

arXiv:2608. 07796v1 Announce Type: new Abstract: Large language models perform strongly on medical knowledge benchmarks, but reliable clinical deployment requires agents to conduct defensible investigations over heterogeneous, longitudinal records: determining what evidence is needed, retrieving and reconciling structured and free-text data, grounding conclusions in verifiable evidence, and deferring cases that cannot be resolved reliably.

By Veronica Chatrath, Bryan Zhu, George Pu, Jingxuan Fan, Apaar Shanker, Varun Ursekar, Anahita Sharma, Jason Qin, Keqi Han, Soham Dinesh Tiwari, Soham Dan, Vijay Kalmath, Yuan Li, Daniel Yue Zhang, Chenguang Wang, Zainab Doctor, Zhijun Yin, Nigam H. Shah, Yuan Xue
Hugging Face Trending Papers
Aug 18

Judge, Retrieve, or Abstain: Uncertainty-Guarded LLM Judging with Provable Risk Guarantees

The paper introduces a risk‑controlled framework for using large language models (LLMs) as judges in tasks without reference answers. By calibrating uncertainty thresholds on a held‑out set, the method ensures that the false discovery rate of accepted verdicts stays below a user‑specified level α with high probability, using finite‑sample Clopper–Pearson intervals. When the parametric judge lacks confidence, the instance is routed to a retrieval‑augmented mode with a second calibrated threshold, preserving the error guarantee while achieving higher coverage than single‑mode baselines.

arXiv AI
Jun 15

Can LLMs Accurately Score Medical Diagnoses and Clinical Reasoning?

arXiv:2604. 14892v3 Announce Type: replace-cross Abstract: Evaluating medical AI systems using expert clinician panels is costly and slow, motivating the use of large language models (LLMs) as alternative adjudicators.

By Amy Rouillard, Sitwala Mundia, Linda Camara, Ziyaad Dangor, Michael Cameron Gramanie, Ismail Kalla, Shabir A. Madhi, Kajal Morar, Marlvin T. Ncube, Haroon Saloojee, Bruce A. Bassett
arXiv Machine Learning
Sep 4

Counterfactual Fairness Audits of Multi-Step Clinical LLM Agents Require a Measured Per-Action Instability Floor

The paper reports that counterfactual fairness audits of clinical language‑model agents are unreliable without accounting for a per‑action instability floor. By repeatedly running identical vignettes, the authors found that actions changed 8.7% of the time, with instability varying eightfold across actions. A second model confirmed a pooled floor of 6.7%, showing that any reported fairness estimate lacking this floor cannot be interpreted as evidence of disparity.

By Rohith Reddy Bellibaltu, Manpreet Singh, Deepak Parashar, Rahul Joshi
arXiv AI
Sep 2

AI Morbidity and Mortality: A Framework for Clinical AI Failure Review

AI Morbidity and Mortality (AI M&M) is a structured, blameless framework designed to review clinical AI failures. It combines standardized case intake, evidence preservation, investigator reconstruction, tool‑in‑loop attribution, and corrective‑action tracking, classifying each event across four linked dimensions: Trigger, Mechanism, Clinical Pathway, and Corrective Action. The authors demonstrate the framework with five outpatient medication and clinical decision‑support cases, achieving full agreement among reviewers on all classification axes.

By Paulius Mui, Dean F. Sittig, Steve Labkoff, Sanjay Basu
arXiv AI
Aug 24

No Judgment Without a Reason: Counterfactual Receipts for Versioned AI Evaluators

The paper introduces a framework for evaluating AI systems that not only checks final labels but also tracks the reasoning behind them through three core sources—grounds, norms, and authority—forming an eight-cell counterfactual judgment cube. It defines minimal source replacement sets, called judgment receipts, to explain changes in verdicts and provides certification cost bounds for black-box evaluators. The authors present ReasonBench, a benchmark with 19,520 cases, and demonstrate that while high standard accuracy can mask robustness issues, receipt accuracy reveals significant gaps in reasoning consistency across different models.

By Ye Chen, Weining Zhang