arXiv AI By Nora Girda, Adrian Groza

Review Before Trust: Source-Grounded Integrity Gates for AI-Assisted Personal Health Records

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The paper introduces a source‑grounded integrity gate for AI‑assisted personal health records, ensuring that data generated by large language models remains provisional until a deterministic monitor verifies it against the source document. The monitor only accepts candidates that contain a unique supporting quotation, appear within the same laboratory row, and preserve provenance, preventing the model from approving its own output. In Medical DataCloud, the system passed all 22 conformance and mutation tests and, in a replay of nine historical lab reports, admitted 72 of 97 numeric candidates while retaining 25 for human review.

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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
arXiv AI
Oct 1

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