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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...