Jason Qin

Veronica Chatrath, Bryan Zhu, George Pu et al. · cmu

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. We introduce CliniCARE-Bench (Clinical Calibrated Audit of Medical Reasoning in EHR), a benchmark for retrospective clinical audit: 25 clinician-validated scenarios instantiated as 750 patient-specific cases over real-patient-derived MIMIC-IV data. Systems investigate each case through a governed, logged tool environment for record retrieval, computation, and policy access, and return one of four verdicts---Yes, No, Indeterminate: Lack of Data, or Indeterminate: Medically Ambiguous---the last two separating missing evidence from residual medical ambiguity. Beyond verdict accuracy, we score patient-evidence and policy grounding, process adherence, calibrated abstention, reliability, and efficiency against case-level reference verdicts produced by independent multi-model adjudication and calibrated against Clinical Board review. Every retrieval, computation, and report is replayable, so the investigation trace is inspectable and scorable. To our knowledge, CliniCARE-Bench is the first deployment-oriented clinical-agent benchmark to jointly evaluate real longitudinal EHR investigation, claim-level evidence grounding, governing-policy use, process adherence, and calibrated abstention within a common patient-level adjudication framework. Across 16 agentic systems, four-way accuracy spans 65.3-76.1%, but raw accuracy overstates investigation quality. Defect-free accuracy, which credits a verdict only when correct and free of prohibited shortcuts, is 4.8-14.8 points lower and reorders the leaderboard.

Akshay Manglik, Apaar Shanker, Kaustubh Deshpande et al.

Diagnosing failures in LLM agents remains largely manual. Practitioners inspect a small subset of execution traces, form ad-hoc hypotheses, and iterate. This process misses patterns that only emerge across trace populations and does not scale to production corpora where individual traces span tens of thousands of tokens. We formalize the problem of corpus-level trace diagnostics. Given a corpus of execution traces, the goal is to produce grounded natural-language insights that characterize systematic behavioral patterns across trace groups, each linked to supporting evidence. We present the Insights Generator (IG), a multi-agent system that answers diagnostic questions by proposing and testing hypotheses across the trace corpus to produce an evidence-backed insights report. We evaluate IG across qualitative and objective dimensions, spanning rubric-based report assessment and downstream performance improvements achieved by implementing IG insights. Human experts using IG reports improve scaffold performance by 30.4pp over the unmodified baseline scaffold, and coding agents leveraging IG-derived insights show consistent and stable gains. Across benchmarks, IG's scout-investigator architecture produces findings comparable in detection coverage to competing approaches, while domain experts rated IG reports as leading depth and evidence quality.