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Healthcare agents miss 32 to 97% of escalations that they must make

One person made the labels for correct tasks, and no clinician approved them.

Claimed, not confirmed

In a test of 5 open-weight models from 1.7B to 9.7B, decision accuracy on clean inputs is 0.97. Models that get uncertainty prompts miss 32 to 97% of the escalations that they must make. The 9.7B model falls from 0.97 to 0.78 when inputs do not agree. A workflow-aware controller helps. It decreases the missed escalations to a rate of 0.12 to 0.24. But its recall falls to 0.00 on paraphrases that it does not know.

Sources

  1. Auditing Escalation Reliability in Healthcare LLM Agents: A Perturbation-Controlled Benchmark of Workflow-State Failuresarxiv.org
AI MATTER · NEWS · AI MATTER · NEWS ·16 OCT2026

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