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Examining the Vulnerability of Multi-Agent Medical Systems to Human Interventions for Clinical Reasoning

arXiv 2609.02191 ↗First posted 2 Sep 2026cs.AIcited by 0

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Abstract (arXiv)

Human interventions at fault points can alter the diagnostic accuracy of multi-agent medical systems. We defined fault points as moments in AI agent conversations, in which an agent's reasoning became most vulnerable to external influence. Using the MedQA dataset, this study analyzed simulated doctor-patient conversations to measure how interventions shifted reasoning and accuracy. Correct intervention methods showed an improvement in baseline diagnostic accuracy of up to 40%, while incorrect or bias-related interventions degraded performance by up to 6% and increased diagnostic drift and uncertainty. Beyond performance changes, our analysis revealed behavioral similarities between cognitive biases in simulated agent environments and real-world clinical practice. Examples included premature closure and susceptibility to misleading cues. Overall, these findings demonstrate that identifying and guiding fault points with human interventions may provide a mechanism for improving diagnostic robustness in multi-agent medical systems.

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References · 10

  1. 2020What Disease does this Patient Have? A Large-scale Open Domain Question Answering Dataset from Medical Examscited by 1,324
  2. 2023ChatDoctor: A Medical Chat Model Fine-Tuned on a Large Language Model Meta-AI (LLaMA) Using Medical Domain Knowledgecited by 324
  3. 2018Scalable and accurate deep learning for electronic health recordscited by 275
  4. 2024Scaling Large Language Model-based Multi-Agent Collaborationcited by 235
  5. 2024AgentClinic: a multimodal agent benchmark to evaluate AI in simulated clinical environmentscited by 215
  6. 2021A Survey of Human-in-the-loop for Machine Learningcited by 214
  7. 2025MultiAgentBench: Evaluating the Collaboration and Competition of LLM agentscited by 169
  8. 2024Towards Conversational Diagnostic AIcited by 79
  9. 2025Beyond Single-Turn: A Survey on Multi-Turn Interactions with Large Language Modelscited by 58
  10. 2025DynamiCare: A Dynamic Multi-Agent Framework for Interactive and Open-Ended Medical Decision-Makingcited by 2

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