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Guideline-Grounded Evidence Accumulation for High-Stakes Agent Verification

Yichi Zhang, Nabeel Seedat, Yinpeng Dong, Peng Cui, Jun Zhu, Mihaela van de Schaar · Mar 3, 2026 · Citations: 0

How to use this page

High trust

Use this as a practical starting point for protocol research, then validate against the original paper.

Best use

Primary protocol reference for eval design

What to verify

Validate the exact study setup in the full paper before operational use.

Evidence quality

High

Derived from extracted protocol signals and abstract evidence.

Abstract

As LLM-powered agents have been used for high-stakes decision-making, such as clinical diagnosis, it becomes critical to develop reliable verification of their decisions to facilitate trustworthy deployment. Yet, existing verifiers usually underperform owing to a lack of domain knowledge and limited calibration. To address this, we establish GLEAN, an agent verification framework with Guideline-grounded Evidence Accumulation that compiles expert-curated protocols into trajectory-informed, well-calibrated correctness signals. GLEAN evaluates the step-wise alignment with domain guidelines and aggregates multi-guideline ratings into surrogate features, which are accumulated along the trajectory and calibrated into correctness probabilities using Bayesian logistic regression. Moreover, the estimated uncertainty triggers active verification, which selectively collects additional evidence for uncertain cases via expanding guideline coverage and performing differential checks. We empirically validate GLEAN with agentic clinical diagnosis across three diseases from the MIMIC-IV dataset, surpassing the best baseline by 12% in AUROC and 50% in Brier score reduction, which confirms the effectiveness in both discrimination and calibration. In addition, the expert study with clinicians recognizes GLEAN's utility in practice.

Should You Rely On This Paper?

This paper has strong direct human-feedback and evaluation protocol signal and is suitable as a primary eval pipeline reference.

Best use

Primary protocol reference for eval design

Use if you need

A concrete protocol example with enough signal to inform rater workflow design.

Main weakness

No major weakness surfaced.

Trust level

High

Usefulness score

75/100 • High

Use this as a primary source when designing or comparing eval protocols.

Human Feedback Signal

Detected

Evaluation Signal

Detected

Usefulness for eval research

High-confidence candidate

Extraction confidence 80%

What We Could Verify

These are the protocol signals we could actually recover from the available paper metadata. Use them to decide whether this paper is worth deeper reading.

Human Feedback Types

strong

Expert Verification

Directly usable for protocol triage.

"As LLM-powered agents have been used for high-stakes decision-making, such as clinical diagnosis, it becomes critical to develop reliable verification of their decisions to facilitate trustworthy deployment."

Evaluation Modes

strong

Automatic Metrics

Includes extracted eval setup.

"As LLM-powered agents have been used for high-stakes decision-making, such as clinical diagnosis, it becomes critical to develop reliable verification of their decisions to facilitate trustworthy deployment."

Quality Controls

strong

Calibration

Calibration/adjudication style controls detected.

"Yet, existing verifiers usually underperform owing to a lack of domain knowledge and limited calibration."

Benchmarks / Datasets

missing

Not extracted

No benchmark anchors detected.

"As LLM-powered agents have been used for high-stakes decision-making, such as clinical diagnosis, it becomes critical to develop reliable verification of their decisions to facilitate trustworthy deployment."

Reported Metrics

strong

Brier score, Auroc

Useful for evaluation criteria comparison.

"We empirically validate GLEAN with agentic clinical diagnosis across three diseases from the MIMIC-IV dataset, surpassing the best baseline by 12% in AUROC and 50% in Brier score reduction, which confirms the effectiveness in both discrimination and calibration."

Rater Population

strong

Domain Experts

Helpful for staffing comparability.

"To address this, we establish GLEAN, an agent verification framework with Guideline-grounded Evidence Accumulation that compiles expert-curated protocols into trajectory-informed, well-calibrated correctness signals."

Human Feedback Details

  • Uses human feedback: Yes
  • Feedback types: Expert Verification
  • Rater population: Domain Experts
  • Unit of annotation: Trajectory
  • Expertise required: Medicine

Evaluation Details

  • Evaluation modes: Automatic Metrics
  • Agentic eval: Long Horizon
  • Quality controls: Calibration
  • Evidence quality: High
  • Use this page as: Primary protocol reference for eval design

Protocol And Measurement Signals

Benchmarks / Datasets

No benchmark or dataset names were extracted from the available abstract.

Reported Metrics

brier scoreauroc

Research Brief

Metadata summary

As LLM-powered agents have been used for high-stakes decision-making, such as clinical diagnosis, it becomes critical to develop reliable verification of their decisions to facilitate trustworthy deployment.

Based on abstract + metadata only. Check the source paper before making high-confidence protocol decisions.

Key Takeaways

  • As LLM-powered agents have been used for high-stakes decision-making, such as clinical diagnosis, it becomes critical to develop reliable verification of their decisions to facilitate trustworthy deployment.
  • Yet, existing verifiers usually underperform owing to a lack of domain knowledge and limited calibration.
  • To address this, we establish GLEAN, an agent verification framework with Guideline-grounded Evidence Accumulation that compiles expert-curated protocols into trajectory-informed, well-calibrated correctness signals.

Researcher Actions

  • Compare this paper against nearby papers in the same arXiv category before using it for protocol decisions.
  • Check the full text for explicit evaluation design choices (raters, protocol, and metrics).
  • Use related-paper links to find stronger protocol-specific references.

Caveats

  • Generated from abstract + metadata only; no PDF parsing.
  • Signals below are heuristic and may miss details reported outside the abstract.

Research Summary

Contribution Summary

  • As LLM-powered agents have been used for high-stakes decision-making, such as clinical diagnosis, it becomes critical to develop reliable verification of their decisions to facilitate trustworthy deployment.
  • To address this, we establish GLEAN, an agent verification framework with Guideline-grounded Evidence Accumulation that compiles expert-curated protocols into trajectory-informed, well-calibrated correctness signals.
  • We empirically validate GLEAN with agentic clinical diagnosis across three diseases from the MIMIC-IV dataset, surpassing the best baseline by 12% in AUROC and 50% in Brier score reduction, which confirms the effectiveness in both…

Why It Matters For Eval

  • As LLM-powered agents have been used for high-stakes decision-making, such as clinical diagnosis, it becomes critical to develop reliable verification of their decisions to facilitate trustworthy deployment.
  • We empirically validate GLEAN with agentic clinical diagnosis across three diseases from the MIMIC-IV dataset, surpassing the best baseline by 12% in AUROC and 50% in Brier score reduction, which confirms the effectiveness in both…

Researcher Checklist

  • Pass: Human feedback protocol is explicit

    Detected: Expert Verification

  • Pass: Evaluation mode is explicit

    Detected: Automatic Metrics

  • Pass: Quality control reporting appears

    Detected: Calibration

  • Gap: Benchmark or dataset anchors are present

    No benchmark/dataset anchor extracted from abstract.

  • Pass: Metric reporting is present

    Detected: brier score, auroc

Related Papers

Papers are ranked by protocol overlap, extraction signal alignment, and semantic proximity.

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