Search arXiv⌕ Search
Home/Archive/arXiv

arXiv · 2604.01449

When AI Gets it Wrong: Reliability and Risk in AI-Assisted Medication Decision Systems

Khalid Adnan Alsayed
View original source ↗Read source document ↗Export metadata ↓

Abstract

Artificial intelligence (AI) systems are increasingly integrated into healthcare and pharmacy workflows, supporting tasks such as medication recommendations, dosage determination, and drug interaction detection. While these systems often demonstrate strong performance under standard evaluation metrics, their reliability in real-world decision-making remains insufficiently understood. In high-risk domains such as medication management, even a single incorrect recommendation can result in severe patient harm. This paper examines the reliability of AI-assisted medication systems by focusing on system failures and their potential clinical consequences. Rather than evaluating performance solely through aggregate metrics, this work shifts attention towards how errors occur and what happens when AI systems produce incorrect outputs. Through a series of controlled, simulated scenarios involving drug interactions and dosage decisions, we analyse different types of system failures, including missed interactions, incorrect risk flagging, and inappropriate dosage recommendations. The findings highlight that AI errors in medication-related contexts can lead to adverse drug reactions, ineffective treatment, or delayed care, particularly when systems are used without sufficient human oversight. Furthermore, the paper discusses the risks of over-reliance on AI recommendations and the challenges posed by limited transparency in decision-making processes. This work contributes a reliability-focused perspective on AI evaluation in healthcare, emphasising the importance of understanding failure behavior and real-world impact. It highlights the need to complement traditional performance metrics with risk-aware evaluation approaches, particularly in safety-critical domains such as pharmacy practice.

Explore related subjects

cs.AIcs.LG

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Khalid Adnan Alsayed. 2026-05-19. When AI Gets it Wrong: Reliability and Risk in AI-Assisted Medication Decision Systems. https://arxiv.org/abs/2604.01449

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related papers

arXiv2026

Collab-Solver: Collaborative Solving Policy Learning for Mixed-Integer Linear Programming

Mixed-integer linear programming (MILP) has been a fundamental problem in combinatorial optimization. Conventional MILP solving mainly relies on carefully designed heuristics embedded in the branch-and-bound framework. Driven by the strong capabilities of neural networks, recent research is exploring the value of machine learning alongside conventional MILP solving. Although learning-based MILP methods have shown great promise, existing works typically learn policies for individual modules in MILP solvers in isolation, without considering their interdependence, which limits both solving efficiency and solution quality. To address this limitation, we propose Collab-Solver, a novel multi-agent-based policy learning framework for MILP that enables collaborative policy optimization for multiple modules. Specifically, we formulate the collaboration between cut selection and branching in MILP solving as a Stackelberg game. Under this formulation, we develop a two-phase learning paradigm to stabilize collaborative policy learning: the first phase performs data-communicated policy pretraining, and the second phase further orchestrates the policy learning for various modules. Extensive experiments on both synthetic and large-scale real-world MILP datasets demonstrate that the jointly learned policies significantly improve solving performance. Moreover, the policies learned by Collab-Solver have also demonstrated excellent generalization abilities across different instance sets.

cs.AI↗
arXiv2026

Fact Grounded Attention: Eliminating Hallucination in Large Language Models Through Attention Level Knowledge Integration

"The greatest enemy of knowledge is not ignorance, it is the illusion of knowledge." Large Language Models have conquered natural language but remain prisoners of their own probabilistic nature--confidently hallucinating facts they never truly knew. We present Fact Grounded Attention (FGA), a novel architectural modification that transforms unreliable language models into deterministic truth tellers by injecting verifiable knowledge directly into the attention mechanism. Unlike existing approaches that patch hallucinations after generation or prepend retrieved text, FGA intervenes at the mathematical heart of the transformer--the pre-softmax attention scores--creating a model that cannot hallucinate when facts exist in its knowledge base. Our experiments across 1,107 technical queries spanning smartphones, laptops, and electric vehicles demonstrate a transformation from 6.3% accuracy in vanilla Llama 3.2 to 99.7% accuracy with FGA. More critically, knowledge updates occur in under one second without retraining, compared to hours for parameter editing approaches. FGA doesn't just reduce hallucination--it eliminates it entirely for verifiable facts, marking a fundamental shift from probabilistic approximation to deterministic precision in neural language generation.

cs.AI↗
arXiv2026

MemeLens: Multilingual Multitask VLMs for Memes

Memes are a dominant medium for online communication and manipulation because meaning emerges from interactions between embedded text, imagery, and cultural context. Existing meme research is distributed across tasks (e.g., \textit{hate, misogyny, propaganda, sentiment, humour}) and languages, which limits cross-domain generalization. To address this gap, we propose \textsc{MemeLens}, a unified multilingual, multitask explanation-enhanced Vision-Language Model (VLM) for meme understanding. We consolidate $38$ public meme datasets, filter and map dataset-specific labels into a shared taxonomy of $20$ tasks spanning harm, targets, figurative/pragmatic intent, and affect. We present a comprehensive empirical analysis across modeling paradigms, task categories, and datasets. Our findings suggest that robust meme understanding requires multimodal training, varies substantially across semantic categories, and remains sensitive to over-specialization when models are fine-tuned on individual datasets rather than trained in a unified setting. We make the experimental resources (https://github.com/MohamedBayan/MemeLens), model (https://huggingface.co/QCRI/MemeLens-VLM) and datasets (https://huggingface.co/datasets/QCRI/MemeLens) publicly available to the community.

cs.AI↗