The widespread adoption of machine learning in critical applications demands techniques to mitigate high-consequence errors. Our method utilizes a dual-classifier GBDT pipeline to distinguish routine human-like errors from high-risk non-human misclassifications. Evaluated across three domains, animal breed classification, skin lesion diagnosis (ISIC 2018), and prostate histopathology (SICAPv2), our framework demonstrates robust safety improvements. To address real-world deployment concerns, our results confirm the pipeline introduces negligible inference latency (1.60% overhead for the animal dataset, 1.84% for ISIC, and 1.70% for SICAPv2) while outperforming traditional Maximum Class Probability (MCP) baselines in correction precision. Our conservative correction strategy successfully reduced dangerous non-human errors by 34.1% in ISIC and 12.57% in SICAPv2, improving super-class diagnostic safety to 90.41% and 92.13% respectively. This proves that safety-critical reliability can be substantially enhanced post-hoc without expensive model retraining. keywords: Error Analysis, Post-hoc Correction, Trustworthy AI.
Safety classifiers deployed with large language models often fail for two reasons: their decisions reflect the policy learned during training rather than the deployer's desired policy, and their performance degrades as deployment traffic evolves. We present Regime-Conditional Verification (RCV), a lightweight wrapper that adapts an off-the-shelf safety classifier without retraining it. RCV estimates, from the classifier's internal representations, the probability that each prediction disagrees with the deployer's policy, and selectively corrects predictions likely to be wrong. The same correctness estimates also provide a label-free signal for detecting distribution shift, enabling a maintenance loop that updates the correctness estimation layer and resorts to classifier fine-tuning only when necessary. Across three off-the-shelf safety classifiers and two benchmark datasets, RCV improves adherence to the deployer's policy in every classifier-dataset combination, catching up to 0.81 of previously missed unsafe content without modifying the underlying classifier. In a deployment study with ten attack campaigns, each a harm category held out of RCV's training, RCV detects every campaign in a dedicated injection panel; in the maintenance census most drift episodes are repaired without updating the classifier, and the fine-tune is reserved for the residual episodes that repair does not restore.
As Large Language Models (LLMs) are increasingly deployed in healthcare settings, accurate error detection and correction in generated or existing text becomes critical, as even minor mistakes can pose risks to patient safety. Existing methods for error detection and correction, including automated checks and heuristic-based approaches, do not generalize well across unseen datasets. In this paper, we propose MedGuards as a medical safety guardrail, which is a new framework that treats medical error detection and correction as a multi-agent in-context learning task. Specialized agents separately detect, localize, and correct errors, while a confidence-guided arbitration mechanism resolves disagreements using reasoning traces and confidence scores. This design enhances interpretability, robustness, and adaptability, without requiring additional training of the base LLMs. Additionally, we introduce the Keyword-Prioritized Correction Score (KPCS), a new evaluation metric that considers whether critical keywords within the reference text are generated correctly, providing a more comprehensive assessment than conventional metrics. Experiments across four multilingual medical datasets consisting of clinical notes demonstrate significant improvements by the proposed framework across several metrics and models. Our aim is to enable safer deployment of LLMs in real-world healthcare applications. For reproducibility, we make our code publicly available at https://github.com/congboma/MedGuards.
Deep learning (DL) has shown strong performance in medical image classification, but its trustworthy deployment remains challenging in safety-critical clinical settings, where prediction errors under perturbations may lead to severe consequences. Existing studies mainly focus on adversarial robustness (AR) from a worst-case perspective; however, such settings may be less representative of real medical applications. In this work, we investigate probabilistic robustness (PR) as a more practical measure of model trustworthiness. To this end, we construct a set of natural corruption settings for medical image classification and systematically evaluate commonly used DL models on MedMNIST v2 dataset. Our study provides a statistically grounded perspective on assessing the trustworthiness of DL models, thereby supporting their more trustworthy deployment in medical imaging applications.