Mitigating Hallucinations in Healthcare LLMs with Granular Fact-Checking and Domain-Specific Adaptation

In healthcare, it is essential for any LLM-generated output to be reliable and accurate, particularly in cases involving decision-making and patient safety. However, the outputs are often unreliable in such critical areas due to the risk of hallucinated outputs from the LLMs. To address this issue, we propose a fact-checking module that operates independently of any LLM, along with a domain-specific summarization model designed to minimize hallucination rates. Our model is fine-tuned using Low-Rank Adaptation (LoRa) on the MIMIC III dataset and is paired with the fact-checking module, which uses numerical tests for correctness and logical checks at a granular level through discrete logic in natural language processing (NLP) to validate facts against electronic health records (EHRs). We trained the LLM model on the full MIMIC-III dataset. For evaluation of the fact-checking module, we sampled 104 summaries, extracted them into 3,786 propositions, and used these as facts. The fact-checking module achieves a precision of 0.8904, a recall of 0.8234, and an F1-score of 0.8556. Additionally, the LLM summary model achieves a ROUGE-1 score of 0.5797 and a BERTScore of 0.9120 for summary quality.

From Language to Action: A Review of Large Language Models as Autonomous Agents and Tool Users

The pursuit of human-level artificial intelligence (AI) has significantly advanced the development of autonomous agents and Large Language Models (LLMs). LLMs are now widely utilized as decision-making agents for their ability to interpret instructions, manage sequential tasks, and adapt through feedback. This review examines recent developments in employing LLMs as autonomous agents and tool users and comprises seven research questions. We only used the papers published between 2023 and 2025 in conferences of the A* and A rank and Q1 journals. A structured analysis of the LLM agents' architectural design principles, dividing their applications into single-agent and multi-agent systems, and strategies for integrating external tools is presented. In addition, the cognitive mechanisms of LLM, including reasoning, planning, and memory, and the impact of prompting methods and fine-tuning procedures on agent performance are also investigated. Furthermore, we evaluated current benchmarks and assessment protocols and have provided an analysis of 68 publicly available datasets to assess the performance of LLM-based agents in various tasks. In conducting this review, we have identified critical findings on verifiable reasoning of LLMs, the capacity for self-improvement, and the personalization of LLM-based agents. Finally, we have discussed ten future research directions to overcome these gaps.

A Novel Two-Staged Decision Support based Threat Evaluation and Weapon Assignment Algorithm, Asset-based Dynamic Weapon Scheduling using Artificial Intelligence Techinques

Surveillance control and reporting (SCR) system for air threats play an important role in the defense of a country. SCR system corresponds to air and ground situation management/processing along with information fusion, communication, coordination, simulation and other critical defense oriented tasks. Threat Evaluation and Weapon Assignment (TEWA) sits at the core of SCR system. In such a system, maximal or near maximal utilization of constrained resources is of extreme importance. Manual TEWA systems cannot provide optimality because of different limitations e.g.surface to air missile (SAM) can fire from a distance of 5Km, but manual TEWA systems are constrained by human vision range and other constraints. Current TEWA systems usually work on target-by-target basis using some type of greedy algorithm thus affecting the optimality of the solution and failing in multi-target scenario. his paper relates to a novel two-staged flexible dynamic decision support based optimal threat evaluation and weapon assignment algorithm for multi-target air-borne threats.

A Novel Two-Stage Dynamic Decision Support based Optimal Threat Evaluation and Defensive Resource Scheduling Algorithm for Multi Air-borne threats

This paper presents a novel two-stage flexible dynamic decision support based optimal threat evaluation and defensive resource scheduling algorithm for multi-target air-borne threats. The algorithm provides flexibility and optimality by swapping between two objective functions, i.e. the preferential and subtractive defense strategies as and when required. To further enhance the solution quality, it outlines and divides the critical parameters used in Threat Evaluation and Weapon Assignment (TEWA) into three broad categories (Triggering, Scheduling and Ranking parameters). Proposed algorithm uses a variant of many-to-many Stable Marriage Algorithm (SMA) to solve Threat Evaluation (TE) and Weapon Assignment (WA) problem. In TE stage, Threat Ranking and Threat-Asset pairing is done. Stage two is based on a new flexible dynamic weapon scheduling algorithm, allowing multiple engagements using shoot-look-shoot strategy, to compute near-optimal solution for a range of scenarios. Analysis part of this paper presents the strengths and weaknesses of the proposed algorithm over an alternative greedy algorithm as applied to different offline scenarios.