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Paper · arXiv

Deceptive Grounding: Entity Attribution Failure in Clinical Retrieval-Augmented Generation

Retrieval-augmented generation evaluation checks whether model claims are factually grounded in retrieved documents. It does not check whether retrieved evidence is attributed to the correct entity. A clinical RAG response can pass every automated check (zero hallucinations, near-perfect faithfulness, real citations) while presenting drug Y's clinical evidence as evidence about queried drug X. We term this deceptive grounding (DG): a failure invisible to faithfulness, hallucination, and citation checks because every claim is sourced from a real document, about the wrong entity. Using a controlled factorial benchmark across 13 models, we find DG rates spanning 8-87% at peak adversarial con...

AuthorsCedric Caruzzo, Donggeun Yoo, Tae Soo Kim
Primary categorycs.CL
Published10 July 2026
Last updated at source10 July 2026
cs.CLcs.AIcs.LG
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