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Paper · arXiv

When Patients Cut In: Extending Clinical Conversational AI Safety to Interruptions

Clinical voice agents are now deployed in routine care, where real patients do not wait their turn: they interrupt. These systems typically use a cascaded architecture (speech-to-text -> LLM -> text-to-speech), so when a patient cuts the agent off mid-utterance, clinically required content can be lost even when the model handles cooperative transcripts well. Yet clinical conversational-AI benchmarks almost universally assume patients wait for the agent to finish, missing interruption-induced loss of required content. We present a transcript-based evaluation of interruption recovery, adapting conversation-analytic overlap categories into three operational types (recognitional, competitive,...

AuthorsZachary Ellis, Spencer Hazel, Adam Brandt et al.
Primary categorycs.CL
Published29 August 2026
Last updated at source29 August 2026
cs.CL
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