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Paper · arXiv

Trajectory-Derived Confidence for Reliable, Resource-Aware Clinical Text-to-SQL Agents

LLM agents for clinical text-to-SQL applications reason autonomously over multiple steps but cannot assess whether their own reasoning or outputs can be trusted. In high leverage applications such as healthcare, this presents a critical risk where system mistakes can be costly. These reliability failures are also resource failures: an incorrect reasoning trajectory spends computation budget on outputs that must be discarded. We introduce Sentinel, a trajectory-derived, classifier-based confidence layer that analyzes an agent's reasoning, code and database outputs to decide at three points whether to stop: refusing unanswerable questions before the agent runs, halting doomed trajectories m...

AuthorsMincheol Daniel Song, Joshua Ward, Jake Jung et al.
Primary categorycs.CL
Published2 October 2026
Last updated at source2 October 2026
cs.CLcs.AIcs.LG
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