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Emily Robitschek

Publications and source records attributed to Emily Robitschek.

2 recordsLinked to original sources

Learning When Not to Decide: A Framework for Overcoming Factual Presumptuousness in AI Adjudication

A well-known limitation of AI systems is presumptuousness: the tendency of AI systems to provide confident answers when information may be lacking. This challenge is particularly acute in legal applications, where a core task for attorneys, judges, and administrators is to determine whether evidence is sufficient to reach a conclusion. We study this problem in the important setting of unemployment insurance adjudication, which has seen rapid integration of AI systems and where the question of additional fact-finding poses the most significant bottleneck for a system that affects millions of applicants annually. First, through a collaboration with the Colorado Department of Labor and Employment, we secure rare access to official training materials and guidance to design a novel benchmark that systematically varies in information completeness. Second, we evaluate four leading AI platforms and show that standard RAG-based approaches achieve an average of only 15% accuracy when information is insufficient. Third, advanced prompting methods improve accuracy on inconclusive cases but over-correct, withholding decisions even on clear cases. Fourth, we introduce a structured framework requiring explicit identification of missing information before any determination (SPEC, Structured Prompting for Evidence Checklists). SPEC achieves 89% overall accuracy, while appropriately deferring when evidence is insufficient -- demonstrating that presumptuousness in legal AI is systematic but addressable, and that doing so is a necessary step towards systems that reliably support, rather than supplant, human judgment wherever decisions must await sufficient evidence.

cs.AI

A large language model-based approach to quantifying the effects of social determinants in liver transplant decisions

Patient life circumstances, including social determinants of health (SDOH), shape both health outcomes and care access, contributing to persistent disparities across gender, race, and socioeconomic status. Liver transplantation exemplifies these challenges, requiring complex eligibility and allocation decisions where SDOH directly influence patient evaluation. We developed an artificial intelligence (AI)-driven framework to analyze how broadly defined SDOH -- encompassing both traditional social determinants and transplantation-related psychosocial factors -- influence patient care trajectories. Using large language models, we extracted 23 SDOH factors related to patient eligibility for liver transplantation from psychosocial evaluation notes. These SDOH ``snapshots'' significantly improve prediction of patient progression through transplantation evaluation stages and help explain liver transplantation decisions including the recommendation based on psychosocial evaluation and the listing of a patient for a liver transplantation. Our analysis helps identify patterns of SDOH prevalence across demographics that help explain racial disparities in liver transplantation decisions. We highlight specific unmet patient needs, which, if addressed, could improve the equity and efficacy of transplant care. While developed for liver transplantation, this systematic approach to analyzing previously unstructured information about patient circumstances and clinical decision-making could inform understanding of care decisions and disparities across various medical domains.

cs.CY