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Olivier Fail

Publications and source records attributed to Olivier Fail.

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DR. INFO at the Point of Care: A Prospective Pilot Study of Physician-Perceived Value of an Agentic AI Clinical Assistant

Background: Clinical documentation and information retrieval consume over half of physicians working hours, contributing to cognitive overload and burnout. While artificial intelligence offers a potential solution, concerns over hallucinations and source reliability have limited adoption at the point of care. This study aimed to evaluate physician-perceived time efficiency, decision-making support, and satisfaction with DR. INFO, an agentic AI clinical assistant, in routine clinical practice. Methodology: In this prospective, single-arm, pilot feasibility study, 29 physicians and medical students across multiple specialties in Portuguese healthcare institutions used DR. INFO v1.0 over five working days within a two-week period. Outcomes were assessed via daily Likert-scale evaluations (time saving and decision support) and a final Net Promoter Score (NPS). Non-parametric methods were used throughout, with bootstrap confidence intervals (CIs) and sensitivity analysis to address non-response. Results: Physicians reported high perceived time saving (mean = 4.27/5; 95% CI = 3.97-4.57) and decision support (mean = 4.16/5; 95% CI = 3.86-4.45), with ratings stable across the five-day study window. Among the 16 (55%) participants who completed the final evaluation, the NPS was 81.2, with no detractors; sensitivity analysis indicated an NPS of 44.8 under conservative non-response assumptions. Conclusions: Physicians across specialties and career stages reported positive perceptions of DR. INFO for both time efficiency and clinical decision support within the study window. These findings are preliminary and should be confirmed in larger, controlled studies that include objective performance measures and independent accuracy verification.

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OpenAIs HealthBench in Action: Evaluating an LLM-Based Medical Assistant on Realistic Clinical Queries

Evaluating large language models (LLMs) on their ability to generate high-quality, accurate, situationally aware answers to clinical questions requires going beyond conventional benchmarks to assess how these systems behave in complex, high-stakes clinical scenarios. Traditional evaluations are often limited to multiple-choice questions that fail to capture essential competencies such as contextual reasoning, contextual awareness, and uncertainty handling. To address these limitations, we evaluate our agentic RAG-based clinical support assistant, DR. INFO, using HealthBench, a rubric-driven benchmark composed of open-ended, expert-annotated health conversations. On the Hard subset of 1,000 challenging examples, DR. INFO achieves a HealthBench Hard score of 0.68, outperforming leading frontier LLMs including the GPT-5 model family (GPT-5: 0.46, GPT-5.2: 0.42, GPT-5.1: 0.40), Grok 3 (0.23), Gemini 2.5 Pro (0.19), and Claude 3.7 Sonnet (0.02) across all behavioral axes (accuracy, completeness, instruction following, etc.). In a separate 100-sample evaluation against similar agentic RAG assistants (OpenEvidence and Pathway.md, now DoxGPT by Doximity), it maintains a performance lead with a HealthBench Hard score of 0.72. These results highlight the strengths of DR. INFO in communication, instruction following, and accuracy, while also revealing areas for improvement in context awareness and response completeness. Overall, the findings underscore the utility of behavior-level, rubric-based evaluation for building reliable and trustworthy AI-enabled clinical support systems.

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