Collaborative Medical Triage under Uncertainty: A Multi-Agent Dynamic Matching Approach
- URL: http://arxiv.org/abs/2507.22504v2
- Date: Mon, 04 Aug 2025 13:40:38 GMT
- Title: Collaborative Medical Triage under Uncertainty: A Multi-Agent Dynamic Matching Approach
- Authors: Hongyan Cheng, Chengzhang Yu, Yanshu Shi, Chiyue Wang, Cong Liu, Zhanpeng Jin,
- Abstract summary: Post-pandemic surge in healthcare demand, coupled with critical nursing shortages, has placed unprecedented pressure on medical triage systems.<n>We present a multi-agent interactive intelligent system for medical triage that addresses three fundamental challenges in current AI-based triage systems.
- Score: 4.474709234869498
- License: http://arxiv.org/licenses/nonexclusive-distrib/1.0/
- Abstract: The post-pandemic surge in healthcare demand, coupled with critical nursing shortages, has placed unprecedented pressure on medical triage systems, necessitating innovative AI-driven solutions. We present a multi-agent interactive intelligent system for medical triage that addresses three fundamental challenges in current AI-based triage systems: inadequate medical specialization leading to misclassification, heterogeneous department structures across healthcare institutions, and inefficient detail-oriented questioning that impedes rapid triage decisions. Our system employs three specialized agents--RecipientAgent, InquirerAgent, and DepartmentAgent--that collaborate through Inquiry Guidance mechanism and Classification Guidance Mechanism to transform unstructured patient symptoms into accurate department recommendations. To ensure robust evaluation, we constructed a comprehensive Chinese medical triage dataset from "Ai Ai Yi Medical Network", comprising 3,360 real-world cases spanning 9 primary departments and 62 secondary departments. Experimental results demonstrate that our multi-agent system achieves 89.6% accuracy in primary department classification and 74.3% accuracy in secondary department classification after four rounds of patient interaction. The system's dynamic matching based guidance mechanisms enable efficient adaptation to diverse hospital configurations while maintaining high triage accuracy. We successfully developed this multi-agent triage system that not only adapts to organizational heterogeneity across healthcare institutions but also ensures clinically sound decision-making.
Related papers
- An Agentic System for Rare Disease Diagnosis with Traceable Reasoning [58.78045864541539]
We introduce DeepRare, the first rare disease diagnosis agentic system powered by a large language model (LLM)<n>DeepRare generates ranked diagnostic hypotheses for rare diseases, each accompanied by a transparent chain of reasoning.<n>The system demonstrates exceptional diagnostic performance among 2,919 diseases, achieving 100% accuracy for 1013 diseases.
arXiv Detail & Related papers (2025-06-25T13:42:26Z) - The Optimization Paradox in Clinical AI Multi-Agent Systems [13.177792688650971]
The relationship between component-level optimization and system-wide performance remains poorly understood.<n>We evaluated this relationship using 2,400 real patient cases from the MIMIC-CDM dataset.<n>Our results reveal a paradox: while multi-agent systems generally outperformed single agents, the component-optimized or Best of Breed system with superior components and excellent process metrics significantly underperformed in diagnostic accuracy (67.7% vs. 77.4% for a top multi-agent system)
arXiv Detail & Related papers (2025-06-06T23:01:51Z) - MMedAgent-RL: Optimizing Multi-Agent Collaboration for Multimodal Medical Reasoning [63.63542462400175]
We propose MMedAgent-RL, a reinforcement learning-based multi-agent framework that enables dynamic, optimized collaboration among medical agents.<n> Specifically, we train two GP agents based on Qwen2.5-VL via RL: the triage doctor learns to assign patients to appropriate specialties, while the attending physician integrates the judgments from multi-specialists.<n>Experiments on five medical VQA benchmarks demonstrate that MMedAgent-RL not only outperforms both open-source and proprietary Med-LVLMs, but also exhibits human-like reasoning patterns.
arXiv Detail & Related papers (2025-05-31T13:22:55Z) - Silence is Not Consensus: Disrupting Agreement Bias in Multi-Agent LLMs via Catfish Agent for Clinical Decision Making [80.94208848596215]
We present a new concept called Catfish Agent, a role-specialized LLM designed to inject structured dissent and counter silent agreement.<n>Inspired by the catfish effect'' in organizational psychology, the Catfish Agent is designed to challenge emerging consensus to stimulate deeper reasoning.
arXiv Detail & Related papers (2025-05-27T17:59:50Z) - TAMA: A Human-AI Collaborative Thematic Analysis Framework Using Multi-Agent LLMs for Clinical Interviews [54.35097932763878]
Thematic analysis (TA) is a widely used qualitative approach for uncovering latent meanings in unstructured text data.<n>Here, we propose TAMA: A Human-AI Collaborative Thematic Analysis framework using Multi-Agent LLMs for clinical interviews.<n>We demonstrate that TAMA outperforms existing LLM-assisted TA approaches, achieving higher thematic hit rate, coverage, and distinctiveness.
arXiv Detail & Related papers (2025-03-26T15:58:16Z) - MAP: Evaluation and Multi-Agent Enhancement of Large Language Models for Inpatient Pathways [26.013336927642765]
Inpatient pathways demand complex clinical decision-making based on comprehensive patient information.<n>We propose the Multi-Agent Inpatient Pathways (MAP) framework to accomplish inpatient pathways with three clinical agents.<n>Extensive experiments showed our MAP improved the diagnosis accuracy by 25.10% compared to the state-of-the-art LLM HuatuoGPT2-13B.
arXiv Detail & Related papers (2025-03-17T14:14:28Z) - Medchain: Bridging the Gap Between LLM Agents and Clinical Practice through Interactive Sequential Benchmarking [58.25862290294702]
We present MedChain, a dataset of 12,163 clinical cases that covers five key stages of clinical workflow.<n>We also propose MedChain-Agent, an AI system that integrates a feedback mechanism and a MCase-RAG module to learn from previous cases and adapt its responses.
arXiv Detail & Related papers (2024-12-02T15:25:02Z) - Towards Next-Generation Medical Agent: How o1 is Reshaping Decision-Making in Medical Scenarios [46.729092855387165]
We study the choice of the backbone LLM for medical AI agents, which is the foundation for the agent's overall reasoning and action generation.<n>Our findings demonstrate o1's ability to enhance diagnostic accuracy and consistency, paving the way for smarter, more responsive AI tools.
arXiv Detail & Related papers (2024-11-16T18:19:53Z) - Advancing Multi-Organ Disease Care: A Hierarchical Multi-Agent Reinforcement Learning Framework [3.577634519691725]
We propose a novel Hierarchical Multi-Agent Reinforcement Learning framework.<n>Our architecture deploys specialized and dedicated agents for each organ system.<n>We introduce a dual-layer state representation technique that contextualizes patient conditions at both global and organ-specific levels.
arXiv Detail & Related papers (2024-09-06T12:26:47Z) - Development of a Large Language Model-based Multi-Agent Clinical Decision Support System for Korean Triage and Acuity Scale (KTAS)-Based Triage and Treatment Planning in Emergency Departments [0.0]
This study presents an LLM-driven CDSS to assist ED physicians and nurses in patient triage, treatment planning, and overall emergency care management.
The system comprises four AI agents emulating key ED roles: Triage Nurse, Emergency Physician, Pharmacist, and ED Coordinator.
It incorporates the Korean Triage and Acuity Scale (KTAS) for triage assessment and integrates with the RxNorm API for medication management.
arXiv Detail & Related papers (2024-08-14T13:03:41Z) - Advancing Healthcare Automation: Multi-Agent System for Medical Necessity Justification [0.0]
This paper explores the application of Multi-Agent System (MAS) that utilize specialized LLM agents to automate Prior Authorization task.
We demonstrate that GPT-4 checklist achieves an accuracy of 86.2% in predicting item-level judgments with evidence, and 95.6% in determining overall checklist judgment.
arXiv Detail & Related papers (2024-04-27T18:40:05Z) - Autonomous Artificial Intelligence Agents for Clinical Decision Making in Oncology [0.6397820821509177]
We introduce an alternative approach to multimodal medical AI that utilizes the generalist capabilities of a large language model (LLM) as a central reasoning engine.
This engine autonomously coordinates and deploys a set of specialized medical AI tools.
We show that the system has a high capability in employing appropriate tools (97%), drawing correct conclusions (93.6%), and providing complete (94%), and helpful (89.2%) recommendations for individual patient cases.
arXiv Detail & Related papers (2024-04-06T15:50:19Z) - Robust and Efficient Medical Imaging with Self-Supervision [80.62711706785834]
We present REMEDIS, a unified representation learning strategy to improve robustness and data-efficiency of medical imaging AI.
We study a diverse range of medical imaging tasks and simulate three realistic application scenarios using retrospective data.
arXiv Detail & Related papers (2022-05-19T17:34:18Z) - BiteNet: Bidirectional Temporal Encoder Network to Predict Medical
Outcomes [53.163089893876645]
We propose a novel self-attention mechanism that captures the contextual dependency and temporal relationships within a patient's healthcare journey.
An end-to-end bidirectional temporal encoder network (BiteNet) then learns representations of the patient's journeys.
We have evaluated the effectiveness of our methods on two supervised prediction and two unsupervised clustering tasks with a real-world EHR dataset.
arXiv Detail & Related papers (2020-09-24T00:42:36Z)
This list is automatically generated from the titles and abstracts of the papers in this site.
This site does not guarantee the quality of this site (including all information) and is not responsible for any consequences.