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Article: LLM Reliability Layers Under Test: Accuracy, Yield, and the Limits of Verification

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Article: LLM Reliability Layers Under Test: Accuracy, Yield, and the Limits of Verification
Summary

Testing six reliability layers (deterministic checks, resampling, model-as-judge, human review) on clinical adverse-event extraction from the CADEC corpus revealed they sorted answers by trustworthiness but corrected almost none, disproving the additive-accuracy theory. The zero-shot extractor achieved only ~33% accuracy, while deterministic checks caught nonexistent codes but could not validate plausible answers, and recognition tasks (recalling SNOMED codes from memory) invented 13-18% of codes versus menu-picking which scored ten times higher. Yield—the proportion of records with a correct answer—exposed what accuracy hides, and detection set a hard ceiling: no layer recovers a mention the extractor missed, so the largest gains came from matching annotation conventions rather than domain-adapted models.

Author

Pushpdeep Mishra

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