Archive · 2026-03-10
AI ethics on Tuesday, 10 March 2026
54 items published this day, across 1 categories.
Research (54)
Joint Imaging-ROI Representation Learning via Cross-View Contrastive Alignment for Brain Disorder Classification
Brain imaging classification is commonly approached from two perspectives: modeling the full image volume to capture global anatomical context, or constructing ROI-based graphs to encode localized and topological interactions. Although both representations have demonstrated independent efficacy, their relative contributions and potential complementarity remain insufficiently understood. Existing fusion approaches are typically task-specific and do not enable controlled evaluation of each represe
The Algorithmic Blind Spot: Bias, Moral Status, and the Future of Robot Rights
Contemporary debates in AI ethics increasingly foreground the prospective moral status of artificial intelligence and the possibility of extending moral or legal rights to artificial agents. While such discussions raise substantive philosophical questions, they often proceed alongside a comparatively limited engagement with the empirically documented harms generated by algorithmic systems already embedded within social, legal, and economic institutions. We conceptualize this asymmetry as an algo
Privacy and Safety Experiences and Concerns of U.S. Women Using Generative AI for Seeking Sexual and Reproductive Health Information
The rapid adoption of generative AI (GenAI) chatbots has reshaped access to sexual and reproductive health (SRH) information, particularly following the overturning of Roe v. Wade, as individuals assigned female at birth increasingly turn to online sources. However, existing research remains largely model-centered, paying limited attention to user privacy and safety. We conducted semi-structured interviews with 18 U.S.-based participants from both restrictive and non-restrictive states who had u
Robotic Ultrasound Makes CBCT Alive
Intraoperative Cone Beam Computed Tomography (CBCT) provides a reliable 3D anatomical context essential for interventional planning. However, its static nature fails to provide continuous monitoring of soft-tissue deformations induced by respiration, probe pressure, and surgical manipulation, leading to navigation discrepancies. We propose a deformation-aware CBCT updating framework that leverages robotic ultrasound as a dynamic proxy to infer tissue motion and update static CBCT slices in real
Ethical Implications of Training Deceptive AI
Deceptive behavior in AI systems is no longer theoretical: large language models strategically mislead without producing false statements, maintain deceptive strategies through safety training, and coordinate deception in multi-agent settings. While the European Union's AI Act prohibits deployment of deceptive AI systems, it explicitly exempts research and development, creating a necessary but unstructured space in which no established framework governs how deception research should be conducted
Delta-K: Boosting Multi-Instance Generation via Cross-Attention Augmentation
While Diffusion Models excel in text-to-image synthesis, they often suffer from concept omission when synthesizing complex multi-instance scenes. Existing training-free methods attempt to resolve this by rescaling attention maps, which merely exacerbates unstructured noise without establishing coherent semantic representations. To address this, we propose Delta-K, a backbone-agnostic and plug-and-play inference framework that tackles omission by operating directly in the shared cross-attention K
Automated Standardization of Legacy Biomedical Metadata Using an Ontology-Constrained LLM Agent
Scientific metadata are often incomplete and noncompliant with community standards, limiting dataset findability, interoperability, and reuse. Even when standard metadata reporting guidelines exist, they typically lack machine-actionable representations. Producing FAIR datasets requires encoding metadata standards as machine-actionable templates with rich field specifications and precise value constraints. Recent work has shown that LLMs guided by field names and ontology constraints can improve
Towards a Neural Debugger for Python
Training large language models (LLMs) on Python execution traces grounds them in code execution and enables the line-by-line execution prediction of whole Python programs, effectively turning them into neural interpreters (FAIR CodeGen Team et al., 2025). However, developers rarely execute programs step by step; instead, they use debuggers to stop execution at certain breakpoints and step through relevant portions only while inspecting or modifying program variables. Existing neural interpreter
The Confidence Gate Theorem: When Should Ranked Decision Systems Abstain?
Ranked decision systems -- recommenders, ad auctions, clinical triage queues -- must decide when to intervene in ranked outputs and when to abstain. We study when confidence-based abstention monotonically improves decision quality, and when it fails. The formal conditions are simple: rank-alignment and no inversion zones. The substantive contribution is identifying why these conditions hold or fail: the distinction between structural uncertainty (missing data, e.g., cold-start) and contextual un
No Image, No Problem: End-to-End Multi-Task Cardiac Analysis from Undersampled k-Space
Conventional clinical CMR pipelines rely on a sequential "reconstruct-then-analyze" paradigm, forcing an ill-posed intermediate step that introduces avoidable artifacts and information bottlenecks. This creates a fundamental mathematical paradox: it attempts to recover high-dimensional pixel arrays (i.e., images) from undersampled k-space, rather than directly extracting the low-dimensional physiological labels actually required for diagnosis. To unlock the direct diagnostic potential of k-space
PathMem: Toward Cognition-Aligned Memory Transformation for Pathology MLLMs
Computational pathology demands both visual pattern recognition and dynamic integration of structured domain knowledge, including taxonomy, grading criteria, and clinical evidence. In practice, diagnostic reasoning requires linking morphological evidence with formal diagnostic and grading criteria. Although multimodal large language models (MLLMs) demonstrate strong vision language reasoning capabilities, they lack explicit mechanisms for structured knowledge integration and interpretable memory
LCA: Local Classifier Alignment for Continual Learning
A fundamental requirement for intelligent systems is the ability to learn continuously under changing environments. However, models trained in this regime often suffer from catastrophic forgetting. Leveraging pre-trained models has recently emerged as a promising solution, since their generalized feature extractors enable faster and more robust adaptation. While some earlier works mitigate forgetting by fine-tuning only on the first task, this approach quickly deteriorates as the number of tasks
Multi-Stream Perturbation Attack: Breaking Safety Alignment of Thinking LLMs Through Concurrent Task Interference
The widespread adoption of thinking mode in large language models (LLMs) has significantly enhanced complex task processing capabilities while introducing new security risks. When subjected to jailbreak attacks, the step-by-step reasoning process may cause models to generate more detailed harmful content. We observe that thinking mode exhibits unique vulnerabilities when processing interleaved multiple tasks. Based on this observation, we propose multi-stream perturbation attack, which generates
First Estimation of Model Parameters for Neutrino-Induced Nucleon Knockout Using Simulation-Based Inference
To enable an accurate determination of oscillation parameters, accelerator-based neutrino experiments require detailed simulations of nuclear interaction physics in the GeV regime. While substantial effort from both theory and experiment is currently being invested to improve the fidelity of these simulations, their present deficiencies typically oblige experimental collaborations to resort to empirical tuning of simulation model parameters. As the precision requirements of the field continue to
AutoAgent: Evolving Cognition and Elastic Memory Orchestration for Adaptive Agents
Autonomous agent frameworks still struggle to reconcile long-term experiential learning with real-time, context-sensitive decision-making. In practice, this gap appears as static cognition, rigid workflow dependence, and inefficient context usage, which jointly limit adaptability in open-ended and non-stationary environments. To address these limitations, we present AutoAgent, a self-evolving multi-agent framework built on three tightly coupled components: evolving cognition, on-the-fly contextu
From Phase Prediction to Phase Design: A ReAct Agent Framework for High-Entropy Alloy Discovery
Discovering high-entropy alloy (HEA) compositions that reliably form a target crystal phase is a high-dimensional inverse design problem that conventional trial-and-error experimentation and forward-only machine learning models cannot efficiently solve. Here we present a ReAct (Reasoning + Acting) LLM agent that autonomously proposes, validates, and iteratively refines HEA compositions by querying a calibrated XGBoost surrogate trained on 4,753 experimental records across four phases (FCC, BCC,
OOD-MMSafe: Advancing MLLM Safety from Harmful Intent to Hidden Consequences
While safety alignment for Multimodal Large Language Models (MLLMs) has gained significant attention, current paradigms primarily target malicious intent or situational violations. We propose shifting the safety frontier toward consequence-driven safety, a paradigm essential for the robust deployment of autonomous and embodied agents. To formalize this shift, we introduce OOD-MMSafe, a benchmark comprising 455 curated query-image pairs designed to evaluate a model's ability to identify latent ha
ActiveUltraFeedback: Efficient Preference Data Generation using Active Learning
Reinforcement Learning from Human Feedback (RLHF) has become the standard for aligning Large Language Models (LLMs), yet its efficacy is bottlenecked by the high cost of acquiring preference data, especially in low-resource and expert domains. To address this, we introduce ACTIVEULTRAFEEDBACK, a modular active learning pipeline that leverages uncertainty estimates to dynamically identify the most informative responses for annotation. Our pipeline facilitates the systematic evaluation of standard
ESAinsTOD: A Unified End-to-End Schema-Aware Instruction-Tuning Framework for Task-Oriented Dialog Modeling
Existing end-to-end modeling methods for modular task-oriented dialog systems are typically tailored to specific datasets, making it challenging to adapt to new dialog scenarios. In this work, we propose ESAinsTOD, a unified End-to-end Schema-Aware Instruction-tuning framework for general Task-Oriented Dialog modeling. This framework introduces a structured methodology to go beyond simply fine-tuning Large Language Models (LLMs), enabling flexible adaptation to various dialogue task flows and sc
AutoViVQA: A Large-Scale Automatically Constructed Dataset for Vietnamese Visual Question Answering
Visual Question Answering (VQA) is a fundamental multimodal task that requires models to jointly understand visual and textual information. Early VQA systems relied heavily on language biases, motivating subsequent work to emphasize visual grounding and balanced datasets. With the success of large-scale pre-trained transformers for both text and vision domains -- such as PhoBERT for Vietnamese language understanding and Vision Transformers (ViT) for image representation learning -- multimodal fu
Logics-Parsing-Omni Technical Report
Addressing the challenges of fragmented task definitions and the heterogeneity of unstructured data in multimodal parsing, this paper proposes the Omni Parsing framework. This framework establishes a Unified Taxonomy covering documents, images, and audio-visual streams, introducing a progressive parsing paradigm that bridges perception and cognition. Specifically, the framework integrates three hierarchical levels: 1) Holistic Detection, which achieves precise spatial-temporal grounding of objec
MiniAppBench: Evaluating the Shift from Text to Interactive HTML Responses in LLM-Powered Assistants
With the rapid advancement of Large Language Models (LLMs) in code generation, human-AI interaction is evolving from static text responses to dynamic, interactive HTML-based applications, which we term MiniApps. These applications require models to not only render visual interfaces but also construct customized interaction logic that adheres to real-world principles. However, existing benchmarks primarily focus on algorithmic correctness or static layout reconstruction, failing to capture the ca
LITTA: Late-Interaction and Test-Time Alignment for Visually-Grounded Multimodal Retrieval
Retrieving relevant evidence from visually rich documents such as textbooks, technical reports, and manuals is challenging due to long context, complex layouts, and weak lexical overlap between user questions and supporting pages. We propose LITTA, a query-expansion-centric retrieval framework for evidence page retrieval that improves multimodal document retrieval without retriever retraining. Given a user query, LITTA generates complementary query variants using a large language model and retri
OrthoAI v2: From Single-Agent Segmentation to Dual-Agent Treatment Planning for Clear Aligners
We present OrthoAI v2, the second iteration of our open-source pipeline for AI-assisted orthodontic treatment planning with clear aligners, substantially extending the single-agent framework previously introduced. The first version established a proof-of-concept based on Dynamic Graph Convolutional Neural Networks (\dgcnn{}) for tooth segmentation but was limited to per-tooth centroid extraction, lacked landmark-level precision, and produced a scalar quality score without staging simulation. \vt
Detecting Miscitation on the Scholarly Web through LLM-Augmented Text-Rich Graph Learning
Scholarly web is a vast network of knowledge connected by citations. However, this system is increasingly compromised by miscitation, where references do not support or even contradict the claims they are cited for. Current miscitation detection methods, which primarily rely on semantic similarity or network anomalies, struggle to capture the nuanced relationship between a citation's context and its place in the wider network. While large language models (LLMs) offer powerful capabilities in sem
Stability of AI Governance Systems: A Coupled Dynamics Model of Public Trust and Social Disruptions
As artificial intelligence (AI) is increasingly deployed in high-stakes public decision-making (from resource allocation to welfare distribution), public trust in these systems has become a critical determinant of their legitimacy and sustainability. Yet existing AI governance research remains largely qualitative, lacking formal mathematical frameworks to characterize the precise conditions under which public trust collapses. This paper addresses that gap by proposing a rigorous coupled dynamics
Decoding the decoder: Contextual sequence-to-sequence modeling for intracortical speech decoding
Speech brain--computer interfaces require decoders that translate intracortical activity into linguistic output while remaining robust to limited data and day-to-day variability. While prior high-performing systems have largely relied on framewise phoneme decoding combined with downstream language models, it remains unclear what contextual sequence-to-sequence decoding contributes to sublexical neural readout, robustness, and interpretability. We evaluated a multitask Transformer-based sequence-
Enhancing Debunking Effectiveness through LLM-based Personality Adaptation
This study proposes a novel methodology for generating personalized fake news debunking messages by prompting Large Language Models (LLMs) with persona-based inputs aligned to the Big Five personality traits: Extraversion, Agreeableness, Conscientiousness, Neuroticism, and Openness. Our approach guides LLMs to transform generic debunking content into personalized versions tailored to specific personality profiles. To assess the effectiveness of these transformations, we employ a separate LLM as
Efficiently Aligning Draft Models via Parameter- and Data-Efficient Adaptation
Speculative decoding accelerates LLM inference but suffers from performance degradation when target models are fine-tuned for specific domains. A naive solution is to retrain draft models for every target model, which is costly and inefficient. To address this, we introduce a parameter- and data-efficient framework named Efficient Draft Adaptation, abbreviated as EDA, for efficiently adapting draft models. EDA introduces three innovations: (1) a decoupled architecture that utilizes shared and pr
EvoPrompt: Guided Prompt Evolution for Vision-Language Models Adaptation
The adaptation of large-scale vision-language models (VLMs) to downstream tasks with limited labeled data remains a significant challenge. While parameter-efficient prompt learning methods offer a promising path, they often suffer from catastrophic forgetting of pre-trained knowledge. Toward addressing this limitation, our work is grounded in the insight that governing the evolutionary path of prompts is essential for forgetting-free adaptation. To this end, we propose EvoPrompt, a novel framewo
Amnesia: Adversarial Semantic Layer Specific Activation Steering in Large Language Models
Warning: This article includes red-teaming experiments, which contain examples of compromised LLM responses that may be offensive or upsetting. Large Language Models (LLMs) have the potential to create harmful content, such as generating sophisticated phishing emails and assisting in writing code of harmful computer viruses. Thus, it is crucial to ensure their safe and responsible response generation. To reduce the risk of generating harmful or irresponsible content, researchers have developed t
Quantizer-Aware Hierarchical Neural Codec Modeling for Speech Deepfake Detection
Neural audio codecs discretize speech via residual vector quantization (RVQ), forming a coarse-to-fine hierarchy across quantizers. While codec models have been explored for representation learning, their discrete structure remains underutilized in speech deepfake detection. In particular, different quantization levels capture complementary acoustic cues, where early quantizers encode coarse structure and later quantizers refine residual details that reveal synthesis artifacts. Existing systems
Geometry-Aware Semantic Reasoning for Training Free Video Anomaly Detection
Training-free video anomaly detection (VAD) has recently emerged as a scalable alternative to supervised approaches, yet existing methods largely rely on static prompting and geometry-agnostic feature fusion. As a result, anomaly inference is often reduced to shallow similarity matching over Euclidean embeddings, leading to unstable predictions and limited interpretability, especially in complex or hierarchically structured scenes. We introduce MM-VAD, a geometry-aware semantic reasoning framewo
Ethical Fairness in Ubiquitous Health Sensing without Known Attributes
In ubiquitous and mobile health systems, computational models infer human states from wearable, behavioral, and physiological sensing data. In these settings, high accuracy alone is insufficient; models must act ethically and equitably across diverse people, contexts, and devices. However, fairness methods that rely on demographic or heterogeneous attributes during training are difficult to enforce because such attributes are often unavailable, privacy-sensitive, regulated, or undesirable to col
Physics-Informed Neural Engine Sound Modeling with Differentiable Pulse-Train Synthesis
Engine sounds originate from sequential exhaust pressure pulses rather than sustained harmonic oscillations. While neural synthesis methods typically aim to approximate the resulting spectral characteristics, we propose directly modeling the underlying pulse shapes and temporal structure. We present the Pulse-Train-Resonator (PTR) model, a differentiable synthesis architecture that generates engine audio as parameterized pulse trains aligned to engine firing patterns and propagates them through
SPAARS: Safer RL Policy Alignment through Abstract Exploration and Refined Exploitation of Action Space
Offline-to-online reinforcement learning (RL) offers a promising paradigm for robotics by pre-training policies on safe, offline demonstrations and fine-tuning them via online interaction. However, a fundamental challenge remains: how to safely explore online without deviating from the behavioral support of the offline data? While recent methods leverage conditional variational autoencoders (CVAEs) to bound exploration within a latent space, they inherently suffer from an exploitation gap -- a p
M3GCLR: Multi-View Mini-Max Infinite Skeleton-Data Game Contrastive Learning For Skeleton-Based Action Recognition
In recent years, contrastive learning has drawn significant attention as an effective approach to reducing reliance on labeled data. However, existing methods for self-supervised skeleton-based action recognition still face three major limitations: insufficient modeling of view discrepancies, lack of effective adversarial mechanisms, and uncontrollable augmentation perturbations. To tackle these issues, we propose the Multi-view Mini-Max infinite skeleton-data Game Contrastive Learning for skele
Robust Regularized Policy Iteration under Transition Uncertainty
Offline reinforcement learning (RL) enables data-efficient and safe policy learning without online exploration, but its performance often degrades under distribution shift. The learned policy may visit out-of-distribution state-action pairs where value estimates and learned dynamics are unreliable. To address policy-induced extrapolation and transition uncertainty in a unified framework, we formulate offline RL as robust policy optimization, treating the transition kernel as a decision variable
TaSR-RAG: Taxonomy-guided Structured Reasoning for Retrieval-Augmented Generation
Retrieval-Augmented Generation (RAG) helps large language models (LLMs) answer knowledge-intensive and time-sensitive questions by conditioning generation on external evidence. However, most RAG systems still retrieve unstructured chunks and rely on one-shot generation, which often yields redundant context, low information density, and brittle multi-hop reasoning. While structured RAG pipelines can improve grounding, they typically require costly and error-prone graph construction or impose rigi
Logos: An evolvable reasoning engine for rational molecular design
The discovery and design of functional molecules remain central challenges across chemistry,biology, and materials science. While recent advances in machine learning have accelerated molecular property prediction and candidate generation, existing models tend to excel either in physical fidelity without transparent reasoning, or in flexible reasoning without guarantees of chemical validity. This imbalance limits the reliability of artificial intelligence systems in real scientific design workflo
Finding and Reactivating Post-Trained LLMs' Hidden Safety Mechanisms
Despite the impressive performance of general-purpose large language models (LLMs), they often require fine-tuning or post-training to excel at specific tasks. For instance, large reasoning models (LRMs), such as the DeepSeek-R1 series, demonstrate strong reasoning capabilities after post-training different general large language models on diverse chain-of-thought (CoT) datasets. However, this additional training frequently comes at the cost of reduced safety, as the fine-tuned or post-trained m
Social-R1: Towards Human-like Social Reasoning in LLMs
While large language models demonstrate remarkable capabilities across numerous domains, social intelligence - the capacity to perceive social cues, infer mental states, and generate appropriate responses - remains a critical challenge, particularly for enabling effective human-AI collaboration and developing AI that truly serves human needs. Current models often rely on superficial patterns rather than genuine social reasoning. We argue that cultivating human-like social intelligence requires t
Cognitively Layered Data Synthesis for Domain Adaptation of LLMs to Space Situational Awareness
Large language models (LLMs) demonstrate exceptional performance on general-purpose tasks. however, transferring them to complex engineering domains such as space situational awareness (SSA) remains challenging owing to insufficient structural alignment with mission chains, the absence of higher-order cognitive supervision, and poor correspondence between data quality criteria and engineering specifications. The core bottleneck is the construction of high-quality supervised fine-tuning (SFT) dat
Embodied Human Simulation for Quantitative Design and Analysis of Interactive Robotics
Physical interactive robotics, ranging from wearable devices to collaborative humanoid robots, require close coordination between mechanical design and control. However, evaluating interactive dynamics is challenging due to complex human biomechanics and motor responses. Traditional experiments rely on indirect metrics without measuring human internal states, such as muscle forces or joint loads. To address this issue, we develop a scalable simulation-based framework for the quantitative analysi
Evaluate-as-Action: Self-Evaluated Process Rewards for Retrieval-Augmented Agents
Retrieval-augmented agents can query external evidence, yet their reliability in multi-step reasoning remains limited: noisy retrieval may derail multi-hop question answering, while outcome-only reinforcement learning provides credit signals that are too coarse to optimize intermediate steps. We propose \textsc{EvalAct} (Evaluate-as-Action), which converts implicit retrieval quality assessment into an explicit action and enforces a coupled Search-to-Evaluate protocol so that each retrieval is im
Differentiable Stochastic Traffic Dynamics: Physics-Informed Generative Modelling in Transportation
Macroscopic traffic flow is stochastic, but the physics-informed deep learning methods currently used in transportation literature embed deterministic PDEs and produce point-valued outputs; the stochasticity of the governing dynamics plays no role in the learned representation. This work develops a framework in which the physics constraint itself is distributional and directly derived from stochastic traffic-flow dynamics. Starting from an Ito-type Lighthill-Whitham-Richards model with Brownian
ZeroWBC: Learning Natural Whole-Body Humanoid Interaction from Human Egocentric Data
Achieving versatile and natural whole-body humanoid interaction control remains challenging due to the high cost of whole-body teleoperation data. We present ZeroWBC, a teleoperation-free framework that learns humanoid whole-body interaction from human egocentric videos paired with synchronized whole-body motion and text annotations. ZeroWBC adopts a generation-then-tracking formulation to tackle the static scene whole-body interaction control problem. Given an initial egocentric image and a lan
RubiCap: Rubric-Guided Reinforcement Learning for Dense Image Captioning
Dense image captioning is critical for cross-modal alignment in vision-language pretraining and text-to-image generation, but scaling expert-quality annotations is prohibitively expensive. While synthetic captioning via strong vision-language models (VLMs) is a practical alternative, supervised distillation often yields limited output diversity and weak generalization. Reinforcement learning (RL) could overcome these limitations, but its successes have so far been concentrated in verifiable doma
Composed Vision-Language Retrieval for Skin Cancer Case Search via Joint Alignment of Global and Local Representations
Medical image retrieval aims to identify clinically relevant lesion cases to support diagnostic decision making, education, and quality control. In practice, retrieval queries often combine a reference lesion image with textual descriptors such as dermoscopic features. We study composed vision-language retrieval for skin cancer, where each query consists of an image to text pair and the database contains biopsy-confirmed, multi-class disease cases. We propose a transformer based framework that l
Latent World Models for Automated Driving: A Unified Taxonomy, Evaluation Framework, and Open Challenges
Emerging generative world models and vision-language-action (VLA) systems are rapidly reshaping automated driving by enabling scalable simulation, long-horizon forecasting, and capability-rich decision making. Across these directions, latent representations serve as the central computational substrate: they compress high-dimensional multi-sensor observations, enable temporally coherent rollouts, and provide interfaces for planning, reasoning, and controllable generation. This paper proposes a un
A Text-Native Interface for Generative Video Authoring
Everyone can write their stories in freeform text format -- it's something we all learn in school. Yet storytelling via video requires one to learn specialized and complicated tools. In this paper, we introduce Doki, a text-native interface for generative video authoring, aligning video creation with the natural process of text writing. In Doki, writing text is the primary interaction: within a single document, users define assets, structure scenes, create shots, refine edits, and add audio. We
Sim2Act: Robust Simulation-to-Decision Learning via Adversarial Calibration and Group-Relative Perturbation
Simulation-to-decision learning enables safe policy training in digital environments without risking real-world deployment, and has become essential in mission-critical domains such as supply chains and industrial systems. However, simulators learned from noisy or biased real-world data often exhibit prediction errors in decision-critical regions, leading to unstable action ranking and unreliable policies. Existing approaches either focus on improving average simulation fidelity or adopt conserv
Optimizing solar and wind forecasting with iHow optimization algorithm and multi-scale attention networks
Deep learning models often encounter two key challenges in developing intelligent and scalable forecasting frameworks for renewable energy systems: input feature space dimensionality and sensitivity to hyperparameter settings. These limitations increase computational cost and compromise generalization and robustness. This paper presents a hybrid deep learning-optimization framework that leverages cognitively inspired metaheuristics to address these challenges, employing the Binary iHow Optimizat
Safety of a large language model-based clinical decision support system in African primary healthcare
Here we conducted a retrospective evaluation of an electronic medical record-embedded large language model clinical decision support system deployed across 16 primary care clinics in Kenya, between July and September 2024. A panel of trained physicians reviewed 1,469 records. Hallucinations were uncommon, occurring in 50 encounters (3.4%, 95% confidence interval (CI) 2.5-4.5), and most often involved misexpanded acronyms or drug names. Clinical management guidance aligned with local guidelines i