Validating Triage Agent Actions Before Execution

Triage agents now reprioritize cases, message patients, and escalate care autonomously. When an agent acts on flawed judgment or manipulated input, the consequence reaches a patient before any clinician reviews it. PointGuard AI validates each agent action before execution, holding high-impact actions for human approval and containing agents whose behavior drifts.

Autonomous triage actions can affect patient care before anyone reviews them.

• Agents can deprioritize urgent cases or escalate routine ones.
• Patient messages can carry incorrect or unsafe guidance.
• Injected content in referrals or messages can redirect an agent.
• Post-incident logs cannot undo an action already taken.

Agent Mission Control and Guardian Agent validate actions before execution and contain agents that drift.

1. Define each agent's mission. Register owners, permitted actions, patient populations, and data scopes for each triage agent.

2. Validate before execution. Check every proposed action against policy and the agent's trust score at sub-millisecond latency, before it reaches the EHR or patient.

3. Require approval for high-impact actions. Route priority changes, clinical escalations, and patient messages that meet defined risk criteria to a clinician for approval.

4. Monitor and contain. Track behavior continuously. Restrict tools, pause agents, or use kill switches when trust drops, and keep full telemetry for review.

• OWASP Top 10 for LLMs: LLM01 Prompt Injection and LLM06 Excessive Agency, covering manipulated inputs and agents acting with excessive autonomy.
• OWASP Top 10 for Agentic Applications: ASI01 Agent Goal Hijack, ASI08 Cascading Failures, and ASI10 Rogue Agents, addressing redirected agents, errors that spread into care, and rogue behavior.
• NIST AI RMF: MAP defines operational limits; MEASURE monitors behavior; MANAGE enables intervention; GOVERN assigns oversight.