Robustness and failure points

Stress test a health AI model

A strong average result does not describe the conditions in which a model fails. QSTOM-IT puts the system under targeted stress to identify the populations, data and scenarios where performance degrades.

Testing

Look for failure conditions, not only confirmation of a metric

Subpopulations

Compare performance across relevant clinical profiles, demographics, equipment or sites.

Degraded data

Test sensitivity to missing data, noise, format changes and quality variation.

Time and drift

Observe stability over time and the effect of changes in population or practice.

Critical errors

Study false negatives, false positives, silent errors and high-consequence scenarios.

Generalisation

Assess what happens when the use context differs from development data.

Generative systems

Examine hallucinations, source fidelity, variability, refusal behaviour and out-of-context use.

Access

Three possible access levels

1

Document review

Documentation, results, protocols and logs, without access to individual-level data.

2

Client environment

Tests run inside infrastructure controlled by the organisation with restricted access.

3

Specialised environment

Where necessary, work with infrastructure or partners appropriate to health data constraints.

Reporting

The output is not a single score

We document failure points, evidence level, reproduction conditions and potential consequences. A critical risk is not averaged away by strong results on other criteria.

  • Stress-test plan
  • Reproducible results
  • Subpopulation analysis
  • Failure point map
  • Generalisation limits
  • Recommendations for additional tests

FAQ

Stress testing FAQ

How long does a stress test take?+

Duration depends on access level, number of scenarios and model complexity. A short scoping phase defines priority tests before work begins.

Can you test LLMs?+

Yes, when the system has a clearly defined use case. The protocol should include sources, error scenarios, response variability and suitable evaluation criteria.

Does a stress test prove that a model is safe?+

No. It documents failure conditions and observed results within a defined scope. It cannot prove the absence of every possible risk.

QSTOM-IT

You know the average performance. Do you know where it breaks?

We can design a stress-test protocol adapted to the model, data and decision at stake.

Define a stress test