2026.06/Healthcare AI Security

Beyond Injection Detection: A Positive-Security Prompt Firewall that Closes the Scope and PHI Gap SOTA Classifiers Miss in Healthcare

J. Schwoebel, I. Semenec, J. Rousseva, M. G. Frasch, R. Thorstenson, M. Bhatt

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Abstract

Presents QFIRE, an inline, provider-agnostic prompt firewall for healthcare AI agents that combines positive-security scope constraints, an asynchronous detector graph, and de-obfuscation — and releases QFIRE-HealthBench, where generic injection detectors recover only 0.40 recall while QFIRE's scope+PHI chain reaches 0.83.

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