Ambient Audio-Visual Capture for Clinical Documentation and Assessment (NCT07649772) | Clinical Trial Compass
Not Yet RecruitingNot Applicable
Ambient Audio-Visual Capture for Clinical Documentation and Assessment
60 participantsStarted 2026-09-01
Plain-language summary
AI-powered tools that automatically document clinical conversations are being adopted rapidly in outpatient settings but have not been evaluated in hospital wards. Existing tools use audio recording only, which cannot capture physical examination findings, procedural observations, or clinical safety behaviours - elements of a ward round that are visible but not audible.
This study evaluates an ambient audio-visual (AV) capture system - BlackFrame - that uses both microphone and camera to generate accurate clinical documentation and structured educational feedback in a real inpatient surgical ward setting.
Medical students and doctors in training participate in supervised ward round encounters with consenting adult inpatients. The BlackFrame AI platform generates: (a) a structured draft clinical note for the supervising clinician to review and countersign before any use in the patient record; and (b) formative feedback for the trainee, delivered within 30 minutes, covering clinical communication, examination technique, and documentation quality.
The study measures whether AI-generated feedback improves trainee clinical performance over a placement, how much documentation time is saved, and whether the system is acceptable to patients and clinicians. No AI-generated text enters the patient record without explicit clinician review and sign-off. All participation is voluntary.
Who can participate
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion
Trainee participants:
* Doctor in training (FY1 through registrar/ST grade) undertaking a supervised clinical activity at a participating NHS study site
* Able to provide written informed consent in English
Patient participants:
* Adult inpatient aged 18 years or over
* Able to provide written informed consent in English
* Admitted under a surgical team at a participating study site
* Clinically stable at the time of approach
Exclusion
Trainee participants:
* Unwilling to be audio-visually recorded
* Unable to provide written informed consent
* Any trainee where participation could create a direct conflict with a concurrent formal assessment or appraisal process at that session
Patient participants:
* Age under 18 years
* Unable to provide informed consent (including temporary incapacity due to acute illness, sedation, or delirium)
* Acute clinical deterioration at the time of approach
* Encounter involves sensitive disclosures in mental health, sexual health, or safeguarding unless a specific sub-protocol with additional consent measures is in place
* Patient has previously declined participation and does not wish to be re-approached
* Non-English speaking patients where no appropriate interpreter is available to support the consent process
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Mean documentation time per encounter with versus without AI scribe assistance
Timeframe: Through study completion, approximately 12 weeks