ClinicalTrials.gg
Enrolling by invitationNCT07930130Updated Nov 10, 2026

Ambient AI Decision Support for Trauma Team Leaders in Simulated Resuscitations

An interventional study of Ambient AI trauma coach (visible) and Coach hidden (unassisted control) in Wounds and Injuries, Clinical Decision-Making and Decision Support Systems, Clinical, sponsored by Harvard Medical School (HMS and HSDM). Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Harvard Medical School (HMS and HSDM) · Not applicable, Interventional, and Health services research

Updated Nov 10, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this study is to learn whether real-time decision support from an ambient artificial-intelligence (AI) coach improves how physicians lead simulated trauma resuscitations. The main question it aims to answer is:

- Do participants lead simulated trauma resuscitations better when the coach is visible than when it is hidden?

Researchers will compare each participant's cases with the coach visible to their own cases with the coach hidden.

Participants will:

  • Lead simulated trauma resuscitations by voice in a trauma-bay simulator, with the coach visible on some cases and hidden on others, in random order
  • Complete short surveys

Blinded attending physicians score each case from a recording.

Read the detailed description

Participants lead simulated trauma resuscitations by voice as the trauma team leader. A computer simulation plays the patient and the trauma-bay team. The ambient AI coach listens to the simulated bay and shows decision-support cards on a dashboard; it does not speak or change the simulation. Performance is scored by attending physicians blinded to condition.

02

Conditions studied

  • Wounds and Injuries
  • Clinical Decision-Making
  • Decision Support Systems, Clinical

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Keywords

  • trauma resuscitation
  • trauma team leader
  • clinical decision support
  • artificial intelligence
  • large language model
  • simulation
03

In context

Wounds and Injuries

2,217 studies on the registry are indexed under Wounds and Injuries; 441 are open to participants now.

This study's planned enrollment of 10 is below the median of 70 across 1,424 interventional studies indexed under Wounds and Injuries.

Browse Wounds and Injuries studies →

Lead sponsor

Harvard Medical School (HMS and HSDM) is the lead sponsor of 55 studies on the registry; 14 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Physician in postgraduate year 3 or above
  • Has experience leading trauma resuscitations as team leader
  • Provides electronic

Exclusion criteria

Exclusion Criteria:

- Has never led a trauma resuscitation as team leader

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Outcomes assessor)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    Coach visible on case set X

    Participants lead simulated trauma cases in randomized order, with the AI coach visible on case set X and hidden on case set Y.

    Other: Ambient AI trauma coach (visible) · Other: Coach hidden (unassisted control)

  • Experimental
    Coach visible on case set Y

    Participants lead simulated trauma cases in randomized order, with the AI coach visible on case set Y and hidden on case set X.

    Other: Ambient AI trauma coach (visible) · Other: Coach hidden (unassisted control)

Interventions

  • OtherAmbient AI trauma coach (visible)

    An ambient AI coach that listens to the simulated trauma bay and shows real-time decision-support cards on the team leader's dashboard.

  • OtherCoach hidden (unassisted control)

    Simulated trauma cases led without the coach's dashboard.

06

What researchers measure

Primary outcomes

  1. Within-Participant Difference in Team-Leader Performance Score With the Coach Visible Versus Hidden

    Team-leader performance form with 4 items (critical actions and commands; prioritization and timeliness; diagnostic workup; leadership and communication), each scored from 1 to 5 by blinded attending reviewers; higher scores mean better performance. The per-case score is the mean of the 4 items. The outcome is each participant's mean score with the coach visible minus the mean with the coach hidden.

    Time frame: During the study cases (within 8 weeks of starting)

Secondary outcomes

  1. Mean Simulation Realism Score on a 4-Item Realism Form

    Simulation-realism form with 4 items (clinical trajectory; patient response and findings; team and environment; decision pressure and complexity), each scored from 1 to 5 (higher means more realistic), completed by participants and by attending reviewers.

    Time frame: After each study case (within 8 weeks of starting)

  2. Mean Coach Alert-Quality Rating per Item on a 4-Item Form

    Coach alert-quality form with 4 items (appropriateness; timing; coverage of clinically important omissions; overall quality), each scored from 1 to 5 by attending reviewers (higher is better).

    Time frame: During the study cases (within 8 weeks of starting)

  3. Coach-Experience Rating per Item on a 4-Item Survey

    Coach-experience form with 4 statements (effectiveness; decision support; usability; trust and reliance), each rated from 1 (strongly disagree) to 5 (strongly agree), completed by participants after the last study case.

    Time frame: After the last study case (within 8 weeks of starting)

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Yes — De-identified participant-level data underlying the reported results will be available to researchers on reasonable request to the corresponding author after publication, under a data use agreement.

Supporting information: Statistical analysis plan

Time frame: Beginning with publication of the primary results.

Access criteria: Researchers who submit a reasonable request to the corresponding author; data are shared under a data use agreement.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07930130
Lead sponsor
Harvard Medical School (HMS and HSDM)
Responsible party
Pranav Rajpurkar (Associate Professor, Harvard Medical School (HMS and HSDM)) — Principal investigator
First posted
Nov 10, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Feb 28, 2027 (estimated)
Completion
Feb 28, 2027 (estimated)
Last update
Nov 10, 2026

Study contacts

Pranav Rajpurkar
principal investigator · Harvard Medical School (HMS and HSDM)

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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