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AI Ambient Scribe in Psychiatry
Sponsor: Psychiatrie St. Gallen
Summary
The goal of this clinical trial is to learn if an artificial intelligence (AI) tool that listens to appointments and drafts clinical notes can help clinicians in psychiatric care. Researchers also want to know if the tool changes how patients experience their care. The study includes mental health care providers (physicians, psychologists/psychotherapists, nurses, and social workers) at Psychiatrie St. Gallen and the adult patients they see in their appointments. The main questions it aims to answer are: * Does the AI tool lower the time clinicians spend writing notes? * Are notes written with the AI tool as good as or better than notes written without it? * Do patients notice a difference in their relationship with their clinician when the tool is used? Researchers will compare clinicians who use the AI tool to clinicians who keep writing notes their usual way, before and during the intervention period, to see if writing time, note quality, and the patient-rated therapeutic relationship differ between the two groups. Clinicians will: Join one of two groups. One group starts using the AI tool on August 14, 2026. The other group keeps writing notes the usual way. Both groups will be observed until the end of November 2026, with note quality evaluation completed in December 2026. Clinicians who cannot contribute to all measurements may, with their consent, remain in the study for automated measurement of documentation time only. Patients will: * Be invited to fill out a short, anonymous survey about their experience with their clinician. * Be asked to agree, in writing, that researchers may review the report from their initial assessment appointment.
Official title: Evaluating the Use of an Artificial Intelligence Ambient Scribe in a Swiss Psychiatric Clinic: Efficiency, Documentation Quality, and Therapeutic Alliance
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
47
Start Date
2026-07-13
Completion Date
2026-12-31
Last Updated
2026-08-20
Healthy Volunteers
Yes
Conditions
Interventions
Artificial Intelligence Ambient Scribe
Listener Tool of the SwissGPT application (AlpineAI AG). After the patient's verbal consent, the provider records the consultation audio via mobile phone or laptop. All audio and text data are processed exclusively on AlpineAI's own GPU infrastructure located in Switzerland and are encrypted with individual keys per customer and per data type. Transcription uses the speech-to-text models Whisper 3 Turbo; from the transcript, a draft clinical note is generated by open-weight large language model Mistral Large 3 based on a standardized prompt developed for the institution. The provider transfers the generated draft note unedited into the electronic health record (ORBIS) and performs all review and editing directly in the EHR, so that the effort of correcting AI-generated drafts is captured by the automated documentation-time measurement. Audio recordings and transcripts are automatically deleted after 30 days.
Locations (8)
Psychiatrie St. Gallen
Heerbrugg, Canton of St. Gallen, Switzerland
Psychiatrie St. Gallen
Pfäfers Dorf, Canton of St. Gallen, Switzerland
Psychiatrie St. Gallen
Rorschach, Canton of St. Gallen, Switzerland
Psychiatrie St. Gallen
Sankt Gallen, Canton of St. Gallen, Switzerland
Psychiatrie St. Gallen
Sargans, Canton of St. Gallen, Switzerland
Psychiatrie St. Gallen
Uznach, Canton of St. Gallen, Switzerland
Psychiatrie St. Gallen
Wattwil, Canton of St. Gallen, Switzerland
Psychiatrie St. Gallen
Wil, Canton of St. Gallen, Switzerland