CITE: Clinical Inference Tethered to Evidence - a Retrieve-and-verify Layer for AI Care Plans
NCT07718893 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 240
Last updated 2026-07-22
Summary
This trial evaluates CITE, a retrieve-and-verify layer that audits an AI-generated care plan against a full-text evidence corpus and flags patient-specific codifiable safety hazards to the clinician. The co-primary outcomes are how accurately CITE flags these hazards (sensitivity and specificity versus blinded clinician adjudication) and its clinician alert burden and acceptance, compared with AI care plans using safety guardrails alone and with unassisted clinician care, in Medicaid primary care.
Conditions
- Quality of Health Care
- Patient Safety
- Clinical Decision Support
Interventions
- OTHER
-
CITE evidence-grounding retrieve-and-verify layer
Reads the AI care-plan text and verifies each recommendation/claim against a full-text evidence corpus; returns physician-facing flags (commission/confabulation/unsupported/omission) with verbatim quotes and citations. Clinician retains decision authority.
- OTHER
-
AI care plan with safety guardrails
AI-generated care plan produced under a safety-guardrail system prompt.
Sponsors & Collaborators
-
University of California, San Francisco
collaborator OTHER -
Waymark
lead INDUSTRY
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-09-30
- Primary Completion
- 2027-06-30
- Completion
- 2027-09-30
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