An AI documentation aid for critical care

Intensive care documentation is dense, time-critical and mostly lives in the unit's own clinical system. ClearPass does not connect to it. What it can do is turn your dictated review or a family meeting into a structured English draft, from a browser on a phone, tablet or computer, which you check and paste in.

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Where it fits on the unit, and where it does not

ClearPass is a documentation aid used from a browser. It does not read monitors, ventilators, infusion pumps or charts, and it does not know your patient's observations unless you say or type them. It has no EMR integration: the note is text you copy into your system.

Where intensivists find it useful: dictating a systems-based daily review after the round, writing up a family meeting, drafting a transfer or step-down summary, and producing plain-language information for families. Follow your unit's policy on devices and on consent for transcribing conversations.

What a systems-based review should capture

Neurology: sedation agents and doses, sedation score, delirium screen, pupils, and any neurological change.
Respiratory: mode, FiO2, PEEP, tidal volume, plateau pressure, gas results, secretions, weaning plan.
Cardiovascular: rhythm, blood pressure, vasopressor and inotrope doses with units, lactate trend, fluid balance.
Renal and metabolic: urine output, creatinine, renal replacement settings, electrolytes, glucose.
Gut and nutrition: feed route and rate, bowels, liver tests.
Haematology: haemoglobin, platelets, coagulation, thromboprophylaxis.
Infection: cultures, antimicrobials with day number, line and tube days.
Family communication and ceiling of care decisions, with who was present.

Example: dictated daily review

ICU daily review, My own structure (systems)

Summary: Man in his sixties, day 3 of admission with pneumonia and septic shock, intubated.
Neuro: Propofol 150 mg per hour, sedation score -2. Pupils equal and reactive. Delirium screen not possible.
Resp: Volume control, FiO2 0.45, PEEP 10, tidal volume 450 ml. PaO2 10.2 kPa. Plateau 24. Plan sedation hold and spontaneous breathing trial tomorrow if FiO2 below 0.4.
CVS: Sinus rhythm. Noradrenaline weaned from 0.25 to 0.08 micrograms per kg per minute. Lactate 1.6 (was 4.1).
Renal: Urine output 0.6 ml per kg per hour. Creatinine 142 (peak 188). Balance +1.2 litres over 24 hours.
ID: Day 3 piperacillin-tazobactam. Sputum grew a sensitive organism. Continue, review duration day 5.
Family: Wife updated at bedside. Understands improvement but remains critically unwell.

Invented patient. All settings and plans are the invented clinician's.

Templates and structures

The Emergency / Critical Care group has guided templates for Sepsis, Major trauma, Acute breathlessness, Poisoning / overdose, Seizure, GI bleed (acute) and others. They are built around acute presentations and requests, and help most at admission.

For daily reviews, save a systems-based structure once with My own structure (Summary, Neuro, Resp, CVS, Renal, GI, Haem, ID, Lines, Family, Plan) and reuse it. For family meetings, use Full headings or your own headings: who was present, what was explained, questions asked, decisions and next steps.

Documents after the unit

A transfer or step-down summary drafted from your dictation, using a medical report or the Something else option.
Plain-language patient instructions or family information after discharge from the unit.
Referral letters to follow-up clinics.
For ward-level notes, see AI scribe for hospital medicine.

Reviewing the draft

Check every infusion rate and unit. Micrograms per kilogram per minute versus per hour is the kind of error the note must not carry. The Numbers check marks any figure that was never said.
Check ventilator settings. FiO2, PEEP and volumes should match the machine at the time of the round.
Check day counts. Antimicrobial, line and tube days must agree with each other.
Check the family meeting wording. What was said about prognosis and ceilings of care must be exactly what was said.

What ClearPass does not do

It does not replace your judgement. Every note is an AI draft that you review and correct before it is used.
It is not a medical device and does not make clinical decisions. It is a documentation aid.
It does not connect to your EMR. The note is copy-ready text that pastes into any system.

Privacy

Clinical note content is not stored on ClearPass servers: it is processed to write the note, then discarded. Consultation audio is transcribed and discarded, never stored. Your note history stays in your browser, on your device, and you choose how long it is kept. Common identifiers are removed from typed and transcribed text before it reaches the AI; that is a best-effort safeguard, so leave names, ID numbers and file numbers out where you can. Processing goes through the AI providers named in our Privacy Policy, which sets out exactly what each one receives and how long it keeps it. ClearPass does not sign HIPAA business associate agreements today.

Questions

Does it pull data from monitors or the unit's system?

No. It has no device or EMR integration. It writes from what you say, type or photograph (for example a lab report).

Can I use it to write up a family meeting?

Yes, if the family agrees to the conversation being transcribed; ClearPass asks you to confirm consent each time. Otherwise dictate a summary straight after the meeting.

Is it suitable for the whole unit's documentation?

It is a drafting aid for individual clinicians. Notes stay in the browser on the device used, so shared devices need care; history can be set to auto-delete after 7, 30 or 90 days.

What does ClearPass cost?

The 7-day trial is free, needs no card and simply ends after 7 days, with no automatic charge. After that there is one plan: $78 a month or $858 a year, with every visit transcribed.

Try it on your next clinic day

The full product for 7 days, with no card and no automatic charge. Then $78 a month or $858 a year. Pricing details.

Start free — 7 days, no card