Built by nurses, for nurses — free, open-source, and deployable in minutes.
Clinical Quality Artificial Intelligence is a UK-based open-source organisation founded by Lincoln Gombedza, Registered Learning Disability Nurse (RNLD) and Practice Educator.
We champion the "Nurse as Citizen Developer" movement — empowering nurses and nursing students to build, use, and understand AI-powered clinical tools without needing a computer science degree. Every tool we build is free, requires no API keys (unless stated), and is deployable to Hugging Face Spaces in minutes.
💡 "Technology built by those who understand the ward is technology that works on the ward."
To make high-quality, evidence-based digital tools freely available to every nursing student and registered nurse in the UK — and beyond.
| 📚 | Enhance nursing education with interactive, evidence-based learning tools |
| 🏥 | Support clinical practice with decision-support and reference tools |
| 🤖 | Advance AI literacy in nursing through hands-on, accessible technology |
| 🌈 | Promote health equity by removing cost and access barriers |
| 🔓 | Stay open source — transparent, collaborative, community-driven |
No login. No API key. No setup. Pick any tool and launch it directly on Hugging Face Spaces:
1. Click any 🤗 badge below
2. The Streamlit app loads in your browser
3. Start learning / practising immediately
All tools are hosted on Hugging Face Spaces and run entirely in the cloud. A modern browser is all you need.
Want to run a tool locally or contribute?
git clone https://github.com/Clinical-Quality-Artifical-Intelligence/<repo-name>
pip install -r requirements.txt
streamlit run app.py|
AI-powered clinical triage simulation using the Manchester Triage System. Gymnasium-compatible reinforcement learning environment with A2A protocol support — our competition entry for the OpenEnv Challenge 2026.
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Foundational set of FHIR R4 profiles implementing the ADPIE nursing process (Assessment, Diagnosis, Planning, Intervention, Evaluation) as interoperable healthcare data. Bridging HL7 FHIR and nursing science.
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A developer toolkit and skills platform for Nurse Citizen Developers. Deploy, manage, and extend CQAI tools from your terminal.
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"Closing the Genomic Gap" — a practice development paper on pharmacogenomics equity in diverse NHS populations. Open-access, peer-written by the CQAI team. |
A growing suite of free Streamlit apps — open source, no API keys, no login required.
📖 Research & Academic Writing
| Tool | Description | Launch |
|---|---|---|
| EBP Research Tool | Multi-database search (PubMed + ClinicalTrials.gov), evidence grading (Melnyk I–VII), Vancouver / Harvard / APA 7th citations, PRISMA 2020 flow tracker |  |
| AI Research & Academic Writer | Literature review, essay writer, dissertation, reflective accounts (Gibbs/Driscoll/Johns), NMC Revalidation CPD, NMC 7-platform mapping, Vancouver + Harvard citations. BYOK (Claude API) | |
💊 Medicines Management
| Tool | Description | Launch |
|---|---|---|
| Drug Card Generator | FDA + RxNorm drug cards with nursing considerations for 12+ classes, black box warnings, drug interactions, side-by-side compare | |
| Drug Calculations Trainer | 7 UK calculation types: tablets, IV mL/hr, drip drops/min, mg/kg, mcg/kg/min, % solutions. Infinite dynamic questions, exam mode (5–30 Qs), step-by-step worked solutions | |
| Medication Safety Checker | ISMP 2023 high-alert meds, RxNorm drug interaction API, dose safety checker (30+ drugs), LASA warnings (30+ pairs), Nine Rights checklist | |
🏥 Clinical Skills & Assessment
| Tool | Description | Launch |
|---|---|---|
| NEWS2 Clinical Deterioration Hub | Full RCP 2017 NEWS2 calculator (SpO₂ Scale 1 & 2), ABCDE primary survey + Sepsis Six, SBAR handover builder with Word .docx download, clinical reference guide | |
| Clinical Assessment Scales Hub | 7 validated scales: Waterlow, MUST, Morse, STRATIFY, Abbey Pain Scale, PHQ-9 (suicidal ideation safety alert), MMSE — all with colour-coded risk levels and management guidance | |
| Case Study Builder | 10 clinical cases (STEMI, DKA, Sepsis, Stroke, AKI, NOF fracture…), ADPIE reasoning with model answers, NCLEX-style MCQs, NANDA care plan builder | |
🎓 Exam Preparation & Professional Registration
| Tool | Description | Launch |
|---|---|---|
| NCLEX Practice Question Generator | MCQ, SATA, dosage calculations, category & difficulty filters, full rationales, score breakdown, wrong answer review | |
| NMC CBT Practice Questions | 30 expert-written MCQs across all 7 NMC platforms + NMC Code, full rationales with NMC/NICE/UK law references, platform & difficulty filters, exam mode | |
| Project | Description | Status |
|---|---|---|
| NurseSim-RL | AI clinical triage simulation using Manchester Triage System. OpenEnv Challenge 2026 entry with A2A protocol, Gymnasium-compatible RL environment | 🏆 Competition Entry |
| Nursing Council Agent | Multi-perspective AI peer review tool simulating academic, clinical, and student voices for nursing education quality assurance | ⚡ Active |
| Professional Nurse Advocate Assistant | AI assistant supporting Professional Nurse Advocates (PNA) in restorative clinical supervision | 🔬 Development |
| Health Inclusion Coach | AI-powered platform helping NHS teams embed inclusion, equity, and belonging into clinical practice and leadership | 💡 Active |
| Open Nursing Validator | TypeScript/Node.js FHIR-compliant validation service for nursing-specific healthcare data | 🔧 In Development |
| Nursing Language Translator | Clinical shorthand and nursing terminology translation powered by NurseEmbed-300M | 🔧 In Development |
Open Nursing Core Implementation Guide — FHIR R4
The Open Nursing Core IG is a foundational FHIR Implementation Guide that formalises the nursing process (ADPIE) as interoperable, standards-compliant healthcare data.
| Profile | Description |
|---|---|
NursingAssessment |
Structured clinical assessment aligned to ADPIE |
NursingDiagnosis |
NANDA-I–aligned nursing diagnosis resource |
NursingCarePlan |
Goal-directed care planning with SMART objectives |
NursingIntervention |
Evidence-linked nursing interventions (NIC-aligned) |
NursingOutcome |
Measurable care outcomes (NOC-aligned) |
Built with FHIR Shorthand (FSH), published via SUSHI, and validated against the HL7 FHIR R4 specification. Aligned with NHS Digital FHIR UK Core.
| Layer | Technologies |
|---|---|
| Languages | Python · TypeScript · JavaScript · FSH (FHIR Shorthand) · Shell |
| AI / ML | PyTorch · Transformers · Anthropic Claude API · LiteLLM · Gymnasium (RL) |
| Healthcare Standards | FHIR R4 · HL7 · NMC Standards (2018) · RCP NEWS2 · NICE Guidelines · BAPEN MUST |
| Clinical APIs | NCBI PubMed · ClinicalTrials.gov · openFDA · RxNorm/NLM · NIH ISMP |
| Web & Apps | Streamlit · Gradio · React · Vue.js · Docusaurus · python-docx |
| CI/CD & Cloud | GitHub Actions · Hugging Face Spaces · Docker · Azure · Cloudflare |
View full NMC Platform mapping
All student-facing tools are mapped to the NMC Standards of Proficiency for Registered Nurses (2018):
| NMC Platform | Tools |
|---|---|
| Platform 1 — Being an accountable professional | NMC CBT Practice · AI Research Writer |
| Platform 2 — Promoting health and preventing ill health | NMC CBT Practice · Assessment Scales (PHQ-9) |
| Platform 3 — Assessing needs and planning care | Assessment Scales · Case Studies · NEWS2 Hub · EBP Research Tool |
| Platform 4 — Providing and evaluating care | Drug Calc Trainer · Drug Cards · NEWS2 Hub · Medication Safety |
| Platform 5 — Leading and managing nursing care | NMC CBT Practice · AI Research Writer |
| Platform 6 — Improving safety and quality of care | Medication Safety · NEWS2 Hub · Assessment Scales |
| Platform 7 — Coordinating care | NMC CBT Practice · SBAR Builder (NEWS2 Hub) |
What's coming next
- NurseSim-RL v2 — expanded triage scenarios, multi-agent environment
- NHS Preceptorship Support Platform — structured reflection and competency tracking for newly qualified nurses
- Open Nursing FHIR IG v1.0 — first stable release with full ADPIE profiles
- NurseStack v1.0 — stable CLI release with deploy, test, and scaffold commands
- Nursing Language Translator — NurseEmbed-300M production release
- CQAI Community Hub — forum and peer support space for Nurse Citizen Developers
- NMC Revalidation Assistant — AI-supported portfolio builder and CPD tracker
- Clinical Placement Learning Tracker — PARE-aligned digital logbook
Lincoln Gombedza, RNLD — Registered Learning Disability Nurse | Practice Educator | Nurse Citizen Developer
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Kelly Thobekile Ncube, RN Senior Lecturer in Adult Nursing (SFHEA) Global Health Lecturer Volunteer Fellow |
Kumbi Kariwo, FRCN QN Health Inequalities & AI Equity Lead |
Hector Musonza Practice Education & Preceptorship Lead |
Dr Hellena Habte-Asres Lead Clinical Academic Research Nurse Diabetes & CKD Specialist |
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Winnie George National Programme Lead (Retention) |
Your name here? We welcome clinical collaborators, educators, and developers. |
We are grateful to our mentors and champions across the nursing and healthcare innovation community:
Aisha Holloway — Chief Nursing Officer for Scotland · Prof. Joanne Bosanquet — CEO, Foundation of Nursing Studies · Dr Clare Cable — CEO, Burdett Trust for Nursing · Prof. Gemma Stacey — Programme Director, Nursing Now Challenge · Josie Rudman MBE — NHS England, Mutual Mentor · Rohit Sagoo — Children's Nurse & Innovation Mentor
Supported by: Foundation of Nursing Studies (FoNS) · Burdett Trust for Nursing · Royal College of Nursing (RCN) · Nursing Now Challenge · Global Health Mentorships
We welcome contributions from nurses, nursing educators, healthcare technologists, and developers at all levels. No computer science degree required.
| How to contribute | |
|---|---|
| ⭐ Star a repository | Show support and help others discover these tools |
| 🐛 Open an issue | Report a bug, clinical inaccuracy, or suggest a feature |
| 🔀 Submit a pull request | Add questions, fix bugs, improve UI — all welcome |
| 📖 Improve documentation | Clinical accuracy in descriptions matters enormously |
| 💬 Start a discussion | Help shape the roadmap and ethical AI priorities |
| 🌐 Translate content | Help reach non-English-speaking nursing communities |
Please read our Contributing Guide and Code of Conduct before contributing.
All projects use the MIT Licence unless stated.
| 💙 | Person-Centred — patients and families at the heart of everything we build |
| 📊 | Evidence-Based — grounded in validated clinical tools and UK guidelines |
| 🌈 | Equitable — removing financial and access barriers to quality education |
| 🔓 | Open Source — transparent, auditable, community-owned |
| ⚖️ | Ethical AI — responsible, explainable, and clinically appropriate |
| 🎓 | Lifelong Learning — supporting every stage of a nursing career |
| 🤝 | Community-First — built with and for the nursing community, not just for it |
Made with 💙 for the UK nursing community and nursing students worldwide
If these tools help even one student pass their medicines management exam, it's worth it.
