Who Is in the Room? Stakeholder Perspectives on AI Recording in Pediatric Emergency Care

2026-03-24

AI Summary

Current AI-based audio and video recording systems in pediatric emergency settings overlook the perspectives of key stakeholders—including clinicians, parents, and children—thereby undermining their legitimacy and effectiveness. This study addresses this gap by integrating human-computer interaction (HCI) with ethical analysis and stakeholder theory to systematically synthesize the diverse viewpoints of these three groups regarding AI recording technologies. The research identifies four critical dimensions: informed consent, emotional impact, surveillance dynamics, and participatory governance. Building on these insights, the work proposes four user-centered design principles and develops a participatory governance framework tailored to pediatric emergency contexts. This framework offers both theoretical guidance and practical pathways for designing human-centered AI systems in high-stakes clinical environments.

Technology Category

Philosophy and Ethics of AI: Privacy & SecurityHumans and AI: Interaction Techniques and DevicesNatural Language Processing: Ethics — Bias, Fairness, Transparency & Privacy

Application Category

Economics, Online Markets and Human Computation: Fairness and ethical considerations in crowd work and in human-in-the-loop AI systemsUser Modeling, Personalization and Recommendation: Accountability, Transparency, and Ethics for personalizationResponsible Web: Machine-in-the-loop, human agency and autonomy

Abstract

Artificial intelligence systems that record voice and video during pediatric emergencies are emerging as human-computer interaction (HCI) technologies with direct implications for clinical work, promising improvements in documentation, team performance, and post-event debriefing. Yet the perspectives of those most affected, including clinicians, parents, and child patients, remain largely absent from the design and governance of these technologies. This position paper argues that this has direct consequences for the legitimacy and effectiveness of these systems. We examine four areas where these missing perspectives prove consequential (consent, emotional impact, surveillance dynamics, and participatory governance) and propose four positions for reorienting AI recording in pediatric emergency care toward stakeholder-centered HCI inquiry.

Problem

• AI recording
• pediatric emergency care
• stakeholder perspectives
• human-computer interaction
• clinical ethics

Innovation

• stakeholder-centered design
• AI recording
• pediatric emergency care
• human-computer interaction
• participatory governance