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

TL;DR

This paper highlights the importance of including clinicians, parents, and children in the design and governance of AI recording systems in pediatric emergencies to ensure legitimacy, effectiveness, and ethical considerations.

Contribution

It identifies key stakeholder perspectives missing from current AI recording systems and proposes a stakeholder-centered approach for better integration in pediatric emergency care.

Findings

Missing stakeholder perspectives affect consent and emotional impact.

Current systems lack participatory governance and surveillance considerations.

Proposes reorienting AI recording with stakeholder-centered HCI inquiry.

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.