aceWho Is in the Room? Stakeholder Perspectives on AI Recording in Pediatric Emergency Care
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…
Side by side, pediatric care in Guyana during LAMAT 2026 (9582238) by U.S. Air Force photo by Staff Sgt. Dakota Carter. Public domain
A 2026 position paper examines AI systems that record voice and video during pediatric emergencies, noting they are emerging as HCI technologies with implications for clinical work and are promoted for documentation, team performance, and debriefing. The authors argue that clinicians, parents, and child patients have been largely absent from design and governance.
That absence matters because recording in this setting touches consent, emotional impact, and surveillance, which can affect whether systems are seen as legitimate and whether they work in practice. The paper proposes reorienting future work toward stakeholder-centered inquiry, but does not report measured outcomes of deployed systems by the publication date.
- AI systems that record voice and video during pediatric emergencies are emerging in clinical work
- Paper identifies four consequential gaps: consent, emotional impact, surveillance dynamics, and participatory governance
- Stakeholder groups named as most affected are clinicians, parents, and child patients
- Authors propose four positions to reorient design toward stakeholder-centered HCI inquiry
When AI voice and video recording is used in pediatric emergency care, the absence of clinicians, parents, and child patients from design and governance undermines legitimacy and effectiveness, with unresolved issues around consent, emotional impact, and surveillance.
The rundown
The paper frames AI recording as an HCI intervention in pediatric emergency settings, where voice and video capture intersects with high-stakes teamwork and family presence.
It organizes the critique around four areas where missing stakeholder input matters: consent processes, emotional impact on families and staff, surveillance dynamics in the resuscitation room, and lack of participatory governance structures.
Sources
- Peer-reviewedProceedings of the 2026 ACM Interactive Health Conference2026-07-02
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