Designing transparent and trustworthy automation for emergency care: improving patient care and efficiency in the Accident and Emergency Department

Aladesuru, Favour ORCID logoORCID: https://orcid.org/0000-0003-2495-5533, Saadati, Parisa, Husamaldin, Laden ORCID logoORCID: https://orcid.org/0000-0002-8534-6857 and Abdelnour-Nocera, Jose ORCID logoORCID: https://orcid.org/0000-0001-7935-7368 (2026) Designing transparent and trustworthy automation for emergency care: improving patient care and efficiency in the Accident and Emergency Department. In: INTERACT 2025 20th IFIP TC13 International Conference on Human-Computer Interaction, 08–12 Sept 2025, Belo Horizonte, Brazil.

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Abstract

The Accident and Emergency Department is designed to tackle high-risk medical occurrences or conditions. Still, the number of visits to accident and emergency departments in the United Kingdom has been rising dramati-cally. Although there has been an effort to automate A&E since the 1960s, the National Health Services (NHS) reports a growth in the demand for more innovative solutions. To improve efficiency and boost patient satis-faction. In these high-stakes settings, there is increasing interest in using au-tomation to enhance patient flow and effectiveness. However, visible au-tonomy and careful attention to human factors are necessary for the success-ful integration of autonomous solutions. We prioritise user-centred design, trust in automation, and human-AI collaboration. We also aim discover some of the problems users encountered using a user-centered approach by utilizing the customer profile segment of the Value Proposition Canvas so that future innovations cater to users’ needs, thereby improving efficiency and boosting patient satisfaction. A pilot study recruited (N=20) partici-pants to uncover user needs, and a survey in line with UTAUT model shared with (N=111) gauged technology acceptance factors From the find-ings, it was discovered that it is imperative to involve users when proffer-ing solutions to the challenges faced in the A&E, as we uncovered some pains that were not revealed in secondary data. Also, automated solutions will improve patient satisfaction and the system’s effectiveness. The main conclusions show that users want innovations that close the gaps in com-munication, cut down on delays, and give concise justifications for choices. Users also emphasise that adoption requires transparency, usability, and trust.

Item Type: Conference or Workshop Item (Paper)
ISSN: 0302-9743
ISBN: 978-3-032-22937-3
Page Range: pp. 99-109
Identifier: 10.1007/978-3-032-22937-3_9
Keywords: Human-centric Approaches, Trust in Automation, Automated innovations, A&E, Design Thinking, Value Proposition, Unified Theory of Acceptance and Use of Technology (UTAUT).
Subjects: Computing > Intelligent systems
Medicine and health > Clinical medicine > Clinical care
Medicine and health > Primary health
Date Deposited: 05 Oct 2026
Dates:
Date
Publication status
8 September 2025
Presented
2 July 2026
Published Online
School, department or research centre: School of Computing and Engineering
Keywords: Human-centric Approaches, Trust in Automation, Automated innovations, A&E, Design Thinking, Value Proposition, Unified Theory of Acceptance and Use of Technology (UTAUT).
URI: https://repository.uwl.ac.uk/id/eprint/15470

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