{"id":"https://openalex.org/W7159688324","doi":"https://doi.org/10.1145/3786579.3804967","title":"Exploring the Feasibility and Acceptability of AI-Mediated Serious Illness Conversations in the Emergency Department","display_name":"Exploring the Feasibility and Acceptability of AI-Mediated Serious Illness Conversations in the Emergency Department","publication_year":2026,"publication_date":"2026-07-02","ids":{"openalex":"https://openalex.org/W7159688324","doi":"https://doi.org/10.1145/3786579.3804967"},"language":null,"primary_location":{"id":"doi:10.1145/3786579.3804967","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3786579.3804967","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Proceedings of the 2026 ACM Interactive Health Conference","raw_type":"proceedings-article"},"type":"conference-paper","indexed_in":["arxiv","crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1145/3786579.3804967","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5134895147","display_name":"Hasibur Rahman","orcid":null},"institutions":[{"id":"https://openalex.org/I12912129","display_name":"Northeastern University","ror":"https://ror.org/04t5xt781","country_code":"US","type":"education","lineage":["https://openalex.org/I12912129"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hasibur Rahman","raw_affiliation_strings":["Northeastern University, Boston, Massachusetts, USA"],"raw_orcid":"https://orcid.org/0009-0008-0938-1504","affiliations":[{"raw_affiliation_string":"Northeastern University, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I12912129"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021636747","display_name":"Kenji Numata","orcid":"https://orcid.org/0000-0001-9813-5592"},"institutions":[{"id":"https://openalex.org/I163917720","display_name":"St. Marianna University School of Medicine","ror":"https://ror.org/043axf581","country_code":"JP","type":"education","lineage":["https://openalex.org/I163917720"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kenji Numata","raw_affiliation_strings":["Sei Marianna Ika Daigaku, Kawasaki, Japan"],"raw_orcid":"https://orcid.org/0000-0001-9813-5592","affiliations":[{"raw_affiliation_string":"Sei Marianna Ika Daigaku, Kawasaki, Japan","institution_ids":["https://openalex.org/I163917720"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5134977159","display_name":"Evelyn T Lai","orcid":null},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Evelyn T Lai","raw_affiliation_strings":["Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA"],"raw_orcid":"https://orcid.org/0009-0002-8897-0441","affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093657882","display_name":"Maria Cheriyan","orcid":null},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210106258","display_name":"Harvard College Observatory","ror":"https://ror.org/01mcvy510","country_code":"US","type":"facility","lineage":["https://openalex.org/I103187081","https://openalex.org/I136199984","https://openalex.org/I4210106258","https://openalex.org/I4210124175"]},{"id":"https://openalex.org/I4210134579","display_name":"Dana-Farber/Harvard Cancer Center","ror":"https://ror.org/03pvyf116","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I136199984","https://openalex.org/I4210117453","https://openalex.org/I4210134579"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maria Cheriyan","raw_affiliation_strings":["Harvard College, Boston, Massachusetts, USA"],"raw_orcid":"https://orcid.org/0009-0002-8747-7663","affiliations":[{"raw_affiliation_string":"Harvard College, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I136199984","https://openalex.org/I4210106258","https://openalex.org/I4210134579"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068136880","display_name":"Adrian D. Haimovich","orcid":"https://orcid.org/0000-0002-4106-7055"},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Adrian Haimovich","raw_affiliation_strings":["Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA"],"raw_orcid":"https://orcid.org/0000-0002-4106-7055","affiliations":[{"raw_affiliation_string":"Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I1316535847"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082578200","display_name":"Kei Ouchi","orcid":"https://orcid.org/0000-0002-2723-4259"},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kei Ouchi","raw_affiliation_strings":["Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts, USA"],"raw_orcid":"https://orcid.org/0000-0002-2723-4259","affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5082948461","display_name":"Smit Desai","orcid":null},"institutions":[{"id":"https://openalex.org/I12912129","display_name":"Northeastern University","ror":"https://ror.org/04t5xt781","country_code":"US","type":"education","lineage":["https://openalex.org/I12912129"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Smit Desai","raw_affiliation_strings":["Northeastern University, Boston, Massachusetts, USA"],"raw_orcid":"https://orcid.org/0000-0001-6983-8838","affiliations":[{"raw_affiliation_string":"Northeastern University, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I12912129"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":7,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.43577982,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"1","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.3939000070095062,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.3939000070095062,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.20919999480247498,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.07880000025033951,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/emergency-department","display_name":"Emergency department","score":0.7099999785423279},{"id":"https://openalex.org/keywords/hallucinating","display_name":"Hallucinating","score":0.6819000244140625},{"id":"https://openalex.org/keywords/feeling","display_name":"Feeling","score":0.65420001745224},{"id":"https://openalex.org/keywords/conversation","display_name":"Conversation","score":0.6539999842643738},{"id":"https://openalex.org/keywords/conversation-analysis","display_name":"Conversation analysis","score":0.5303999781608582},{"id":"https://openalex.org/keywords/citizen-journalism","display_name":"Citizen journalism","score":0.4408000111579895},{"id":"https://openalex.org/keywords/work","display_name":"Work (physics)","score":0.3968000113964081},{"id":"https://openalex.org/keywords/medline","display_name":"MEDLINE","score":0.34630000591278076}],"concepts":[{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.7099999785423279},{"id":"https://openalex.org/C2911011789","wikidata":"https://www.wikidata.org/wiki/Q130741","display_name":"Hallucinating","level":2,"score":0.6819000244140625},{"id":"https://openalex.org/C122980154","wikidata":"https://www.wikidata.org/wiki/Q205555","display_name":"Feeling","level":2,"score":0.65420001745224},{"id":"https://openalex.org/C2777200299","wikidata":"https://www.wikidata.org/wiki/Q52943","display_name":"Conversation","level":2,"score":0.6539999842643738},{"id":"https://openalex.org/C2780829048","wikidata":"https://www.wikidata.org/wiki/Q1624720","display_name":"Conversation analysis","level":3,"score":0.5303999781608582},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5142999887466431},{"id":"https://openalex.org/C203663800","wikidata":"https://www.wikidata.org/wiki/Q848979","display_name":"Citizen journalism","level":2,"score":0.4408000111579895},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4278999865055084},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4196999967098236},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.3968000113964081},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.39169999957084656},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.34630000591278076},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.32589998841285706},{"id":"https://openalex.org/C2776946740","wikidata":"https://www.wikidata.org/wiki/Q358652","display_name":"Deliberation","level":3,"score":0.3174999952316284},{"id":"https://openalex.org/C2776544517","wikidata":"https://www.wikidata.org/wiki/Q189447","display_name":"Unexpected events","level":2,"score":0.30390000343322754},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.30000001192092896},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2736000120639801},{"id":"https://openalex.org/C140988679","wikidata":"https://www.wikidata.org/wiki/Q7140444","display_name":"Participatory action research","level":2,"score":0.2712000012397766},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.2696000039577484},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.26910001039505005},{"id":"https://openalex.org/C62354387","wikidata":"https://www.wikidata.org/wiki/Q875399","display_name":"Boundary (topology)","level":2,"score":0.2612000107765198},{"id":"https://openalex.org/C115786838","wikidata":"https://www.wikidata.org/wiki/Q192105","display_name":"Unconscious mind","level":2,"score":0.26080000400543213},{"id":"https://openalex.org/C3018916638","wikidata":"https://www.wikidata.org/wiki/Q752118","display_name":"Emotional support","level":3,"score":0.25870001316070557},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.2581999897956848},{"id":"https://openalex.org/C166735990","wikidata":"https://www.wikidata.org/wiki/Q1750812","display_name":"Human factors and ergonomics","level":3,"score":0.2574000060558319},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.2549999952316284}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1145/3786579.3804967","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3786579.3804967","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Proceedings of the 2026 ACM Interactive Health Conference","raw_type":"proceedings-article"},{"id":"pmh:oai:arXiv.org:2604.26214","is_oa":true,"landing_page_url":"https://arxiv.org/abs/2604.26214","pdf_url":"https://arxiv.org/pdf/2604.26214","source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":"2331-8422","issn":["2331-8422"],"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"text"}],"best_oa_location":{"id":"doi:10.1145/3786579.3804967","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3786579.3804967","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Proceedings of the 2026 ACM Interactive Health Conference","raw_type":"proceedings-article"},"sustainable_development_goals":[{"score":0.5025996565818787,"display_name":"Peace, Justice and strong institutions","id":"https://metadata.un.org/sdg/16"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320308347","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Serious":[0],"illness":[1],"conversations":[2],"(SICs)":[3],"align":[4],"care":[5],"with":[6,58,65,85],"patients'":[7],"values,":[8],"goals,":[9],"and":[10,23,70,77,83,90,112,132],"preferences,":[11],"yet":[12],"they":[13],"rarely":[14],"occur":[15],"in":[16,61],"emergency":[17],"departments":[18],"(EDs),":[19],"where":[20],"time":[21],"constraints":[22],"emotional":[24,113],"burden":[25],"often":[26],"leave":[27],"clinicians":[28],"making":[29],"high-stakes":[30],"decisions":[31],"without":[32],"documented":[33],"insight":[34],"into":[35],"what":[36],"matters":[37],"most":[38],"to":[39,93,118],"patients.":[40],"We":[41],"present":[42],"a":[43,49],"case":[44],"study":[45],"of":[46,87],"ED":[47],"GOAL-AI,":[48],"voice-based":[50],"conversational":[51],"agent":[52],"for":[53,68,121,128],"brief,":[54],"structured":[55],"values":[56],"discussions":[57],"older":[59],"adults":[60],"the":[62,75,79,126],"ED,":[63],"evaluated":[64],"55":[66],"patients":[67],"feasibility":[69],"acceptability.":[71],"Most":[72],"participants":[73],"completed":[74],"conversation":[76],"reported":[78],"interaction":[80],"as":[81,106],"acceptable":[82],"feasible,":[84],"ratings":[86],"feeling":[88],"heard":[89],"understood":[91],"comparable":[92],"clinicians.":[94],"However,":[95],"we":[96],"also":[97],"observed":[98],"critical":[99],"failure":[100],"modes,":[101],"including":[102],"boundary":[103,130],"violations":[104],"such":[105],"hallucinated":[107],"diagnostic":[108],"statements,":[109],"highlighting":[110],"ethical":[111],"risks.":[114],"This":[115],"work":[116],"points":[117],"early":[119],"promise":[120],"AI-mediated":[122],"SICs":[123],"while":[124],"underscoring":[125],"need":[127],"careful":[129],"setting":[131],"participatory":[133],"design":[134],"before":[135],"broader":[136],"deployment.":[137]},"counts_by_year":[],"updated_date":"2026-08-23T07:36:19.812096","created_date":"2026-05-02T00:00:00"}
