Risk-Aware Explainable Artificial Intelligence for City-Scale Injury Severity Prediction

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Anika Mueller
Jaemin Hwang

Abstract

The rapid expansion of urban environments has precipitated a corresponding increase in traffic-related incidents, making city-scale injury severity prediction a critical priority for public health and urban planning. While conventional predictive models often achieve high aggregate accuracy, they frequently fail to adequately penalize the misclassification of severe injuries, which represent a statistical minority but carry the highest societal and economic costs. Furthermore, the deployment of advanced machine learning models in municipal governance is consistently hindered by their lack of transparency, rendering them unsuitable for high-stakes decision-making. This paper proposes a comprehensive framework for a risk-aware, explainable artificial intelligence approach tailored to city-scale injury severity prediction. By integrating asymmetric cost-sensitive learning algorithms with post-hoc interpretability mechanisms, the proposed methodology simultaneously addresses class imbalance and the black-box nature of contemporary predictive systems. Through an extensive theoretical and analytical exploration, this research demonstrates how risk-aware loss formulations prioritize the identification of critical incidents without catastrophically degrading overall model performance. Concurrently, the integration of local and global explainability methods provides urban planners and emergency responders with actionable, transparent insights into the underlying causative factors of severe accidents. The findings advocate for a paradigm shift in urban predictive analytics, moving beyond pure predictive accuracy toward systems that are both ethically aligned with public safety priorities and transparent enough to justify policy interventions

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