Open research questions in Healthcare Technology and Patient Monitoring
78 gap statements mined from Healthcare Technology and Patient Monitoring papers in our 4.5M-paper local library, which holds 343 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
The lack of interpretability and transparency of AI models. The need for prospective validation and multicenter validation of AI tools in ICUs. The limited integration of AI with clinical decision-making processes.
The challenges identified by the paper include the lack of standard cybersecurity controls for legacy medical devices. The physical or insider attacker with legitimate device proximity is a significant challenge.
The research gap identified by the paper is the lack of a comprehensive cybersecurity framework for legacy medical devices. The existing frameworks have limitations, such as not addressing physical or insider attackers.
The study suggests that future research should investigate the technical challenges associated with the adoption of Industry 5.0 technologies. The research implies that further study is needed on the importance of strategic planning, infrastructure investment, and interdisciplinary collaboration in the adoption of new technologies.
HUMAN-CENTRIC INNOVATION IN HEALTHCARE: THE ROLE OF INDUSTRY 5.0 TECHNOLOGIES IN ENHANCING PERSONALIZED PATIENT CARE · 2026 · DOIThe research highlights the need for further investigation into the barriers to the adoption of these technologies. The study suggests that there is a lack of research on the importance of human-centric innovation in the adoption of new technologies.
HUMAN-CENTRIC INNOVATION IN HEALTHCARE: THE ROLE OF INDUSTRY 5.0 TECHNOLOGIES IN ENHANCING PERSONALIZED PATIENT CARE · 2026 · DOIThe paper suggests that future research should focus on addressing the challenges related to Digital Twins in biomedical engineering. The paper highlights the need for further research on the applications of Digital Twins in biomedical engineering. The paper suggests that future research should explore the use of Digital Twins in other areas of healthcare.
The paper highlights the need for clear and transparent regulatory frameworks, accountability mechanisms, and policies for equal access to avoid technological gaps.
Given the limited evidence base and the NHS’s largely reactive response, applying the EBC framework revealed variations in resources, service delivery, and patient experiences.
As stakeholder engagement emerged as a key limitation, the next step is to advance to the “Design” phase, involving all relevant stakeholders in MBSE-based validation to refine and optimise the system model. Future research should also explore integrating technologies and service models from comparable chronic conditions to improve efficiency, scalability, and sustainability.
The need for more effective treatments for mental health disorders. The lack of accessibility to medical education and healthcare services in certain parts of the world. The need for more personalized and targeted interventions for chronic disease management.
Artificial Intelligence and Virtual Reality in the Metaverse: A Scoping Review of Human-Centered Applications in Public Health · 2026 · DOIThe lack of prospective aviation-specific studies to validate AI systems under real-world flight conditions is a significant research gap.
Artificial Intelligence and telemedicine integration in managing in-flight medical emergencies: Current evidence, clinical applications and future directions · 2026 · DOIThere is a lack of prospective aviation-specific studies to validate AI systems under real-world flight conditions. Most existing evidence regarding AI performance originates from hospital and outpatient healthcare settings rather than aviation environments.
Artificial Intelligence and telemedicine integration in managing in-flight medical emergencies: Current evidence, clinical applications and future directions · 2026 · DOILightweight, localized, and mobile-driven AI systems – designed to function in resource-constrained environments – can empower frontline health workers, ease diagnostic bottlenecks, and reimagine medical delivery in clinics where conventional infrastructure is scarce.
Less is known about how routinely available patient characteristics relate to alarm patterns in specific ICU populations. There is a lack of understanding of whether similar monitor configurations produce similar alarm rates across clinically different units.
Patient characteristics and monitor alarms in a cardiac ICU: A retrospective cross-sectional study · 2026 · DOILimited information technology infrastructure and unique challenges in LTC settings require a comprehensive examination of AI’s potential to enhance care quality and operational efficiency.
Application of artificial intelligence to electronic health record data in long-term care facilities: a scoping review · 2026 · DOIAlthough artificial intelligence (AI) has been widely applied to electronic health record (EHR) data in hospital settings, its use in long-term care (LTC) facilities remains unexplored.
Application of artificial intelligence to electronic health record data in long-term care facilities: a scoping review · 2026 · DOILarger prospective studies are warranted to determine whether real-time AI-assisted device tracking influences procedural decision-making, workflow, safety, or clinical outcomes.
Clinical Implementation and Performance of Real-Time AI System for Device Tracking in Neurointervention: First U.S. Evaluation of Neuro-Vascular Assist · 2026 · DOIAlarms associated with intravenous smart pumps (IVSPs) contribute to alarm fatigue; however, little is known about what causes unnecessary IVSP alarms or how to reduce them.
By integrating ontology engineering with AI-based reasoning and classification techniques, the framework offers a structured, adaptable approach to modelling, eliciting, and validating NFRs in complex, data-intensive domains like healthcare.
A knowledge-driven semantic framework for non-functional requirement engineering in intelligent healthcare systems · 2026 · DOIThe inclusion of articles was limited to those published within the last 5 years and available in Dutch and English. The exclusion of gray literature could introduce publication bias. A single researcher primarily conducted the title-abstract and full-text screening, which increased the risk of selection bias.
Identifying and Comparing Intervention Cost Components in Remote Patient Monitoring: A Scoping Review · 2026 · DOICurrent healthcare environments often require separate devices for different diagnostic tests. This separation results in complexity and inefficiency.
Conventional techniques of IV fluid monitoring require manual interventions by healthcare professionals. Many research works have focused on fluid level detection and simple alerting methods, but there are still issues with cost-effectiveness, ease of use, and accessibility of monitoring.
The development of more interpretable and transparent AI models. The conduct of prospective validation and multicenter validation studies. The exploration of new applications of AI in ICUs, such as personalized medicine and patient-centered care.
Bristol Myers Squibb (BMS), Novartis, and Curis, outside the submitted work. C.W. declares no competing interests.
Enhancing the resilience of remote patient monitoring and hospital-at-home systems: a digital-twin-based framework · 2026 · DOIFurther investigation into the use of AI and VR for improving healthcare standards globally. Development of more effective AI-powered mental health interventions. Exploration of the use of virtual reality exposure therapy for treating other mental health disorders.
Artificial Intelligence and Virtual Reality in the Metaverse: A Scoping Review of Human-Centered Applications in Public Health · 2026 · DOI
Most-cited papers in Healthcare Technology and Patient Monitoring
- Metaverse for Healthcare: A Survey on Potential Applications, Challenges and Future Directions · IEEE Access · 2023 · 473 citations
- Computer-aided Diagnosis of Acute Abdominal Pain · BMJ · 1972 · 458 citations
- Situation Awareness in Anesthesiology · Human Factors The Journal of the Human Factors and Ergonomics Society · 1995 · 241 citations
- Self-monitoring: Methodological limitations and clinical applications. · Journal of Consulting and Clinical Psychology · 1970 · 239 citations
- Effect of Computer-Based Alerts on the Treatment and Outcomes of Hospitalized Patients · Archives of Internal Medicine · 1994 · 213 citations
- The Validity of Physiological Measures to Identify Differences in Intrinsic Cognitive Load · Frontiers in Psychology · 2021 · 213 citations
- Exploring the revolution in healthcare systems through the applications of digital twin technology · Biomedical Technology · 2023 · 185 citations
- Multimodal Fusion for Objective Assessment of Cognitive Workload: A Review · IEEE Transactions on Cybernetics · 2021 · 177 citations
- SPECIAL SECTION: Adapting to New Technology in the Operating Room · Human Factors The Journal of the Human Factors and Ergonomics Society · 1996 · 168 citations
- Packaging: a grounded theory of how to report physiological deterioration effectively · Journal of Advanced Nursing · 2005 · 151 citations
Most recent work
- Quality of Clinical Notes Created by Ambient Listening Generative AI: Pragmatic Prospective Pilot Study · JMIR Medical Informatics · 2026
- Artificial Intelligence-powered tiered early warning framework addressing high false alarm rates for in-hospital mortality prediction · npj Digital Medicine · 2026
- Scaling Wireless Continuous Vital Sign Monitoring Across an 8-Hospital Health System: Digital Health Implementation Report · JMIR Medical Informatics · 2026
- Beyond alarm fatigue: nurses’ experiences of behavioral nudge fatigue in digital clinical environments · BMC Nursing · 2026
- An Edge–Fog–Cloud IoT Framework for Real-Time Cardiac Monitoring and Rapid Clinical Alerts in Hospital Wards · Future Internet · 2026
- Supporting the implementation of a Maternal Early Warning System (MEWS) protocol using Human-Centred Design · BMC Health Services Research · 2026
- The Next Chapter in Health Care Interoperability · New England Journal of Medicine · 2026
- Workflow Blocking in Clinical Care · JAMA · 2026
- Usability and Workflow Integration of a Machine Learning–Derived Neonatal Risk Predictor in Kenyan Neonatal Units: Multisite User-Centered Pilot Evaluation · JMIR Human Factors · 2026
- C56-41 Evaluation of a Real-Time Vision-language Model (VLM) for Optimizing Triage and Clinical Workflows in Critical Care · American Journal of Respiratory and Critical Care Medicine · 2026
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