Artificial intelligence chatbots are the number-one health technology hazard in 2026, followed by IT outages and legacy medical device cyber issues, said tech and security researchers Rob Schluth and Scott Luney of the patient safety research organization ECRI Institute.
Unlike regulated medical technologies, AI tools are broadly accessible on phones and laptops and most are not designed or validated for clinical use. Yet patients are using them to self-diagnose their conditions and clinicians are using them for help looking up treatment options.
But the tools, including those honed for healthcare use, present a variety of potential safety, security and privacy concerns, Schluth and Luney said.
“Healthcare is a different animal when it comes to using these tools,” Schluth said. They sometimes produce “questionable results” that can pose an assortment of patient safety and wellness risks.
“I don’t want to give the impression that these tools are bad. They’re actually really useful and can be very impressive in what they do, but they just aren’t always accurate and that’s something that people who use the tools need to be aware of.”
IT outages caused by cyberattacks, natural disasters, or other situations pose their own serious dangers, Luney said.
“For healthcare organizations, having a proactive disaster-ready approach to any outage event is essential,” Luney said.
In the interview (see audio link below photo), Schluth and Luney also discussed:
- Top legacy medical device cybersecurity concerns;
- Third-party vendors, including cloud, software-as-a-service and IT providers that pose potentially serious security risks and hazards;
- Critical lessons emerging from the 2024 ransomware attack on UnitedHealth Group’s Change Healthcare IT services unit that disrupted thousands of healthcare providers across the U.S. for months;
- How ECRI vetted 70 to 100 potential risk issues to identify and rank its annual report on the top 10 health technology hazards in 2026.
Schluth is project leader focusing on program management for the device safety group at ECRI – an independent, nonprofit research organization providing guidance on medical technologies, treatments and practices. He also serves as project lead for ECRI’s annual Top 10 Health Technology Hazards report.
Luney is ECRI cybersecurity consultant lead, focusing on cybersecurity initiatives. Additionally, Luney heads the device safety group cybersecurity function, including assisting ECRI’s project officers with cybersecurity device evaluation reviews. He has more than 22 years of experience in technology within healthcare, with the last eight years focused on cybersecurity, including cyber engineering, governance, compliance and risk in healthcare.
