Authors: Shreya Rao, Abhishek Bhandari, Tanvi Kohli, Arman Sheikh

Abstract: The healthcare industry increasingly relies on digital infrastructures powered by Unix-based systems to manage sensitive patient data, clinical workflows, and operational logistics. Ensuring the integrity, availability, and security of these systems is critical, given the stringent regulatory frameworks (HIPAA, GDPR, etc.) and the potentially life-threatening consequences of system failures or data breaches. In this context, automated auditing emerges as a powerful mechanism for continuous compliance, real-time threat detection, and operational resilience. This review explores the intersection of audit automation and DevSecOps within health-critical Unix environments. It critically examines existing tools, methodologies, challenges, and future directions, offering a comprehensive understanding of how DevSecOps principles can drive secure, efficient, and regulatory-compliant audit processes in mission-critical healthcare systems.

DOI: https://doi.org/10.5281/zenodo.16261359