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The EDIT Survey: Identifying Emergency Department Information Technology Knowledge and Training Gaps.

Daniel Kollek¹, David Barrera², Elizabeth Stobert²

¹Division of Emergency Medicine, McMaster University, Hamilton, ON, Canada.

Disaster Medicine and Public Health Preparedness

|March 15, 2021

Summary

Canadian emergency departments face significant cybersecurity risks due to poor IT infrastructure and inadequate staff training. Addressing these gaps is crucial for patient data protection and operational continuity.

Keywords:

cybersecurity, EMR disaster medicine disaster preparedness information technology ransomware

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Area of Science:

Health Informatics
Cybersecurity in Healthcare
Emergency Medicine

Background:

Emergency Departments (EDs) increasingly rely on digital systems, creating potential vulnerabilities.
Understanding the current state of cybersecurity preparedness in Canadian EDs is essential.

Purpose of the Study:

To review internet connectivity, cyber risks, and preparedness in Canadian EDs.
To assess security policies, training, and mitigation strategies among ED staff.

Main Methods:

A validated survey was distributed to Canadian Emergency Department (ED) physicians and nurses.
Data was collected between March 5, 2019, and April 28, 2019, with 349 responses.

Main Results:

Most respondents used multiple passwords and user accounts, with frequent re-logins required.
A significant number (53%) used shared terminals, and 76% used personal devices for patient care, often without IT oversight.
Only 7% identified 'air gapped' computers, and 26 respondents received no cybersecurity training.

Conclusions:

The study identified significant gaps in cybersecurity readiness and computer-human interface functionality within EDs.
Poor system design, inadequate planning, and lack of training contribute to these vulnerabilities.
Recommendations include technical and training solutions to mitigate identified risks.