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

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.