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Cybersecurity and critical care staff: A mixed methods study.

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Critical care staff show high cybersecurity awareness but lack practical knowledge and confidence in identifying and reporting cyber threats. Investing in human factors is crucial for strengthening healthcare cybersecurity defenses.

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Area of Science:

  • Healthcare Cybersecurity
  • Patient Safety
  • Information Security in Medicine

Background:

  • Cyberattacks on healthcare organizations are increasing, posing risks to patient safety.
  • Human error is a primary cause of cybersecurity breaches.
  • Intensive care units (ICUs) are particularly vulnerable to cyber threats.

Purpose of the Study:

  • To assess cybersecurity awareness, knowledge, and behaviors among critical care staff.
  • To identify barriers to effective cybersecurity practices in intensive care settings.

Main Methods:

  • Multi-site cross-sectional survey using the validated Health/Academic Information Security Questionnaire (HAIS-Q).
  • Direct questioning and scenario-based multiple-choice questions evaluated knowledge and behaviors.
  • Thematic analysis of free-text responses identified barriers.

Main Results:

  • High cybersecurity awareness indicated by HAIS-Q scores (12-15).
  • Low self-reported confidence in identifying breaches and reporting incidents.
  • Demonstrated gaps in knowledge regarding cyberattack mechanisms.
  • Identified barriers: lack of training, heavy workloads, fatigue, insufficient IT support, and poor infrastructure.

Conclusions:

  • Critical care staff possess high cybersecurity awareness but do not consistently apply safe practices.
  • Healthcare organizations must prioritize human factors in cybersecurity strategies.
  • Investment in training and support is essential to enhance cyber defenses and patient safety in ICUs.