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Cybersecurity and Emergency Medicine: A Literary Review
Nicolas M Kahl1, Marshall J Frieden1, James P Killeen1
1Department of Emergency Medicine, University of California San Diego Health, San Diego, California.
Cyberattacks increasingly threaten emergency departments (EDs), impacting patient safety and operations. Proactive planning, training, and downtime protocols are crucial for emergency medicine (EM) resilience.
Area of Science:
- Emergency Medicine
- Health Informatics
- Cybersecurity in Healthcare
Background:
- Cyberattacks on healthcare organizations (HDOs) are rising, with emergency departments (EDs) being particularly vulnerable.
- Ransomware and malware disrupt critical patient care, diagnostics, and data integrity in EDs.
- These incidents pose significant threats to patient safety and operational continuity.
Purpose of the Study:
- To review the impact of cybersecurity incidents on emergency medicine (EM).
- Focus areas include patient safety, operational efficiency, community effects, and data integrity.
Main Methods:
- Literature review synthesizing peer-reviewed articles and gray literature.
- Analysis of case reports, retrospective studies, simulations, surveys, and expert viewpoints.
Main Results:
- Cyberattacks lead to adverse patient outcomes, increased cardiac arrests, and regional ripple effects.
- Gaps in ED staff preparedness and cybersecurity hygiene were identified.
- Emergency physicians (EPs) are critical leaders in cyber-disaster response.
Conclusions:
- Cybersecurity is fundamental to modern EM practice.
- Regional planning, simulation training, and downtime protocols enhance ED resilience.
- EPs must lead efforts to mitigate cyber threats and improve healthcare system resilience.
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