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Digital Twin-Based Virtual Hospital Platform for IT Outage Disaster Response Training: Implementation and Evaluation
SungA Bae1, Ye Ji Kim1, Min Woo Lee2
1363 Dongbaekjukjeon-daero, Giheung-gu, Center for Digital Health, Yongin Severance Hospital, Yongin, KR.
JMIR Formative Research
|June 4, 2026
Summary
A digital twin virtual hospital platform effectively trained multidisciplinary teams for hospital information technology (IT) outages. This simulation improved operational readiness and reduced resource needs compared to traditional methods.
Area of Science:
- Digital Health
- Healthcare Simulation
- Information Technology in Medicine
Background:
- Hospital information technology (IT) outages disrupt clinical workflows and patient safety.
- Traditional disaster response training is resource-intensive and limits operational continuity.
- Digital twin technology offers a solution for realistic, repeatable virtual training.
Purpose of the Study:
- To develop and implement a digital twin-based virtual hospital for IT outage disaster response training.
- To evaluate the platform's feasibility using performance metrics and participant feedback.
Main Methods:
- A digital twin modeled a hospital with 317 clinical spaces and 6 entrances.
- Simulated a Level 1 IT outage (Code White) with 7 patient cases.
- 60 multidisciplinary staff participated in the virtual training, with performance evaluated on completion rates, accuracy, and readiness scores.
Main Results:
- 100% scenario completion rates and perfect accuracy in billing and prescription entry.
- Overall operational readiness score of 80%, with 90% for the emergency prescription program.
- Training reduced resource consumption by 70 minutes and full-time equivalent requirements by 46% compared to conventional methods.
Conclusions:
- A simulation-oriented digital twin platform can effectively support multi-department IT disaster response training.
- The study identified technical gaps in user permissions and prescription classification for future development.
- This approach provides a feasible and efficient alternative to traditional disaster response training.
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