Evidence map›Paper›PMID 31506956›Full record

ArticleHealth services research2019

Data breach remediation efforts and their implications for hospital quality.

Sung J Choi, M Eric Johnson, Christoph U Lehmann

Abstract read
In one paragraph

Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Review
  2. Cybersecurity as it relates to perfusion.The journal of extra-corporeal technology · 2026
    Article
  3. Cybersecurity in Healthcare: Ensuring Patient Safety and Data Privacy.Journal of multidisciplinary healthcare · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. The relationship between cybersecurity ratings and the risk of hospital data breaches.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Cybersecurity implications for hospital quality.Health services research · 2019
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sung J ChoiDepartment of Health Management and Informatics, University of Central Florida, Orlando, Florida.ORCID 0000-0003-0299-5382
M Eric JohnsonOwen Graduate School of Management, Vanderbilt University, Nashville, Tennessee.
Christoph U LehmannDepartment of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee.ORCID 0000-0001-9559-4646

Funding

National Science Foundation CNS-1329686
6 · The paper itself

Abstract

objectiveTo estimate the relationship between breach remediation efforts and hospital care quality. DATA SOURCES: Department of Health and Human Services' (HHS) public database on hospital data breaches and Medicare Compare's public data on hospital quality measures for 2012-2016. MATERIALS AND

methodsData breach data were merged with the Medicare Compare data for years 2012-2016, yielding a panel of 3025 hospitals with 14 297 unique hospital-year observations. STUDY

designThe relationship between breach remediation and hospital quality was estimated using a difference-in-differences regression. Hospital quality was measured by 30-day acute myocardial infarction mortality rate and time from door to electrocardiogram. PRINCIPAL

findingsHospital time-to-electrocardiogram increased as much as 2.7 minutes and 30-day acute myocardial infarction mortality increased as much as 0.36 percentage points during the 3-year window following a breach.

conclusionBreach remediation efforts were associated with deterioration in timeliness of care and patient outcomes. Thus, breached hospitals and HHS oversight should carefully evaluate remedial security initiatives to achieve better data security without negatively affecting patient outcomes.

Indexed as

Computer SecurityConfidentialityElectronic Health RecordsHospitalsHumansMedicareQuality of Health CareUnited Statesdata breachprivacyquality of caresecurity

Identifiers

PMID31506956
PMCPMC6736905

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.