ArticleScientific reports2021
Behavioral responses to a cyber attack in a hospital environment.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed.
- Digital Twin-Based Virtual Hospital Platform for IT Outage Disaster Response Training: Implementation and Evaluation Study.JMIR formative research · 2026Article
- Empowering the nursing workforce for cyber-resilience: Strategic preparedness and care management during hospital cyberattacks.PLOS digital health · 2026Article
- Hierarchical deep Q-network-based optimization of resilient grids under multi-dimensional uncertainties from extreme weather.Scientific reports · 2025Article
- Design and Pilot Study of a High-Fidelity Medical Simulation of a Hospital-Wide Cybersecurity Attack.Research square · 2024Article
- Article
- Cyberattacks on Canadian health information systems.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Technical and organizational steps are necessary to mitigate cyber threats and reduce risks. Human behavior is the last line of defense for many hospitals and is considered as equally important as technical security. Medical staff must be properly trained to perform such procedures. This paper presents the first qualitative, interdisciplinary research on how members of an intermediate care unit react to a cyberattack against their patient monitoring equipment. We conducted a simulation in a hospital training environment with 20 intensive care nurses. By the end of the experiment, 12 of the 20 participants realized the monitors' incorrect behavior. We present a qualitative behavior analysis of high performing participants (HPP) and low performing participants (LPP). The HPP showed fewer signs of stress, were easier on their colleagues, and used analog systems more often than the LPP. With 40% of our participants not recognizing the attack, we see room for improvements through the use of proper tools and provision of adequate training to prepare staff for potential attacks in the future.
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Registered trials
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