Evidence map›Paper›PMID 42006506›Full record

ArticleEJIFCC2026

Clinicians' Perspectives on the Impact of a Ransomware Attack on a Chemical Pathology Laboratory at a Tertiary Hospital in South Africa.

Ameerah Davids, Aaqilah Fataar, Asande Zama, Zakeeya Kadwa, Craig J Andrews, Mikayla N Morris, Thumeka P Jalavu, Elsie C Kruger, Annalise E Zemlin

Abstract read
In one paragraph

Article in EJIFCC, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Ameerah DavidsDepartment of Pathology, Division of Chemical Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Aaqilah FataarDepartment of Pathology, Division of Chemical Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Asande ZamaDepartment of Pathology, Division of Chemical Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Zakeeya KadwaDepartment of Pathology, Division of Chemical Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Craig J AndrewsDepartment of Pathology, Division of Chemical Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Mikayla N MorrisDepartment of Pathology, Division of Chemical Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Thumeka P JalavuDepartment of Pathology, Division of Chemical Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Elsie C KrugerDepartment of Pathology, Division of Chemical Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Annalise E ZemlinDepartment of Pathology, Division of Chemical Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aimed to explore clinicians' experiences during a ransomware attack at a public academic hospital in South Africa and assess the perceived impact of chemical pathology laboratory service disruptions on patient care. Methods: A cross-sectional survey was conducted between September and December 2024. An electronic questionnaire was distributed to clinicians to gather data on their experiences during the ransomware attack, including impacts on patient care and workload. To assess changes in test requesting practices during this period, volume data for both critical (creatinine) and non-critical (vitamin B12) tests from routine annual laboratory reports were analysed. Results: Among the 58 respondents, 84% reported increased stress levels, while 78% indicated delayed diagnoses during this period. Laboratory test volumes decreased during the attack period compared to previous years, with reductions of 26.8% for creatinine and 34.1% for vitamin B12 tests. Clinicians primarily struggled with result retrieval and reported substantial disruptions to patient care. Conclusions: This study provides valuable insights into clinicians' perspectives on the impact of a laboratory ransomware attack. The findings highlight the critical need for investment in both cybersecurity infrastructure and comprehensive contingency planning to safeguard patient safety and minimise disruptions during future cyber incidents. Key Points: This study addresses how ransomware attacks disrupt and impact clinician workflow in resource-limited hospital settings. Medical professionals should develop practical contingency plans for accessing and managing essential laboratory data during cybersecurity incidents to minimise care disruptions. The most significant finding was the dual impact of technical service disruption alongside pronounced clinician psychological stress, creating a compounded effect on healthcare delivery.

Indexed as

cyberattackpatient safetyRansomware

Identifiers

PMID42006506
PMCPMC13088463

What OpenQuestion holds

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LicenceCC BY-NC
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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.