Behavioral responses to a cyber attack in a hospital environment

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 pa...

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Autores principales:	Markus Willing, Christian Dresen, Eva Gerlitz, Maximilian Haering, Matthew Smith, Carmen Binnewies, Tim Guess, Uwe Haverkamp, Sebastian Schinzel
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/eff53708d0564825a275e8b0f5739438
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spelling	oai:doaj.org-article:eff53708d0564825a275e8b0f57394382021-12-02T17:18:22ZBehavioral responses to a cyber attack in a hospital environment10.1038/s41598-021-98576-72045-2322https://doaj.org/article/eff53708d0564825a275e8b0f57394382021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98576-7https://doaj.org/toc/2045-2322Abstract 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.Markus WillingChristian DresenEva GerlitzMaximilian HaeringMatthew SmithCarmen BinnewiesTim GuessUwe HaverkampSebastian SchinzelNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Markus Willing Christian Dresen Eva Gerlitz Maximilian Haering Matthew Smith Carmen Binnewies Tim Guess Uwe Haverkamp Sebastian Schinzel Behavioral responses to a cyber attack in a hospital environment
description	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.
format	article
author	Markus Willing Christian Dresen Eva Gerlitz Maximilian Haering Matthew Smith Carmen Binnewies Tim Guess Uwe Haverkamp Sebastian Schinzel
author_facet	Markus Willing Christian Dresen Eva Gerlitz Maximilian Haering Matthew Smith Carmen Binnewies Tim Guess Uwe Haverkamp Sebastian Schinzel
author_sort	Markus Willing
title	Behavioral responses to a cyber attack in a hospital environment
title_short	Behavioral responses to a cyber attack in a hospital environment
title_full	Behavioral responses to a cyber attack in a hospital environment
title_fullStr	Behavioral responses to a cyber attack in a hospital environment
title_full_unstemmed	Behavioral responses to a cyber attack in a hospital environment
title_sort	behavioral responses to a cyber attack in a hospital environment
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/eff53708d0564825a275e8b0f5739438
work_keys_str_mv	AT markuswilling behavioralresponsestoacyberattackinahospitalenvironment AT christiandresen behavioralresponsestoacyberattackinahospitalenvironment AT evagerlitz behavioralresponsestoacyberattackinahospitalenvironment AT maximilianhaering behavioralresponsestoacyberattackinahospitalenvironment AT matthewsmith behavioralresponsestoacyberattackinahospitalenvironment AT carmenbinnewies behavioralresponsestoacyberattackinahospitalenvironment AT timguess behavioralresponsestoacyberattackinahospitalenvironment AT uwehaverkamp behavioralresponsestoacyberattackinahospitalenvironment AT sebastianschinzel behavioralresponsestoacyberattackinahospitalenvironment
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Behavioral responses to a cyber attack in a hospital environment

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