Department of Obstetrics and Gynecology Division, Hillel Yaffe Medical Center, Hadera, Israel.
The Ruth and Bruce Rappaport Faculty of Medicine, Haifa, Israel.
Int J Gynaecol Obstet. 2023 Aug;162(2):562-568. doi: 10.1002/ijgo.14687. Epub 2023 Feb 5.
To describe the challenges facing the obstetric division following a cyberattack and discuss ways of preparing for and overcoming another one.
A retrospective descriptive study conducted in a mid-sized medical center. Division activities, including the number of deliveries, cesarean sections, emergency room visits, admissions, maternal-fetal medicine department occupancy, and ambulatory encounters, from 2 weeks before the attack to 8 weeks following it (a total of 11 weeks), were compared with the retrospective period in 2019 (pre-COVID-19). In addition, we present the challenges and adaptation measures taken at the division and hospital levels leading up to the resumption of full division activity.
On the day of the cyberattack, critical decisions were made. The media announced the event, calling on patients not to come to our hospital. Also, all elective activities other than cesarean deliveries were stopped. The number of deliveries, admissions, and both emergency room and ambulatory clinic visits decreased by 5%-10% overall for 11 weeks, reflecting the decrease in division activity. Nevertheless, in all stations, there were sufficient activities and adaptation measures to ensure patient safety, decision-making, and workflow of patients were accounted for.
The risk of ransomware cyberattacks is growing. Healthcare systems at all levels should recognize this threat and have protocols for dealing with them once they occur.
描述一次网络攻击后产科部门面临的挑战，并讨论为应对另一次网络攻击做准备和克服困难的方法。
这是一项在中型医疗中心进行的回顾性描述性研究。将攻击前 2 周至攻击后 8 周（共 11 周）的产科活动（包括分娩、剖宫产、急诊就诊、住院、母胎医学科占用和门诊就诊的数量）与 2019 年（COVID-19 之前）的回顾期进行比较。此外，我们还介绍了在恢复全面科室活动之前，科室和医院层面所面临的挑战和采取的适应措施。
在网络攻击当天，做出了关键决策。媒体宣布了这一事件，呼吁患者不要来我们医院。此外，除了剖宫产外，所有择期活动都停止了。11 周内，分娩、住院和急诊及门诊就诊的总数下降了 5%-10%，反映了科室活动的减少。然而，在所有站点，都有足够的活动和适应措施来确保患者安全，考虑到患者的决策和工作流程。
勒索软件网络攻击的风险正在增加。各级医疗系统都应认识到这一威胁，并在发生攻击时制定应对方案。
