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Retrospective review of de-identified hospital emergency room and trauma registry data and operating room case logs from April 9th through June 9th, 2016, 2017 examining outcomes as affected by a ransomware attack in a level I trauma center
On April 9, 2017, Erie County Medical Center, Western New York's sole level I trauma center was under cyberattack. The perpetrators utilized ransomware that gained access to the hospital's web server and encrypted hospital data, forcing a system-wide downtime for nearly 2 months. Electronic medical records, imaging, and interdepartmental communication were severely affected, forcing the hospital to temporarily return to pre-EMR era operations. We examined the impact of this cyber disaster on the outcomes of trauma care.
Retrospective review of de-identified hospital emergency room and trauma registry data and operating room case logs from April 9th through June 9th, 2016, 2017, and 2018. Baseline characteristics of study cohort for each period will be examined using the chi-square test for categorical variables and the Student's t-test for continuous variables that are normally distributed.
This was an exempt study in our institution.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | Trauma admissions in April-June 2016. | ||
| Ransomware Group | Trauma admissions in April-June 2017. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Event | Other | Ransomware attack |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hospital and ICU length of stay (LOS), and in-hospital mortality | Hospital and ICU length of stay (LOS) in days And in-hospital mortality between cohorts expressed as percentage of cohort | April to June 2016 and 2017 |
| Measure | Description | Time Frame |
|---|---|---|
| Disposition at discharge and AHRQ patient safety indicators: DVT/PE, CLABSI, CAUTI, and organ/space surgical infection. | Disposition at discharge defined as either discharged home, died, or sent to a rehabilitation facility, all expressed as the proportion of the cohort group with the above-mentioned findings reported in percentages All AHRQ patient safety indicators: DVT/PE, CLABSI, CAUTI, and organ/space surgical infection are indicated as the proportion of the cohort group with the above-mentioned findings reported in percentages |
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Inclusion Criteria:
Exclusion Criteria:
-Patients who came through the emergency department that were not categorized as trauma patients
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Trauma patients being served by the level I trauma center catchment area in Western New York, Southern Ontario (Canada), and Northern Pennsylvania
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| Name | Affiliation | Role |
|---|---|---|
| W. Alan Guo, MD, PhD | State University of Buffalo | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Erie County Medical Center | Buffalo | New York | 14215 | United States |
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| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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| April to June 2016 and 2017 |