Electronic Health Record, Trauma
Conditions
Brief summary
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
Detailed description
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.
Interventions
OTHEREvent
Ransomware attack
Sponsors
State University of New York at Buffalo
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Inclusion criteria
* All trauma patient admissions that were seen through the ECMC Trauma Center from April to June 2016 and April to June 2017 * Adult patients \>13 years old
Exclusion criteria
-Patients who came through the emergency department that were not categorized as trauma patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital and ICU length of stay (LOS), and in-hospital mortality | April to June 2016 and 2017 | Hospital and ICU length of stay (LOS) in days And in-hospital mortality between cohorts expressed as percentage of cohort |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disposition at discharge and AHRQ patient safety indicators: DVT/PE, CLABSI, CAUTI, and organ/space surgical infection. | April to June 2016 and 2017 | 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 |
Countries
United States
Outcome results
None listed