TY - JOUR A1 - Willing, Markus A1 - Dresen, Christian A1 - Gerlitz, Eva A1 - Haering, Maximilian A1 - Smith, Matthew A1 - Binnewies, Carmen A1 - Guess, Tim A1 - Haverkamp, Uwe A1 - Schinzel, Sebastian T1 - Behavioral responses to a cyber attack in a hospital environment T2 - Nature -- Scientific Reports N2 - 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. Y1 - 2021 UR - https://www.hb.fh-muenster.de/opus4/frontdoor/index/index/docId/14083 ER -