TY  - JOUR
A1  - Willing, Markus
A1  - Ebbers, Simon
A1  - Dresen, Christian
A1  - Czolbe, Marc
A1  - Saatjohann, Christoph
A1  - Schinzel, Sebastian
T1  - Simulating the overload of medical processes due to system failures during a cyberattack
T2  - BMC Medical Informatics and Decision Making
N2  - Today’s medical IT is more and more connected and network or IT system outages may impact the quality of patient treatment. IT outages from cyberattacks are particularly worrisome if attackers focus on those medical IT devices that are critical for medical processes. However, medical processes are primarily documented for the hospital employees and not for analyzing the criticality of any given human or medical IT resource. This paper presents a generic model for realistic, patient-focused simulation of medical processes. The model allows the simulation of cyber incidents, focusing on device outages or overload situations like mass casualty incidents. Furthermore, we present a proof-of-concept tool that implements the described model, enabling end-users to simulate their processes. The tool offers the ability to run with low detailed data for overview purposes and highly detailed data for fine-grained simulation results. We perform different scenario simulations for a sample hospital, including the acute phase of a ransomware attack, negative performance impacts due to the implementation of cybersecurity measures, and emergency plans for mass casualty incidents. In each scenario, the respective simulation resulted in a quantitative statement of how these scenarios affect overall process performance and show possible key factors supporting decision-making. We use real-world data from a German trauma room to optimize and evaluate the process simulation.
Y1  - 2025
UR  - https://www.hb.fh-muenster.de/opus4/frontdoor/index/index/docId/19018
UR  - https://nbn-resolving.org/urn:nbn:de:hbz:836-opus-190188
UR  - https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-025-02988-8
VL  - 25
ER  -