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Yesterday — 25 June 2024Main stream

How physician associates are helping doctors, not replacing them | Letters

25 June 2024 at 12:10

Dr Rubin Minhas and Dr Tim Lavin respond to an article by Dr Rachel Clarke on concerns about the role of these healthcare professionals

I don’t recognise the challenges posed by the introduction of physician associates (PAs) in the same way as Dr Rachel Clarke does (What if your ‘physician’ wasn’t actually a doctor at all? Beware this new reckless experiment, 20 June). Introducing a new cohort of healthcare professionals is a tremendous responsibility, and local experience indicates that the capability to manage its implementation is often poor.

Our practice will soon employ four PAs, including two who left other practices where they were all but left to fend for themselves. One recounts how, on her first day in her first job, she was assigned a fully booked clinic with no induction, training or guidance, and made to feel a nuisance when seeking help. This is not uncommon.

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© Photograph: parkerphotography/Alamy

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© Photograph: parkerphotography/Alamy

Before yesterdayMain stream

Cyberattack on Ascension Hospitals Led to Lapses in Patient Care Such As Wrongful Administration of Narcotics

By: Alan J
20 June 2024 at 19:51

Ascension Hospitals

A ransomware attack in May against Ascension, one of America's largest hospital chains, has severely disrupted operations and patient care at its more than 140 hospitals across at least 10 states. Doctors, nurses and other clinicians have reported weeks-long outages of key technology systems, medication errors, delays in lab results, and a lack of routine safeguards - lapses they say have put the health of patients at risk. The May 8 cyberattack locked Ascension out of electronic medical records systems, some phones, test and medication ordering platforms, and other tools essential for the coordination of patient care. While Ascension said its clinicians are "trained for these kinds of disruptions," many on the frontlines feel unprepared.

Ascension Hospitals Cyberattack Places Strain on Staff

"I had no training for this," said Marvin Ruckle, a neonatal ICU nurse at Ascension Via Christi St. Joseph in Wichita, Kansas, who nearly gave a baby the wrong dose of medication. Lisa Watson, a critical care nurse who works at the same hospital, says she almost administered the wrong drug to a critically ill patient because she couldn't scan it electronically. "My patient probably would have passed away," she said. Doctors and nurses across Ascension report relying on paper records, handwritten notes, faxes and basic spreadsheets to deliver care - many cobbled together in real time. An ER doctor in Detroit said a mix-up due to paperwork issues led a patient to receive the wrong narcotic and end up on a ventilator. In Baltimore, ICU nurse Melissa LaRue described narrowly avoiding giving an incorrect blood pressure medication dosage due to confusion from paperwork. Several clinicians said errors could threaten their licenses, but patient privacy laws prevented verifying their accounts. Ascension declined to address specific claims but said in a statement it is "confident that our care providers...continue to provide quality medical care."

Ascension Hospitals' Staff Urge Changes

While federal regulations require safeguarding patient data, hospitals currently face no cyberattack preparation or prevention mandates. Experts regard health care as the top target for ransomware attacks, which are rising exponentially. Proposed regulations are pending, but timelines and requirements remain unclear. Nurses and doctors urging reforms at Ascension say cyberattacks should be treated similarly to natural disasters, with contingency plans that account for outages lasting weeks or longer. Many also echoed a plea for more staff support to shoulder the additional workload. "We implore Ascension," one Michigan clinician wrote, "to recognize the internal problems that continue to plague its hospitals, both publicly and privately, and take earnest steps toward improving working conditions for all of its staff." While the Biden administration has pushed for stronger cybersecurity standards in health care, the new requirements are still in development. Meanwhile, hospital industry lobbyists argue mandates could divert resources from cybersecurity efforts. These incidents prove that patients may ultimately pay the price when hospitals fall victim to cybercrime, while staff experience additional burden affecting routine practice and judgement. Media Disclaimer: This report is based on internal and external research obtained through various means. The information provided is for reference purposes only, and users bear full responsibility for their reliance on it. The Cyber Express assumes no liability for the accuracy or consequences of using this information.

Medical Experts Alarmed by Out-of-Hospital Cesareans in Florida

15 June 2024 at 08:56
A new state law will permit surgeons to perform cesarean deliveries in “advanced birth centers,” despite the risk of complications.

© Eric Fowke/Alamy

A newborn’s head was measured moments after birth via cesarean section in a hospital in Massachusetts.

Microsoft and Google Announce Plans to Help Rural U.S. Hospitals Defend Against Cyberattacks

By: Alan J
10 June 2024 at 16:55

Microsoft Google Aid Rural Hospitals

Microsoft and Google have announced plans to offer free or highly discounted cybersecurity services to rural hospitals across the United States. These initiatives come as the U.S. healthcare sector faces a surge in ransomware attacks that more than doubled last year, posing a serious threat to patient care and hospital operations. The program - developed in collaboration with the White House, the American Hospital Association, and the National Rural Health Association - aims to make rural hospitals less defenseless by providing them with free security updates, security assessments, and training for hospital staff.

Microsoft and Google Cybersecurity Plans for Rural Hospitals

Microsoft has launched a full-fledged cybersecurity program to meet the needs of rural hospitals, which are often more vulnerable to cyberattacks due to more limited IT security resources, staff and training than their urban peers. The program will deliver free and low-cost technology services, including:
  • Nonprofit pricing and discounts of up to 75% on Microsoft's security products for independent Critical Access Hospitals and Rural Emergency Hospitals.
  • Larger rural hospitals already equipped with eligible Microsoft solutions will receive free advanced security suites for free.
  • Free Windows 10 security updates for participating rural hospitals for at least one year.
  • Cybersecurity assessments and training are being made free to hospital employees to help them better manage system security.
Justin Spelhaug, corporate vice president of Microsoft Philanthropies, said in a statement, “Healthcare should be available no matter where you call home, and the rise in cyberattacks threatens the viability of rural hospitals and impact communities across the U.S. “Microsoft is committed to delivering vital technology security and support at a time when these rural hospitals need them most.” Anne Neuberger, Deputy National Security Advisor for Cyber and Emerging Technologies, said in a statement:
“Cyber-attacks against the U.S. healthcare systems rose 130% in 2023, forcing hospitals to cancel procedures and impacting Americans’ access to critical care. Rural hospitals are particularly hard hit as they are often the sole source of care for the communities they serve and lack trained cyber staff and modern cyber defenses. President Biden is committed to every American having access to the care they need, and effective cybersecurity is a part of that. So, we’re excited to work with Microsoft to launch cybersecurity programs that will provide training, advice and technology to help America’s rural hospitals be safe online.”
Alongside Microsoft's efforts, Google also announced that it will provide free cybersecurity advice to rural hospitals and non-profit organizations while also launching a pilot program to match its cybersecurity services with the specific needs of rural healthcare facilities.

Plans Are Part of Broader National Effort

Rural hospitals remain one of the most common targets for cyberattacks, according to data from the National Rural Health Association. Rural hospitals in the U.S. serve over 60 million people living in rural areas, who sometimes have to travel considerable distance for care even without the inconvenience of a cyberattack. Neuberger stated, “We’re in new territory as we see ... this wave of attacks against hospitals.” Rick Pollack, president of the American Hospital Association, said, “Rural hospitals are often the primary source of healthcare in their communities, so keeping them open and safe from cyberattacks is critical. We appreciate Microsoft stepping forward to offer its expertise and resources to help secure part of America’s healthcare safety net.” The plans are a part of a broader effort by the United States government to direct private partners and tech giants such as Microsoft and Google to use their expertise to plug significant gaps in the defense of the healthcare sector. Media Disclaimer: This report is based on internal and external research obtained through various means. The information provided is for reference purposes only, and users bear full responsibility for their reliance on it. The Cyber Express assumes no liability for the accuracy or consequences of using this information.

NHS Makes Urgent Request for Blood Donations After Ransomware Attack Interrupts Blood Transfusions

By: Alan J
10 June 2024 at 12:04

NHS Blood Donations

NHS Blood and Transplant (NHSBT) is urgently appealing for O blood-type donors across England after a ransomware attack affected several major London hospitals. The cyberattack caused significant disruption on the hospitals' ability to match patients' blood types, leading to an increased demand for O-positive and O-negative blood donations, which are safe for all patients. The public health institution is asking donors of these blood types to book appointments at any of the 25 NHS blood donor centers in England in order to boost limited stocks and ensure the availability of essential blood supplies to patients.

NHS Blood and Transplant's Urgent Appeal for Blood Donations

The recent cyberattack on the pathology firm Synnovis, believed to have been orchestrated by the Russian cybercriminal group Qilin, caused significant disruption to several London hospitals. As a result, affected hospitals have been unable to match patients' blood at the usual rates, leading to the declaration of a critical incident and the cancellation of scheduled blood transfusions. Gail Miflin, chief medical officer at NHS Blood and Transplant, emphasized the importance of O blood-type donations during this critical time. She called on existing O blood donors to book urgent appointments and encouraged potential new donors to find out their blood type and contribute to solving the shortage. During NHS National Blood Week, it was revealed that hospitals require three blood donations every minute. With around 13,000 appointments available nationwide this week, and 3,400 specifically in London, there are many opportunity for donors to come forward and contribute to blood availability. Stephen Powis, the medical director for NHS England, praised the resilience of NHS staff amid the cyberattack and urged eligible donors to come forward to one of the 13,000 available appointments in NHS blood donor centers across the country. To learn more and find details on how to donate, interested individuals are encouraged to search 'GiveBlood' online and on social media or visit Blood.co.uk. [caption id="attachment_76310" align="alignnone" width="2562"]NHS Blood and Transplant (NHSBT) Ransomware Blood Donations Source: www.blood.co.uk[/caption]

Impact of the Cyberattack on London Hospitals

Several prominent London hospitals, including the King's College Hospital, Guy's and St Thomas', the Royal Brompton, and the Evelina London Children's Hospital, declared a critical incident following the cyberattack on the pathology firm Synnovis, which provides blood-testing facilities to these hospitals and several others in southeast London. The attack forced hospital staff to cancel health procedures such as cancer surgeries and transplants due to the unavailability of blood transfusion services after facing severe disruption. In a statement on its official website, an NHS London spokesperson stressed the importance of pathology services to health treatment procedures:
“NHS staff are working around the clock to minimise the significant disruption to patient care following the ransomware cyber-attack and we are sorry to all those who have been impacted. Pathology services are integral to a wide range of treatments and we know that a number of operations and appointments have been cancelled due to this attack. We are still working with hospitals and local GP services to fully assess the disruption, and ensure the data is accurate. In the meantime our advice to patients remains, if you have not been contacted please do continue to attend your appointments.”
A senior NHS manager disclosed to the Health Service Journal (HSJ) that the incident was “everyone’s worst nightmare.” As blood has a limited shelf life of 35 days, it is critical that these hospital stocks are continually replenished. More units of O-negative and O-positive blood will be required over the coming weeks to accommodate an anticipated increase in surgeries and procedures due to earlier delays. Media Disclaimer: This report is based on internal and external research obtained through various means. The information provided is for reference purposes only, and users bear full responsibility for their reliance on it. The Cyber Express assumes no liability for the accuracy or consequences of using this information.

The evolution of healthcare ransomware attacks – Source: www.cybertalk.org

the-evolution-of-healthcare-ransomware-attacks-–-source:-wwwcybertalk.org

Views: 3Source: www.cybertalk.org – Author: slandau By Zac Amos, Features Editor, Rehack.com. In recent years, ransomware has emerged as a critical threat to the healthcare industry, with attacks growing in frequency, sophistication and impact. These cyber assaults disrupt hospital operations, compromise patient safety and undermine data integrity. Understanding how ransomware tactics have evolved — from basic phishing […]

La entrada The evolution of healthcare ransomware attacks – Source: www.cybertalk.org se publicó primero en CISO2CISO.COM & CYBER SECURITY GROUP.

Ascension Hospitals Reel From Cyberattack, Causing Patient Care Delays

23 May 2024 at 16:48
For two weeks at the 140-hospital system, doctors and nurses have had little access to digital records for patient histories, resorting to paper and faxes to treat people.

© Lauren Justice for The New York Times

Ascension, one of the nation’s largest medical systems with 140 hospitals in 19 states, has yet to recover from a large-scale cyberattack earlier this month.

In the House of Psychiatry, a Jarring Tale of Violence

21 May 2024 at 07:04
At the American Psychiatric Association’s annual meeting, a patient described a restraint that haunts him, more than eight years later.

© Diana Cervantes for The New York Times

Matthew Tuleja, a former college football player, hopes that sharing his story will help reduce the use of restraints in psychiatry.

Nancy Neveloff Dubler, Mediator for Life’s Final Moments, Dies at 82

10 May 2024 at 21:45
A bioethicist, she pioneered bedside methods for helping patients, their families and doctors deal with anguishing life-and-death decisions in a high-tech age.

© James Estrin/The New York Times

Nancy Dubler, director of the bioethics division at Montefiore Medical Center in the Bronx, spoke in 2005 with Fred Haber, who was at his wife’s bedside after a mediation session.

Herbert Pardes, Who Steered the Growth of a Giant Hospital, Dies at 89

9 May 2024 at 14:56
A psychiatrist, he ran New York-Presbyterian after a landmark merger, improving its patient care and finances and raising money to expand its footprint across the region.

© Marilynn K. Yee/The New York Times

Dr. Herbert Pardes in 2003 as president and chief executive of NewYork-Presbyterian Hospital. He ran its sprawling domain for 11 years.

UnitedHealth’s CEO Slammed Over Cyberattack

Several lawmakers questioned whether the company had become so large — with tentacles in every aspect of the nation’s medical care — that the effects of the hack were outsize.

© Ting Shen for The New York Times

Andrew Witty, the chief executive of UnitedHealth Group, acknowledged before the Senate Finance Committee that hackers had found a weakness in its cybersecurity that forced the shutdown of a vast billing and payments system.
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