Understanding the Scope of Downtime Threats A Scoping Review of Downtime-Focused Literature and News Media

The authors reviewed technical news media to provide a foundational perspective on electronic health record downtime readiness. They found that between 2012 and 2018, 166 hospitals in the U.S. experienced downtime events and 48.8% of downtime events involved some kind of cyber-attack. The authors propose a bottom-up approach, where clinical staff are involved in the downtime response, and recommend more support for development of contingency plans.