Abstract

Human error and the vulnerability of clinical devices are perceived as the foremost cybersecurity risks in the critical infrastructure sector of Healthcare; this limited view, however, overlooks the possible disruption due to a malicious actor accessing the network or systems that maintain the environmental conditions within a healthcare facility. Operating theatres, laboratories, pharmacies, sterile stores and imaging equipment have stringent environmental requirements. To achieve these conditions, chilled water and ventilation must function within set tolerances; any divergence could significantly impact a hospital due to cancelled surgeries or diagnostic procedures, an MRI quench or the need to dispose of sterile products. Focussing on the systems required to maintain the environment within these specialist rooms, the vulnerabilities, threats, risks and impacts were investigated using based on four case study hospitals in Canada and the UK.

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