3PC-042 Cyber-resilience: development of a digital clinical continuity solution to maintain safe prescription and compounding assistance in oncology
Year: 2025
Type: conference-paper
Abstract: Background and Importance In France, the growing threat of cyberattacks on healthcare has led health authorities to mandate the deployment of clinical continuity plan in each hospital department. In Oncology, care units and hospital pharmacy often share the same Electronic Medical Record (EMR) CHIMIO (Computer Engineering) which combines a Computerised Physician Order Entry (CPOE) with an intra-venous compounding workflow management system (IVWMS). This digital workflow is dramatically sensitive to cyberattacks and its unplanned interruption can disrupt care and force patients to be rerouted to other hospitals Aim and Objectives The aim was to develop a digital contingency plan in oncology, in order to maintain the oncology workflow safe and secure, avoiding going back to pen and papers in case of cyberattacks. Material and Methods Design of the software was carried out in three steps: 1) Project specifications based on our nationwide survey of hospital pharmacists collecting information on the perceptions and expectations of cyberattack 2) Extraction and transformation of specific tables used by CHIMIO 3) Multi-centre demonstration of prototypes with benchmark test and improvements based on feedback. Results Eighty-eight surveys responses lead project specification to include: fast and easy recovery solution, secure, automated and equivalent calculation of regimens and compounding formulas and backward compatibility with the two versions of CHIMIO. The software is based on the extraction of dozens of tables from the database used by CHIMIO. Although unique in each hospital, these tables are digested by a PowerQuery code (Microsoft Excel) which is able to assist prescribers and pharmacists in prescription and dispensation the same way as usual. It works off-line and is easily communicable between computers from care units to the hospital pharmacy. The prototype has been tested in five different hospitals, approaching a comprehensive coverage of oncology protocols (paediatric, haematologic, home health care). Conclusion and Relevance The success of these multiples demonstrations claims transposable results in each hospital using CHIMIO. Although usable by oncologist and pharmacist, the next step is to embed the code in an Excel-free solution. In the future, this consolidate version could handle stock management and be qualified as a stand-alone solution of cyber-resilience in the chemotherapy workflow. References and/or Acknowledgements Conflict of Interest No conflict of interest
Institution: Melun Hospital
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
OpenAlex ID: W4408376099