[en] I. Information Security Background (Speaker = Kevin McDonald) Evolution of Medical Devices Living and Working in a Hostile Environment Attack Motivations Attack Vectors Simple Safety Strategies Medical Device Security in the News Medical Devices and Vendors Summary II. Keeping Radiation Oncology IT Systems Secure (Speaker = Bruce Curran) Hardware Security Double-lock Requirements “Foreign” computer systems Portable Device Encryption Patient Data Storage System Requirements Network Configuration Isolating Critical Devices Isolating Clinical Networks Remote Access Considerations Software Applications / Configuration Passwords / Screen Savers Restricted Services / access Software Configuration Restriction Use of DNS to restrict accesse. Patches / Upgrades Awareness Intrusion Prevention Intrusion Detection Threat Risk Analysis Conclusion Learning Objectives: Understanding how Hospital IT Requirements affect Radiation Oncology IT Systems. Illustrating sample practices for hardware, network, and software security. Discussing implementation of good IT security practices in radiation oncology. Understand overall risk and threats scenario in a networked environment

[en] This study is to prepare an evaluation standard about personal information protection and security management of a medical institution and to build up a grade standard of evaluation in PACS environment. We built up evaluation index based on 10 detailed items in four big categories (political security, technical security, data management security and physical security) by referring to ISO17799 (BS 7799), HIPPA (Health Insurance and Portability and Accountability Act of 1996) and domestic medical law. We have investigated at the thirty places where medical facility with the extracted security criteria and security evaluation index. Average score of physical security list, one of the big categories, was 18.5/20 (93%) at all medical institutions. Political security score was 18.5/30 (62%), data management security score was 12/20 (60%) and technical security score was 17.5/30 (58%). Therefore, security evaluation score was average 67 in 30 general hospitals, which was 4th level. The results showed that it is necessary to establish evaluation and management standard about personal information protection and security consciousness which are weak in PACS environment.

[en] Radiation sources have a large range of applications in industry, research and medicine. The Code of Conduct on the Safety and Security of Radioactive Sources states that all states should establish a national register for radioactive sources. One of the main duties of regulatory body is licensing radiation sources. The number of radiation sources is more or less tens of thousands depending on their application in different areas in any country. Most of these sources represents significant risk and are placed in non-nuclear facilities such as hospitals and industrial plants. The regulatory body play an important role in improving security radiation sources through licensing and overview of sources in use in industrial and medical applications by an intensified inspection program. Currently, radiation sources still licensed through paper forms submitted by end-users, some of this information was in turn transferred to internal database systems. This process, however, required much work and was error prone. As a consequence, many of regulatory bodies started developing and using a web-based source licensing application where, end-users are able to apply and submit the required information for licensing their sources. The web-based interface will enable the regulatory body as well as the end user to have access to the same information about their licensed sources, something which will hopefully improve the safety and security.

[en] By using a luminescent material as a substitute for radioactive contamination a realistic assessment of the emergency plans for dealing with contaminated radiation casualties at a Regional General Hospital was made. The areas where problems arose in these plans are described and the changes now made to them given. (author)

[en] Information is at the centre of every hospital activity including clinical decisions and healthcare service delivery systems. Although information is an important hospital asset, several issues related to its management and organization needs to be addressed within the hospitals. The management of healthcare information is a strategic goal related to the reduction of healthcare service provision costs, and to the improvement of quality and safety of healthcare services. By discussing the rather obvious necessity for information organization and management in the healthcare domain, this work aims at the role of healthcare information services, i.e. hospital libraries and patient medical records. Finally, a typology of information services’ contributions to hospital environment is presented

[en] On January 23, 1981 the Office of Radiation Programs, U.S. Environmental Protection Agency published in the Federal Register proposals for revisions in the existing Federal Radiation Protection Guidance for Occupational Exposures. This report is a part of the continuing analysis by EPA of the cost/feasibility of the proposed revisions. Specifically, the report evaluates each of the proposed changes in the guidance to estimate the cost of compliance to all segments of the private sector wherein impacts are expected to be significant. This study concentrates its effort on estimating the direct resource costs for each industry that must comply with the regulations that result from the revision to the guidance. These costs that are met by industry participants will account for a significant portion of the total costs associated with the guidance. These costs were estimated through a series of case studies and independent research

[en] This conference is about the actions carry out by the forces and the safety equipment in a radiological emergency. The security area, the victims, the hospitals, the police vehicles area, the safety cordon, the evacuation, the contamination level and the risk of life are important aspects to be considered by the first responders.

[en] While the radio-contaminated casualties treatment center (CTBRC) of the military hospital of Brest is reconstructed an unusual structure has been built on the Ile Longue site. Technical shelters (ETM) of the French military health service have been put together in order to constitute the CTBRC/ETM. This structure is adapted to the necessities of the nuclear site of Brest. First we explain the organization of the medical intervention in case of a nuclear accident; then we describe the functions of the CTBRC. People from hospital and medical teams of the nuclear oceanic French forces (FOST) take part in utilization, maintenance, training according to a particular protocol. (author)

[en] Medical institutions are abundant in human resources and have a unique structure with diverse professions and various organizational cultures coexist. This organizational culture influences organizational effectiveness and influences the effectiveness of the organization as a factor of leadership and organizational culture. Leadership is an important factor in linking employee behavior to organizational commitment to achieve job satisfaction. The purpose of this study was to analyze the effect of organizational effectiveness on organizational culture, leadership perception, and job stress in a special organization called radiologist. As a result, organizational culture and transformational leadership showed high correlation with 0.627. Among the organizational effectiveness variables, organizational commitment showed the highest influence with transformational leadership(β=0.284, p<0.001), and job satisfaction was also the highest with transformational leadership (β=0.440, p<0.001). The results showed that the expectation of transformational leadership affects organizational commitment and job satisfaction. In order to expect a positive change in the effectiveness of the organization, the radiologist culture requires an organizational culture that can fully demonstrate autonomy and creativity, and transformational leadership is required for this

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