{"id":624,"date":"2024-03-01T08:00:00","date_gmt":"2024-03-01T05:00:00","guid":{"rendered":"https:\/\/tatd.org.tr\/afet\/?p=624"},"modified":"2024-07-28T18:30:47","modified_gmt":"2024-07-28T15:30:47","slug":"yine-yeniden-siber-afet-ve-saglik","status":"publish","type":"post","link":"https:\/\/tatd.org.tr\/afet\/afet-yazi-dizisi\/yine-yeniden-siber-afet-ve-saglik\/","title":{"rendered":"Yine Yeniden: Siber Afet ve Sa\u011fl\u0131k"},"content":{"rendered":"\n<p class=\"has-text-align-center\">T\u00fcrkiye Acil T\u0131p Derne\u011fi Afet Komisyonu olarak her y\u0131l yaz\u0131p payla\u015f\u0131mda bulundu\u011fumuz &#8220;Afet Yaz\u0131 Dizisi&#8221;nin 2024 y\u0131l\u0131 i\u00e7in ilk yaz\u0131s\u0131 ile kar\u015f\u0131n\u0131zday\u0131z. Afetsiz ve akademik bir d\u00f6nem i\u00e7in \u015fimdiden iyi okumalar diliyorum.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">G\u0130R\u0130\u015e<\/h2>\n\n\n\n<p class=\"has-medium-font-size\">Bug\u00fcn \u00fc\u00e7 milyardan fazla ki\u015finin kulland\u0131\u011f\u0131 internet 1960 y\u0131l\u0131nda bilgi payla\u015fmak amac\u0131 ile kurulmu\u015ftur. \u0130lerleyen zamanlarda internetin bu denli yayg\u0131nla\u015faca\u011f\u0131 beklenmedi\u011finden ve insanlar\u0131n sisteme zarar verebilecekleri d\u00fc\u015f\u00fcn\u00fclmedi\u011finden g\u00fcvenlik geri planda b\u0131rak\u0131lm\u0131\u015ft\u0131r. Teknolojik geli\u015fmeye paralel olarak altyap\u0131lar\u0131n bili\u015fim sistemlerine b\u00fct\u00fcnle\u015fme \u00e7abalar\u0131 artm\u0131\u015f, k\u00fcreselle\u015fme ve getirdi\u011fi i\u015f kolayl\u0131\u011f\u0131 gibi nedenlerden \u00f6t\u00fcr\u00fc bu ge\u00e7i\u015f h\u0131zlanm\u0131\u015ft\u0131r. D\u00fcnyada ortaya \u00e7\u0131kan bu yeni durum ekonomik, siyasal ve sosyal olarak uluslararas\u0131 alanda yeni bir yap\u0131 yani k\u00fcreselle\u015fmeyi meydana getirmi\u015ftir. Bundan dolay\u0131 k\u00fcreselle\u015fmeye y\u00f6n verebilmek i\u00e7in bilgi teknolojileri \u00f6nemli bir akt\u00f6r olarak kullan\u0131lmaktad\u0131r. Bilgisayar teknolojisi sayesinde internet d\u00fcnyas\u0131 dedi\u011fimiz yeni g\u00f6r\u00fcnmeyen sanal bir k\u0131ta ke\u015ffedilmi\u015ftir. B\u00f6ylece bilgi teknolojileri ve ileti\u015fim sistemleri ile k\u00fcreselle\u015fme h\u0131z kazanm\u0131\u015f, \u00fclke s\u0131n\u0131rlar\u0131 k\u00fc\u00e7\u00fclm\u00fc\u015f, rekabet ortam\u0131 \u015fiddetlenmi\u015f, b\u00f6lgesel grupla\u015fmalar ba\u015flam\u0131\u015f ve bug\u00fcn i\u00e7in \u00fclkelerin fiziksel alan d\u00e2hil t\u00fcm etki alanlar\u0131 siber alandaki yetkinliklerine g\u00f6re s\u0131n\u0131rlanm\u0131\u015ft\u0131r. \u00dclkemizde ve d\u00fcnyada ya\u015fanan t\u00fcm bu bilgi toplumuna ge\u00e7i\u015f s\u00fcreci ile birlikte, bu s\u00fcrece kar\u015f\u0131 olarak ki\u015fisel, ticari ve politik motivasyonlar bar\u0131nd\u0131ran zararl\u0131 yaz\u0131l\u0131mlar\u0131n oran\u0131nda b\u00fcy\u00fck art\u0131\u015f meydana gelmi\u015f; \u00fclkelerin kurum ve kurulu\u015flar\u0131 siber sald\u0131r\u0131lar\u0131n hedefi olmu\u015ftur.(1)<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Elektronik sistemlerde oldu\u011fu gibi, sa\u011fl\u0131k hizmetleri teknolojisi de g\u00fcvenlik a\u00e7\u0131\u011f\u0131na yol a\u00e7an yaz\u0131l\u0131m ve donan\u0131m kusurlar\u0131yla doludur.(2) Bu g\u00fcvenlik a\u00e7\u0131klar\u0131ndan k\u00f6t\u00fc niyetli akt\u00f6rler taraf\u0131ndan yararlan\u0131lmas\u0131 maalesef sa\u011fl\u0131k sekt\u00f6r\u00fcnde yayg\u0131n hale geldi ve teknolojiye olan ba\u011f\u0131ml\u0131l\u0131\u011f\u0131m\u0131z artmaya devam ettik\u00e7e muhtemelen h\u0131zlanarak \u00f6n\u00fcm\u00fcze \u00e7\u0131kacakt\u0131r.(3)<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Sa\u011fl\u0131k ve Teknolojik Ba\u011f\u0131ml\u0131l\u0131k<\/h2>\n\n\n\n<p class=\"has-medium-font-size\">Modern sa\u011fl\u0131k sistemleri birbirine ba\u011fl\u0131 ve &nbsp;ba\u011f\u0131ml\u0131 teknik sistemlerdir ve say\u0131s\u0131z yaz\u0131l\u0131m, donan\u0131m, t\u0131bbi cihaz ve a\u011f \u00fcr\u00fcn\u00fcnden olu\u015fur. Bilgisayarl\u0131 sistemlere yap\u0131lan sald\u0131r\u0131lar, genellikle k\u00f6t\u00fc niyetli akt\u00f6r\u00fcn amac\u0131na ve becerisine ba\u011fl\u0131 olarak, etki, geli\u015fmi\u015flik ve \u00f6l\u00e7ek a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck \u00f6l\u00e7\u00fcde farkl\u0131l\u0131k g\u00f6sterir.&nbsp;Geleneksel olarak, bu sald\u0131r\u0131lar \u201cCIA \u00fc\u00e7l\u00fcs\u00fc\u201d taraf\u0131ndan tan\u0131mlanm\u0131\u015ft\u0131r.(4) Bu model, sald\u0131r\u0131lar\u0131 <strong>gizlilik, b\u00fct\u00fcnl\u00fck ve kullan\u0131labilirlik<\/strong> olmak \u00fczere 3 kategoriye ay\u0131r\u0131r (&nbsp;<a href=\"https:\/\/www.annemergmed.com\/article\/S0196-0644(19)31381-2\/fulltext#fig1\">\u015eekil 1<\/a>&nbsp;).&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-medium-font-size\"><strong>Gizlilik<\/strong>, yetkisi olmayan ki\u015filerden veri eri\u015fiminin korunmas\u0131n\u0131 i\u00e7erir.&nbsp;\u00d6rne\u011fin, bilgisayar korsanlar\u0131 hastalar\u0131n adlar\u0131, adresleri ve ila\u00e7 listeleri gibi korunan sa\u011fl\u0131k bilgilerini if\u015fa ederse, bu bir gizlilik sald\u0131r\u0131s\u0131 olarak s\u0131n\u0131fland\u0131r\u0131l\u0131r.<\/li>\n\n\n\n<li class=\"has-medium-font-size\"><strong>B\u00fct\u00fcnl\u00fck<\/strong>, bir konumdan depolanan veya iletilen verilerin yetkisiz de\u011fi\u015fiklikten ar\u0131nm\u0131\u015f oldu\u011funun g\u00fcvencesidir. Bir veri taban\u0131ndaki laboratuvar testlerinin de\u011ferlerini anormalden normale de\u011fi\u015ftiren veya bir hastan\u0131n kritik ila\u00e7 alerjilerini elektronik t\u0131bbi kay\u0131ttan silen bir sald\u0131r\u0131, b\u00fct\u00fcnl\u00fck sald\u0131r\u0131s\u0131 olarak s\u0131n\u0131fland\u0131r\u0131l\u0131r.<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Bilgisayarl\u0131 sisteme s\u00fcrekli eri\u015fimin sa\u011flanmas\u0131 veya i\u015flevinin korunmas\u0131, <strong>kullan\u0131labilirlik<\/strong> olarak adland\u0131r\u0131l\u0131r. Bir bilgisayar korsan\u0131, eczane sistemine, eczac\u0131lara veya doktorlara eri\u015filemezlik ile sonu\u00e7lanan bir sald\u0131r\u0131 ba\u015flat\u0131rsa, buna eri\u015filebilirlik sald\u0131r\u0131s\u0131 denir.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"512\" src=\"https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/c4ca4238a0b923820dcc509a6f75849b-1024x512.jpg\" alt=\"\" class=\"wp-image-626\" srcset=\"https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/c4ca4238a0b923820dcc509a6f75849b-1024x512.jpg 1024w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/c4ca4238a0b923820dcc509a6f75849b-300x150.jpg 300w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/c4ca4238a0b923820dcc509a6f75849b-768x384.jpg 768w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/c4ca4238a0b923820dcc509a6f75849b-1200x600.jpg 1200w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/c4ca4238a0b923820dcc509a6f75849b.jpg 1357w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><strong>\u015eekil 1<\/strong>&nbsp;Sa\u011fl\u0131k hizmetleri \u00f6rnekleriyle siber g\u00fcvenlik sald\u0131r\u0131 s\u0131n\u0131fland\u0131rmas\u0131.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">K\u00f6t\u00fc ama\u00e7l\u0131 yaz\u0131l\u0131m olarak bilinen bilgisayar programlar\u0131, son 20 y\u0131lda \u00e7o\u011fald\u0131. Sald\u0131rgana finansal bir \u00f6deme yap\u0131l\u0131ncaya kadar verileri eri\u015filemez hale getiren programlar olan fidye yaz\u0131l\u0131mlar\u0131, yak\u0131n zamanda y\u00fczlerce sa\u011fl\u0131k sistemine bula\u015ft\u0131.&nbsp;<em>Bu olaylar\u0131n belki de en y\u0131k\u0131c\u0131s\u0131, May\u0131s 2017&#8217;de, WannaCry fidye yaz\u0131l\u0131m\u0131n\u0131n 80&#8217;den fazla Birle\u015fik Krall\u0131k Ulusal Sa\u011fl\u0131k Hizmeti hastanesindeki sistemlere bula\u015ft\u0131\u011f\u0131 ve baz\u0131 acil servislerin (ED&#8217;ler) kapat\u0131lmas\u0131na, ameliyatlar\u0131n iptal edilmesine ve ayakta tedavi g\u00f6ren klinik bak\u0131m\u0131n kesintiye u\u011framas\u0131na neden oldu.(5)<\/em><sup><\/sup><\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69e166df0aebe&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69e166df0aebe\" class=\"wp-block-image size-large wp-lightbox-container\"><img decoding=\"async\" width=\"1024\" height=\"1024\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" data-id=\"635\" src=\"https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/8551ba58dbdc5510825ebbe722f31791-1.jpeg\" alt=\"\" class=\"wp-image-635\" srcset=\"https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/8551ba58dbdc5510825ebbe722f31791-1.jpeg 1024w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/8551ba58dbdc5510825ebbe722f31791-1-300x300.jpeg 300w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/8551ba58dbdc5510825ebbe722f31791-1-150x150.jpeg 150w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/8551ba58dbdc5510825ebbe722f31791-1-768x768.jpeg 768w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/8551ba58dbdc5510825ebbe722f31791-1-630x630.jpeg 630w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-medium-font-size\">Bir\u00e7ok ba\u011flant\u0131l\u0131 t\u0131bbi sistem, inme, travma, kalp arrest ve sepsis gibi zamana ba\u011fl\u0131 durumlar\u0131n klinik tedavi i\u015f ak\u0131\u015flar\u0131 i\u00e7in hayati \u00f6neme sahiptir. Bu sistemlerden birinin bile ba\u015far\u0131s\u0131z olmas\u0131 hasta i\u00e7in olumsuz sonu\u00e7lar do\u011furabilir.&nbsp;\u00d6rne\u011fin, bir g\u00f6r\u00fcnt\u00fclemenin, bilgisayarl\u0131 tomografi (BT) taray\u0131c\u0131s\u0131n\u0131n i\u015fletim sisteminin bir bilgisayar vir\u00fcs\u00fc nedeniyle rapor edilememesi, inme tan\u0131s\u0131n\u0131 uzatabilir, hastay\u0131 trombolitik tedavi s\u00fcresini etkileyebilir veya kafa i\u00e7i kanaman\u0131n beyin cerrahisi m\u00fcdahalesini geciktirebilir.&nbsp;Bir hastanenin dijital s\u0131n\u0131rlar\u0131n\u0131n d\u0131\u015f\u0131ndaki teknik sistem ar\u0131zas\u0131 bile hasta bak\u0131m\u0131n\u0131 etkileyebilir; <em>\u00f6rne\u011fin, Allscripts&#8217;in g\u00fcvenlik ihlali nedeniyle y\u00fczlerce vir\u00fcsl\u00fc hastane ve klini\u011fi hasta kay\u0131tlar\u0131n\u0131 g\u00f6r\u00fcnt\u00fcleyemez veya ila\u00e7 yazamaz hale getiren 2018 Allscripts fidye yaz\u0131l\u0131m\u0131 sald\u0131r\u0131s\u0131.(6)<\/em><\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69e166df0b312&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69e166df0b312\" class=\"wp-block-image size-large wp-lightbox-container\"><img decoding=\"async\" width=\"1024\" height=\"1024\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" data-id=\"629\" src=\"https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/47e84c3448f1053e4fe78aabc83666e5.jpeg\" alt=\"\" class=\"wp-image-629\" srcset=\"https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/47e84c3448f1053e4fe78aabc83666e5.jpeg 1024w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/47e84c3448f1053e4fe78aabc83666e5-300x300.jpeg 300w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/47e84c3448f1053e4fe78aabc83666e5-150x150.jpeg 150w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/47e84c3448f1053e4fe78aabc83666e5-768x768.jpeg 768w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/47e84c3448f1053e4fe78aabc83666e5-630x630.jpeg 630w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-medium-font-size\">Hastaneler ayr\u0131ca, klinik bak\u0131m\u0131 etkileyebilecek geni\u015f ba\u011flant\u0131l\u0131 cihaz ve sistem a\u011flar\u0131n\u0131 da kullan\u0131rlar.&nbsp;\u00d6rne\u011fin, bir hastane \u00e7a\u011fr\u0131 sistemine veya telefon sistemine yap\u0131lan bir hizmet reddi sald\u0131r\u0131s\u0131, h\u0131zl\u0131 ileti\u015fimin hayati \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131 miyokard enfarkt\u00fcs\u00fcnde uzman m\u00fcdahalesini geciktirebilir.(7)<sup><\/sup><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Siber Afet T\u0131bb\u0131<\/h2>\n\n\n\n<p class=\"has-medium-font-size\">Do\u011fal afetler, salg\u0131nlar ve kitlesel olaylara haz\u0131rl\u0131k ve t\u0131bbi y\u00f6netim, acil t\u0131p ve yan dal afet t\u0131bb\u0131n\u0131n birincil sorumluluklar\u0131 aras\u0131ndad\u0131r. Siber sald\u0131r\u0131lar, ilk bula\u015fma veya ilerleme i\u00e7in \u00f6ng\u00f6r\u00fclebilir bir model izlemez ve genellikle geni\u015f bant \u0130nternet h\u0131z\u0131nda ayr\u0131m g\u00f6zetmeksizin yay\u0131l\u0131r.&nbsp;Kas\u0131rgalar veya depremler gibi bir\u00e7ok do\u011fal afetin co\u011frafi bir tercihi ve tarihsel bir emsali vard\u0131r ve bu da belirli b\u00f6lgelerdeki hastanelerin sa\u011flam afet m\u00fcdahale planlar\u0131na haz\u0131rlanmalar\u0131na ve bunlar\u0131 test etmelerine olanak tan\u0131r.&nbsp;Ancak, k\u00f6t\u00fc ama\u00e7l\u0131 yaz\u0131l\u0131mlar veya di\u011fer siber sald\u0131r\u0131lar, internet ba\u011flant\u0131s\u0131 olan her yere yay\u0131labilir ve her t\u00fcrl\u00fc felaketten izole edilmi\u015f b\u00f6lgeleri etkileyebilir.&nbsp;Bir hastaneden di\u011ferine h\u0131zla yay\u0131lma riski, t\u00fcm sa\u011fl\u0131k sistemine h\u0131zla bula\u015fabilece\u011fi ve y\u00fczlerce hastanenin klinik bak\u0131m\u0131n\u0131 etkileyebilece\u011fi anlam\u0131na gelir.(8)<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-3 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69e166df0b914&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69e166df0b914\" class=\"wp-block-image size-large wp-lightbox-container\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" data-id=\"630\" src=\"https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/143de9c71286623eaff6e815e7af9afe.jpeg\" alt=\"\" class=\"wp-image-630\" srcset=\"https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/143de9c71286623eaff6e815e7af9afe.jpeg 1024w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/143de9c71286623eaff6e815e7af9afe-300x300.jpeg 300w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/143de9c71286623eaff6e815e7af9afe-150x150.jpeg 150w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/143de9c71286623eaff6e815e7af9afe-768x768.jpeg 768w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/143de9c71286623eaff6e815e7af9afe-630x630.jpeg 630w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n<\/figure>\n\n\n\n<p class=\"has-medium-font-size\">Olay komuta sistemi, bir afetle ilgili belirli talepleri kar\u015f\u0131lamak i\u00e7in standartla\u015ft\u0131r\u0131lm\u0131\u015f bir y\u00f6netim arac\u0131 sa\u011flar.&nbsp;Operasyonlar, planlama, lojistik ve finans gibi afet m\u00fcdahalesinin t\u00fcm ana bile\u015fenleri i\u00e7in liderlik yap\u0131s\u0131n\u0131, i\u015fb\u00f6l\u00fcm\u00fcn\u00fc ve buradaki sorumluluklar\u0131 ana hatlar\u0131yla belirtir.&nbsp;Do\u011fal afetler veya ter\u00f6r eylemleri i\u00e7in \u00e7ok uygulanabilir olmas\u0131na ra\u011fmen, bu model bir siber sald\u0131r\u0131y\u0131 etkili bir \u015fekilde y\u00f6netme yetene\u011fi bak\u0131m\u0131ndan s\u0131n\u0131rl\u0131d\u0131r.&nbsp;Hasta bak\u0131m\u0131nda aksamalardan ka\u00e7\u0131nmaya \u00e7al\u0131\u015f\u0131rken teknoloji kusurlar\u0131n\u0131 ele alman\u0131n zorluklar\u0131 ger\u00e7ekten de farkl\u0131d\u0131r.&nbsp;Siber afetlere m\u00fcdahale i\u00e7in standartla\u015ft\u0131r\u0131lm\u0131\u015f en iyi uygulamalar\u0131n geli\u015ftirilmesi, muhtemelen hibrit bir yakla\u015f\u0131m gerektirecektir.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Organize bir afet m\u00fcdahalesinin yayg\u0131n uygulamas\u0131, m\u00fcmk\u00fcn oldu\u011funca \u00e7ok say\u0131da e\u011fitimli profesyoneli h\u0131zla olay yerine g\u00f6ndermek ve onlara belirli g\u00f6revler vermektir.&nbsp;Ancak bir siber sald\u0131r\u0131 durumunda kaynak ihtiya\u00e7lar\u0131 \u00e7ok farkl\u0131d\u0131r.&nbsp;Artan hasta talebini kar\u015f\u0131lamak i\u00e7in insan g\u00fcc\u00fc ve malzemeleri sa\u011flamak yerine, ortaya \u00e7\u0131kmas\u0131 en muhtemel sorunlar, hasta ak\u0131\u015f\u0131n\u0131 ve tedavisini s\u00fcrd\u00fcrmek i\u00e7in alternatif, bilgisayars\u0131z sistemleri uygulamaya haz\u0131r bili\u015fim uzmanlar\u0131 ve \u00f6nceden e\u011fitilmi\u015f bireyler gerektirecektir.&nbsp; Bu nedenle, acil t\u0131p e\u011fitimcileri, bir hastane afet pro\u011fram\u0131ndan farkl\u0131 bir tehlike olarak dahil edilebilecek siber sald\u0131r\u0131 planlar\u0131 olu\u015fturmaya \u00e7al\u0131\u015fmal\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Hastaneler, sa\u011fl\u0131k hizmetlerine y\u00f6nelik siber sald\u0131r\u0131lar\u0131n azalt\u0131lmas\u0131, haz\u0131rl\u0131k, m\u00fcdahale ve kurtarma konular\u0131nda Ulusal Acil Durum Y\u00f6netim Ajans\u0131&#8217;n\u0131n acil durum y\u00f6netimi a\u015famalar\u0131n\u0131n ilkelerini uygulayabilir (&nbsp;\u015eekil 2&nbsp;).&nbsp;<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u201cMitigation-Hafiletme\u201d<\/strong> s\u00fcrecine klinisyenlerin dahil edilmesi, s\u0131n\u0131rl\u0131 kaynaklar\u0131 g\u00fcvence alt\u0131na almak i\u00e7in en y\u00fcksek \u00f6ncelikli klinik sistemleri ve cihazlar\u0131 belirlemede sa\u011fl\u0131k hizmetlerinin g\u00fcvenlik durumunu iyile\u015ftirebilir.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"273\" src=\"https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/c81e728d9d4c2f636f067f89cc14862c.jpg\" alt=\"\" class=\"wp-image-627\" srcset=\"https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/c81e728d9d4c2f636f067f89cc14862c.jpg 400w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/c81e728d9d4c2f636f067f89cc14862c-300x205.jpg 300w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><\/figure>\n\n\n\n<p><strong>\u015eekil 2<\/strong>&nbsp;Siber acil durum y\u00f6netiminin a\u015famalar\u0131.<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u201cPreparedness-Haz\u0131rl\u0131k\u201d<\/strong>, bilgi teknolojisi sistemlerinin yan\u0131 s\u0131ra acil durum y\u00f6netimini de i\u00e7ermelidir, bilgi teknolojisinin olay m\u00fcdahalesini ve geleneksel sa\u011fl\u0131k olay\u0131 komutas\u0131n\u0131 uyumlu hale getirmek i\u00e7in birlikte \u00e7al\u0131\u015fmal\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"has-medium-font-size\">Siber afetlere ger\u00e7ek zamanl\u0131 <strong>\u201cResponse-M\u00fcdahale\u201d<\/strong>, di\u011fer afet m\u00fcdahalelerinden benzersiz prosed\u00fcrler gerektirir ve genellikle 3 hedefi i\u00e7erir.&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-medium-font-size\">Birincisi, s\u00fcrekli g\u00fcvenli klinik bak\u0131m\u0131 sa\u011flamak i\u00e7in dijital klinik i\u015f ak\u0131\u015flar\u0131n\u0131 manuel s\u00fcre\u00e7lerle de\u011fi\u015ftirmek.&nbsp;<\/li>\n\n\n\n<li class=\"has-medium-font-size\">\u0130kinci ama\u00e7, belirli siber tehdidi belirlemek ve yay\u0131lmas\u0131n\u0131 ve a\u011f \u00fczerindeki etkisini s\u0131n\u0131rlamakt\u0131r.&nbsp;<\/li>\n\n\n\n<li class=\"has-medium-font-size\">\u00dc\u00e7\u00fcnc\u00fc ama\u00e7, ayr\u0131cal\u0131kl\u0131 Sa\u011fl\u0131k Bilgi Payla\u015f\u0131m\u0131 ile i\u00e7i\u015fleri bakanl\u0131\u011f\u0131 ve di\u011fer sa\u011fl\u0131k kurulu\u015flar\u0131 gibi ilgili kurum ve kurulu\u015flarla ileti\u015fim kurmakt\u0131r.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-medium-font-size\">T\u0131bbi siber felaketlerden <strong>\u201cRecovery-Kurtarmak<\/strong>\u201d da baz\u0131 benzersiz hususlar\u0131 gerektirir.&nbsp;Sald\u0131r\u0131dan etkilenen klinik sistemleri yeniden ba\u015flat\u0131rken, bilgi teknolojisi ekiplerinin sald\u0131r\u0131lara izin veren g\u00fcvenlik a\u00e7\u0131klar\u0131n\u0131n kapat\u0131ld\u0131\u011f\u0131ndan emin olmas\u0131 gerekecek;&nbsp;aksi takdirde, sistemden yararlanan ayn\u0131 vir\u00fcs, k\u00f6t\u00fc ama\u00e7l\u0131 yaz\u0131l\u0131m veya sald\u0131rgan, sistemler yeniden ba\u015flat\u0131l\u0131r ba\u015flat\u0131lmaz geri d\u00f6nebilir.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-4 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69e166df0bd99&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69e166df0bd99\" class=\"wp-block-image size-large wp-lightbox-container\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" data-id=\"631\" src=\"https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/e9bb6bd692500cfea99c6131699b024a.jpeg\" alt=\"\" class=\"wp-image-631\" srcset=\"https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/e9bb6bd692500cfea99c6131699b024a.jpeg 1024w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/e9bb6bd692500cfea99c6131699b024a-300x300.jpeg 300w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/e9bb6bd692500cfea99c6131699b024a-150x150.jpeg 150w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/e9bb6bd692500cfea99c6131699b024a-768x768.jpeg 768w, https:\/\/tatd.org.tr\/afet\/wp-content\/uploads\/sites\/31\/2024\/02\/e9bb6bd692500cfea99c6131699b024a-630x630.jpeg 630w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"B\u00fcy\u00fct\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n<\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">\u00d6neriler<\/h2>\n\n\n\n<p class=\"has-medium-font-size\">Siber afetlere haz\u0131rl\u0131k i\u00e7in \u00f6zel \u00f6nerileri \u015fu \u015fekilde sunabiliriz.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"has-medium-font-size\">Uygulanacak ilk \u015fey, t\u00fcm dijital sistemlerin teknik ar\u0131zas\u0131n\u0131 sim\u00fcle eden d\u00fczenli acil servis ve hastane \u00e7ap\u0131nda siber afet tatbikatlar\u0131d\u0131r.&nbsp;<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Haz\u0131rl\u0131k hedeflerinizi daha da h\u0131zland\u0131rmak i\u00e7in teknik, klinik ve organizasyonel liderli\u011fi i\u00e7eren bir siber afet g\u00f6rev g\u00fcc\u00fc olu\u015fturun ve geli\u015ftirin.&nbsp;<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Daha sonra en iyi uygulamalar\u0131 di\u011fer sa\u011fl\u0131k hizmeti sunan kurulu\u015flarla payla\u015fabilirsiniz.&nbsp;Bir siber g\u00fcvenlik tehdidi hastanenizi etkiliyorsa, Sa\u011fl\u0131k Bilgi Payla\u015f\u0131m\u0131 ve Analiz Merkezi gibi mevcut uluslararas\u0131 mekanizmalar\u0131 kullanarak sa\u011fl\u0131k hizmetleri organizasyonlar aras\u0131 tehdit payla\u015f\u0131m\u0131na kat\u0131l\u0131n.&nbsp;<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Son olarak, bir acil servis doktorunun hastanesini siber bir tehditten koruyabilmesinin en basit yollar\u0131ndan biri, iyi bir siber program\u0131 uygulamakt\u0131r.&nbsp;<\/li>\n\n\n\n<li class=\"has-medium-font-size\">S\u00f6zl\u00fcklerde bulunan bir parola yerine daha uzun benzersiz parola ifadeleri olu\u015fturun.<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Parolalar\u0131 payla\u015fmay\u0131n.<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Birden fazla hesap ve hizmet i\u00e7in ayn\u0131 parolay\u0131 veya parolay\u0131 kullanmaktan ka\u00e7\u0131n\u0131n.<\/li>\n\n\n\n<li class=\"has-medium-font-size\">G\u00fcvenlik sorular\u0131n\u0131 yan\u0131tlamak i\u00e7in kullan\u0131labilecek bilgileri sosyal medyada payla\u015fmaktan ka\u00e7\u0131n\u0131n.<\/li>\n\n\n\n<li class=\"has-medium-font-size\">\u00c7ok fakt\u00f6rl\u00fc kimlik do\u011frulamay\u0131 da\u011f\u0131t\u0131n.<\/li>\n\n\n\n<li class=\"has-medium-font-size\">K\u00f6t\u00fc niyetli e-postalar\u0131 a\u00e7maktan ka\u00e7\u0131n\u0131n.<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Hileli flash s\u00fcr\u00fcc\u00fcleri klinik ortamlara ba\u011flamaktan ka\u00e7\u0131n\u0131n.<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Dijital veri depolamay\u0131 \u015fifreleyin.<\/li>\n\n\n\n<li class=\"has-medium-font-size\">Yetkili kullan\u0131c\u0131lar\u0131 taklit ediyor olabilecek do\u011frulanmam\u0131\u015f ki\u015filere gizli bilgileri if\u015fa etmekten ka\u00e7\u0131n\u0131n.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Kaynaklar<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Orak M. Sa\u011fl\u0131kta Korkutan Gelecek Siber Afetler, https:\/\/tatd.org.tr\/afet\/afet-yazi-dizisi\/saglikta-korkutan-gelecek-siber-afetler\/<\/li>\n\n\n\n<li>Nigrin DJ. When \u201chacktivists\u201d target your hospital. N Engl J Med. 2014;371:393-395.<\/li>\n\n\n\n<li>Gordon WJ, Wright A, Aiyagari R, et al. Assessment of employee susceptibility to phishing attacks at US health care institutions. JAMA Netw Open. 2019;2:e190393. 8. Blumenthal D. Launching HITECH<\/li>\n\n\n\n<li>Schabacker DS, Levy L-A, Evans NJ, et al. Assessing cyberbiosecurity vulnerabilities and infrastructure resilience. Front Bioeng Biotechnol. 2019;7:61<\/li>\n\n\n\n<li>National Audit Office Investigation: WannaCry cyber attack and the NHS\u2014National Audit Office (NAO) report. (Available at:) <a href=\"https:\/\/www.nao.org.uk\/report\/investigation-wannacry-cyber-attack-and-the-nhs\/\">https:\/\/www.nao.org.uk\/report\/investigation-wannacry-cyber-attack-and-the-nhs\/<\/a> Date accessed: June 21, 2019<\/li>\n\n\n\n<li>Healthcare IT News. Allscripts sued over ransomware attack, accused of \u201cwanton\u201d disregard. Available at: https:\/\/www.healthcareitnews. com\/news\/allscripts-sued-over-ransomware-attack-accused-wantondisregard. Accessed June 21, 2019.<\/li>\n\n\n\n<li>Wired. The highly dangerous \u201cTriton\u201d hackers have probed the US grid. Available at: https:\/\/www.wired.com\/story\/triton-hackers-scan-uspower-grid\/. Accessed June 21, 2019<\/li>\n\n\n\n<li>Collier R. NHS ransomware attack spreads worldwide. CMAJ. 2017;189:E786-E787.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>T\u00fcrkiye Acil T\u0131p Derne\u011fi Afet Komisyonu olarak her y\u0131l yaz\u0131p payla\u015f\u0131mda bulundu\u011fumuz &#8220;Afet Yaz\u0131 Dizisi&#8221;nin 2024 y\u0131l\u0131 i\u00e7in ilk yaz\u0131s\u0131 ile kar\u015f\u0131n\u0131zday\u0131z.&hellip;<\/p>\n","protected":false},"author":3146,"featured_media":632,"comment_status":"open","ping_status":"open","sticky":true,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[10043],"tags":[10059,10053,10062,10077],"class_list":["post-624","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-afet-yazi-dizisi","tag-afet","tag-afet-tibbi","tag-siber-afet","tag-yazi-dizisi"],"acf":[],"_links":{"self":[{"href":"https:\/\/tatd.org.tr\/afet\/wp-json\/wp\/v2\/posts\/624","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tatd.org.tr\/afet\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tatd.org.tr\/afet\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/afet\/wp-json\/wp\/v2\/users\/3146"}],"replies":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/afet\/wp-json\/wp\/v2\/comments?post=624"}],"version-history":[{"count":0,"href":"https:\/\/tatd.org.tr\/afet\/wp-json\/wp\/v2\/posts\/624\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/afet\/wp-json\/wp\/v2\/media\/632"}],"wp:attachment":[{"href":"https:\/\/tatd.org.tr\/afet\/wp-json\/wp\/v2\/media?parent=624"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tatd.org.tr\/afet\/wp-json\/wp\/v2\/categories?post=624"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tatd.org.tr\/afet\/wp-json\/wp\/v2\/tags?post=624"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}