We were hit with an attack earlier this year with our entire system including EMR, PACS, lab and even internet connectivity being affected. We were down for about 2 weeks completely on paper. I don’t know of any specific direct patient harms, but it resulted in increased LOS, boarding, no access to patients prior records, and on the inpatient side immediate loss of crucial information like the MAR when we first went down as no knowledge of when patients last received medications or what they had even received. Physicians had to solely rely on their memories of why patients were in the hospital and how they were being treated. I imagine over the two weeks there were patient care errors, but just not easily recognizable.