{"id":26952,"date":"2019-09-27T13:56:07","date_gmt":"2019-09-27T12:56:07","guid":{"rendered":"https:\/\/www.soitron.com\/?p=26952"},"modified":"2022-03-23T14:00:37","modified_gmt":"2022-03-23T13:00:37","slug":"zatekajuca-serverovna-ci-pretazena-siet-ako-nema-vyzerat-it-v-zdravotnictve","status":"publish","type":"post","link":"https:\/\/new.soitron.com\/sk\/zatekajuca-serverovna-ci-pretazena-siet-ako-nema-vyzerat-it-v-zdravotnictve\/","title":{"rendered":"Zatekaj\u00faca serverov\u0148a \u010di pre\u0165a\u017een\u00e1 sie\u0165. Ako (ne)m\u00e1 vyzera\u0165 IT v zdravotn\u00edctve."},"content":{"rendered":"\n

IT expert Soitronu: Niektor\u00e9 nemocnice sam\u00e9 otv\u00e1raj\u00fa dvierka hackerom<\/strong>.<\/h3>\n\n\n\n
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MARTIN \u010cAPRNKA v spolupr\u00e1ci s redakciou Soitron<\/p>\n<\/div><\/div>\n\n\n\n

<\/div>\n\n\n\n

O\u00a0tom, ako by malo vyzera\u0165 modern\u00e9 IT v\u00a0nemocnici a\u00a0ako ho vybudova\u0165 aj s\u00a0obmedzen\u00fdm rozpo\u010dtom sme sa porozpr\u00e1vali s IT expertom spolo\u010dnosti Soitron Martinom \u010caprnkom.<\/strong><\/p>\n\n\n\n

<\/div>\n\n\n\n

Mnoh\u00e9 nemocnice dnes bojuj\u00fa s nedostatkom \u013eud\u00ed \u010di rozpad\u00e1vaj\u00facimi\nsa budovami. Ako s\u00fa na tom IT probl\u00e9my v porovnan\u00ed s t\u00fdmito\nstaros\u0165ami?<\/strong><\/p>\n\n\n\n

Ve\u013emi podobne. Ke\u010f vid\u00edte star\u00e9 nevyhovuj\u00face budovy, v ktor\u00fdch \u010dasto s\u00eddlia, tak v podobnom stave je aj ich komunika\u010dn\u00e1 infra\u0161trukt\u00fara<\/a>. \u010casto to vyzer\u00e1 ako 20-30 rokov dozadu. Probl\u00e9my sa len l\u00e1taj\u00fa; person\u00e1l nem\u00e1 \u010das alebo peniaze na to, aby spravil celkov\u00fa obnovu, ktor\u00fa by si komunika\u010dn\u00e1 infra\u0161trukt\u00fara zasl\u00fa\u017eila. <\/p>\n\n\n\n

Ako teda vyzer\u00e1 IT infra\u0161trukt\u00fara v typickej slovenskej\nnemocnici?<\/strong><\/p>\n\n\n\n

Videl som ich nieko\u013eko. Niektor\u00e9 boli v dos\u0165 \u017ealostnom stave.\nZa\u017eil som, \u017ee kotol\u0148a bola kraj\u0161ia ako miestnos\u0165, v ktorej boli umiestnen\u00e9\nd\u00e1tov\u00e9 a telekomunika\u010dn\u00e9 zariadenia. Zaplesnen\u00e1, zatekalo do nej, tak\u017ee\nbezv\u00fdpadkovos\u0165 tam nemohla by\u0165 zaru\u010den\u00e1. Maj\u00fa \u010dasto poddimenzovan\u00e9 rozvody – \u010di\nu\u017e elektrick\u00e9 alebo d\u00e1tov\u00e9. Bol som v jednej nemocnici, kde, ak by sme\nchceli umiestni\u0165 \u010fal\u0161\u00ed bezdr\u00f4tov\u00fd pr\u00edstupov\u00fd bod, museli by sme rozseka\u0165 pol\nnemocnice.<\/p>\n\n\n\n

Predstavme si, \u017ee som riadite\u013e a rozhodujem sa, na\n\u010do d\u00e1m peniaze. Ak\u00fd pr\u00ednos m\u00e1 invest\u00edcia do IT infra\u0161trukt\u00fary v porovnan\u00ed,\nnapr\u00edklad, so \u0161kolen\u00edm \u013eud\u00ed, obnovou priestorov a podobne?<\/strong><\/p>\n\n\n\n

D\u00e1 sa na to pozera\u0165 z viacer\u00fdch str\u00e1n. Prvou je, \u010do\npotrebujem zabezpe\u010di\u0165 pre pacientov a lek\u00e1rov \u2013 napr\u00edklad m\u00e1m prenosn\u00fd r\u00f6ntgen\na chcem hotov\u00fa sn\u00edmku niekam posla\u0165, alebo potrebujem evidova\u0165 pacientov,\nuklada\u0165 inform\u00e1cie a podobne. To s\u00fa slu\u017eby, ktor\u00e9 chc\u00fa nemocnice\nposkytova\u0165.<\/p>\n\n\n\n

Druhou rovinou je udr\u017eanie zariadenia v chode.\nS t\u00fdm mus\u00edm cel\u00fa infra\u0161trukt\u00faru aj stava\u0165. Ak d\u00f4jde k nejak\u00e9mu\nv\u00fdpadku, mus\u00edm vedie\u0165 udr\u017ea\u0165 v prev\u00e1dzke aspo\u0148 kritick\u00e9 syst\u00e9my, ktor\u00fdch\nfunk\u010dnos\u0165 m\u00f4\u017ee by\u0165 z\u00e1visl\u00e1 od infra\u0161trukt\u00fary – napr\u00edklad monitorovanie\npacientov.<\/p>\n\n\n\n

No a nakoniec bezpe\u010dnos\u0165<\/a>. Kyber\u00fatoky sa nevyh\u00fdbaj\u00fa ani nemocniciam. Sie\u0165 by preto mala by\u0165 od z\u00e1kladu vybudovan\u00e1 tak, aby bola bezpe\u010dn\u00e1. Samozrejme, \u017ee problematika je komplexnej\u0161ia a bezpe\u010dnos\u0165 sa nem\u00e1 rie\u0161i\u0165 len na tejto \u201evrstve\u201c. \u010c\u00edm viac sa ale v tomto smere zanedb\u00e1, t\u00fdm jednoduch\u0161\u00ed bude \u00fatok \u2013 komunika\u010dn\u00e1 infra\u0161trukt\u00fara je toti\u017e z\u00e1kladom pre v\u0161etky ostatn\u00e9 syst\u00e9my.<\/p>\n\n\n\n

U\u017e dnes maj\u00fa niektor\u00e9 nemocnice WiFi. S\u00fa d\u00e1ta pacientov\nv bezpe\u010d\u00ed?<\/strong><\/p>\n\n\n\n

Niektor\u00e9 nemocnice s\u00fa v tomto popredu, maj\u00fa\nnasaden\u00fa segment\u00e1ciu a pou\u017e\u00edvaj\u00fa zabezpe\u010den\u00e9 samostatn\u00e9 siete \u2013 t\u00fa, do\nktorej sa m\u00f4\u017ee n\u00e1v\u0161teva alebo pacient pripoji\u0165 a t\u00fa, do ktorej sa be\u017en\u00fd\n\u010dlovek nedostane, aby boli citliv\u00e9 d\u00e1ta chr\u00e1nen\u00e9.<\/p>\n\n\n\n

Samozrejme, niekde je to naopak. Viacer\u00e9 stredisk\u00e1 pou\u017e\u00edvaj\u00fa\nzariadenia, ktor\u00e9 k\u00fapite be\u017ene v supermarketoch. Tak\u00e9 by som si ja ani len\ndomov nedal. Z\u00e1platy sa na ne bu\u010f nevyd\u00e1vaj\u00fa, alebo sa vyd\u00e1vaj\u00fa a\u017e po roku.\nTak\u00fdmto sp\u00f4sobom sami otv\u00e1raj\u00fa dvierka potencion\u00e1lnym \u00fato\u010dn\u00edkom. Nehovoriac\no tom, \u017ee ak je WiFi navrhnut\u00e1 a nain\u0161talovan\u00e1 neodborne, v\u00f4bec nesl\u00fa\u017ei\nsvojmu \u00fa\u010delu. Be\u017ene sa preto st\u00e1va, \u017ee hoci v nemocnici WiFi je, neviete\nsa na \u0148u pripoji\u0165, preto\u017ee ju nikto neprisp\u00f4sobil na ve\u013ek\u00fd po\u010det u\u017e\u00edvate\u013eov.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

M\u00f4\u017eu na WiFi fungova\u0165 aj medic\u00ednske pr\u00edstroje?<\/strong><\/p>\n\n\n\n

V\u00e4\u010d\u0161ia istota je sp\u00e1ja\u0165 ich k\u00e1blom. Av\u0161ak zariadenia, ktor\u00e9 napr\u00edklad\nnemonitoruj\u00fa pacientov, ur\u010dite m\u00f4\u017eu be\u017ea\u0165 aj na bezdr\u00f4tovej sieti. Napr\u00edklad\ntie, ktor\u00e9 pom\u00e1haj\u00fa pri obslu\u017en\u00fdch pr\u00e1cach ako je automatick\u00fd pod\u00e1va\u010d liekov.\nV tomto pr\u00edpade zariadenie v\u010faka pripojeniu na WiFi sleduje, ak\u00e9 lieky\npacient berie a s\u00e1m mu ich nachyst\u00e1. Ak by tento syst\u00e9m aj vypadol, nie je\nto kritick\u00e9. Person\u00e1lu v\u0161ak ur\u00fdch\u013euje pr\u00e1cu.<\/p>\n\n\n\n

Typick\u00fdm pr\u00edkladom vyu\u017eitia WiFi m\u00f4\u017ee by\u0165 lokaliz\u00e1cia\nprenosn\u00fdch pr\u00edstrojov ako r\u00f6ntgen, sonograf a podobne. V\u010faka nemu vie person\u00e1l\nr\u00fdchlo zisti\u0165, kde sa ktor\u00fd pr\u00edstroj nach\u00e1dza, a ako ho \u010do najr\u00fdchlej\u0161ie\ndosta\u0165 tam, kam treba. Op\u00e4\u0165 to \u0161etr\u00ed \u010das.<\/p>\n\n\n\n

S ak\u00fdmi naj\u010dastej\u0161\u00edmi IT probl\u00e9mami sa stret\u00e1vate?<\/strong><\/p>\n\n\n\n

Poddimenzovanie siete, prenosovej kapacity; teda pr\u00edpady, kedy nov\u00e9 zariadenie ani nebolo kam pripoji\u0165. Druh\u00fdm ve\u013ek\u00fdm probl\u00e9mom je spom\u00ednan\u00e1 bezpe\u010dnos\u0165. Pri budovan\u00ed syst\u00e9mov \u010dasto ch\u00fdba kontinuita \u2013 ak raz hlavn\u00fd IT-\u010dkar od\u00edde, nikto ani len netu\u0161\u00ed, ako je to cel\u00e9 vybudovan\u00e9. \u010cast\u00fdm probl\u00e9mom b\u00fdva aj ch\u00fdbaj\u00face zdvojovanie \u2013 pri kritick\u00fdch prvkoch, na ktor\u00fdch je z\u00e1visl\u00e1 cel\u00e1 komunik\u00e1cia, nie s\u00fa in\u0161talovan\u00e9 dva zdroje alebo tam nie s\u00fa vybudovan\u00e9 dve fyzick\u00e9 cesty, tak\u017ee to v pr\u00edpade v\u00fdpadku cel\u00e9 spadne.<\/p>\n\n\n\n

Vie z\u00e1sadne zlep\u0161i\u0165 IT infra\u0161trukt\u00faru aj nemocnica\ns obmedzen\u00fdm rozpo\u010dtom?<\/strong><\/p>\n\n\n\n

V \u0161t\u00e1tnych nemocniciach je to asi \u0165a\u017ek\u00e9, ale\nv t\u00fdch s\u00fakromn\u00fdch sa s t\u00fdm po\u010d\u00edta; sam\u00e9 sa chc\u00fa odl\u00ed\u0161i\u0165 od toho, ako\nto tu roky fungovalo a postavi\u0165 nemocnicu moderne. Aj IT infra\u0161trukt\u00fara sa\nd\u00e1 vybudova\u0165 za rozumn\u00e9 peniaze. Vid\u00edme to hlavne na s\u00fakromn\u00fdch nemocniciach,\ns ktor\u00fdmi sme spolupracovali. <\/p>\n\n\n\n

Ak som riadite\u013e, ktor\u00fd to chce. \u010c\u00edm by som mal za\u010da\u0165?<\/strong><\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Auditom. Najsk\u00f4r sa treba pozrie\u0165 na budovu \u2013 \u010di m\u00e1m\nvyhovuj\u00face priestory. Potom treba rie\u0161i\u0165, \u010do vlastne v nemocnici\nposkytujem \u2013 ako m\u00e1m rozdelen\u00e9 jednotliv\u00e9 oddelenia, ako potrebujem, aby spolu\nkomunikovali, ak\u00e9 v\u0161etky slu\u017eby pacientovi zabezpe\u010dujem a kde do tohto\ncel\u00e9ho vstupuje d\u00e1tov\u00e1 komunik\u00e1cia. Po zmapovan\u00ed celej nemocnice nasleduje pl\u00e1n\nbudovania infra\u0161trukt\u00fary od nuly a\u017e po kone\u010dn\u00fd stav, a potom ju u\u017e m\u00f4\u017eem\nza\u010da\u0165 stava\u0165 ako kocky. <\/p>\n\n\n\n

D\u00e1 sa to robi\u0165 aj po \u010dastiach?<\/strong><\/p>\n\n\n\n

Ur\u010dite \u00e1no, ono sa to tak v\u00e4\u010d\u0161inou aj deje. Ide\u00e1lne je, ma\u0165\nto cel\u00e9 naraz, ale zvy\u010dajne si nemocnica ur\u010d\u00ed, ktor\u00e9 \u010dasti s\u00fa kritick\u00e9,\na ktor\u00fdmi sa t\u00fdm p\u00e1dom za\u010dne. Niekedy s\u00fa to invest\u00edcie aj na 5 rokov, ale\npokia\u013e sa chce niekam dosta\u0165, mus\u00ed raz za\u010da\u0165. Koniec koncov, ak u\u017e raz poriadne\nvyrie\u0161ite nevyhovuj\u00face priestory \u010di \u0161trukt\u00farovan\u00fa kabel\u00e1\u017e, tieto bud\u00fa fungova\u0165\nhne\u010f, no s\u00fa\u010dasne budete ma\u0165 pripraven\u00fa p\u00f4du aj do bud\u00facnosti. <\/p>\n\n\n\n

Kde na Slovensku n\u00e1jdeme pr\u00edklad nemocnice s dobrou\nIT infra\u0161trukt\u00farou?<\/strong><\/p>\n\n\n\n

Ve\u013emi dobr\u00fdm pr\u00edkladom s\u00fa nov\u00e9 s\u00fakromn\u00e9 nemocnice. Ke\u010f\u017ee s\u00fa pre\u0161pikovan\u00e9 technol\u00f3giami, museli sme tam vybudova\u0165 mimoriadne stabiln\u00fa a bezpe\u010dn\u00fa sie\u0165 \u2013 bolo to tak napr\u00edklad v Nemocnici novej gener\u00e1cie v Michalovciach<\/a>. <\/p>\n\n\n\n

Dobr\u00fd pr\u00edklad v\u0161ak n\u00e1jdeme aj pri niektor\u00fdch \u0161t\u00e1tnych\nnemocniciach, ktor\u00e9 urobili viacero invest\u00edci\u00ed. Pre\u0161li rekon\u0161trukciami\na niekde vyr\u00e1stli aj kompletne nov\u00e9 oddelenia, ktor\u00e9 vyzeraj\u00fa ako zo\nseri\u00e1lu Dr. House. A ve\u013emi r\u00e1d kon\u0161tatujem, \u017ee sa tak deje po celom Slovensku.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n
\"\"<\/figure>
\n

Martin \u010caprnka<\/strong><\/p>\n\n\n\n

Network Presales Team Leader<\/p>\n\n\n\n

martin.caprnka@soitron.com<\/a><\/p>\n<\/div><\/div>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

IT expert Soitronu: Niektor\u00e9 nemocnice sam\u00e9 otv\u00e1raj\u00fa dvierka hackerom. MARTIN \u010cAPRNKA v spolupr\u00e1ci s redakciou Soitron O\u00a0tom, ako by malo vyzera\u0165 modern\u00e9 IT v\u00a0nemocnici a\u00a0ako ho vybudova\u0165 aj s\u00a0obmedzen\u00fdm rozpo\u010dtom sme sa porozpr\u00e1vali s IT expertom spolo\u010dnosti Soitron Martinom \u010caprnkom. Mnoh\u00e9 nemocnice dnes bojuj\u00fa s nedostatkom \u013eud\u00ed \u010di rozpad\u00e1vaj\u00facimi sa budovami. Ako s\u00fa na tom IT probl\u00e9my v porovnan\u00ed s t\u00fdmito […]<\/p>\n","protected":false},"author":28,"featured_media":26961,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[33],"tags":[309],"news_categories":[391],"class_list":["post-26952","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clanky","tag-sietove-riesenia","news_categories-sietove-riesenia"],"acf":[],"yoast_head":"\nAko (ne)m\u00e1 vyzera\u0165 IT v zdravotn\u00edctve<\/title>\n<meta name=\"description\" content=\"O\u00a0tom, ako by malo vyzera\u0165 modern\u00e9 IT v\u00a0nemocnici a\u00a0ako ho vybudova\u0165 aj s\u00a0obmedzen\u00fdm rozpo\u010dtom sa dozviete v rozhovore s na\u0161im expertom.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ako (ne)m\u00e1 vyzera\u0165 IT v zdravotn\u00edctve\" \/>\n<meta property=\"og:description\" content=\"O\u00a0tom, ako by malo vyzera\u0165 modern\u00e9 IT v\u00a0nemocnici a\u00a0ako ho vybudova\u0165 aj s\u00a0obmedzen\u00fdm rozpo\u010dtom sa dozviete v rozhovore s na\u0161im expertom.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/new.soitron.com\/a-leaking-server-room-or-a-congested-network-what-it-in-healthcare-should-not-look-like\/\" \/>\n<meta property=\"og:site_name\" content=\"Soitron\" \/>\n<meta property=\"article:published_time\" content=\"2019-09-27T12:56:07+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-03-23T13:00:37+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/new.soitron.com\/wp-content\/uploads\/2019\/09\/V\u0161etky-izby-bud\u00fa-vybaven\u00e9-polohovate\u013en\u00fdmi-poste\u013eami-WiFi-pr\u00edstupom-na-internet-k\u00e1blovou-telev\u00edziou-toaletou-a-sprchou.-1024x683.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"683\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Jana Skalska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Autor\" \/>\n\t<meta name=\"twitter:data1\" content=\"Jana Skalska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Predpokladan\u00fd \u010das \u010d\u00edtania\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 min\u00fat\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Ako (ne)m\u00e1 vyzera\u0165 IT v zdravotn\u00edctve","description":"O\u00a0tom, ako by malo vyzera\u0165 modern\u00e9 IT v\u00a0nemocnici a\u00a0ako ho vybudova\u0165 aj s\u00a0obmedzen\u00fdm rozpo\u010dtom sa dozviete v rozhovore s na\u0161im expertom.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"sk_SK","og_type":"article","og_title":"Ako (ne)m\u00e1 vyzera\u0165 IT v zdravotn\u00edctve","og_description":"O\u00a0tom, ako by malo vyzera\u0165 modern\u00e9 IT v\u00a0nemocnici a\u00a0ako ho vybudova\u0165 aj s\u00a0obmedzen\u00fdm rozpo\u010dtom sa dozviete v rozhovore s na\u0161im expertom.","og_url":"https:\/\/new.soitron.com\/a-leaking-server-room-or-a-congested-network-what-it-in-healthcare-should-not-look-like\/","og_site_name":"Soitron","article_published_time":"2019-09-27T12:56:07+00:00","article_modified_time":"2022-03-23T13:00:37+00:00","og_image":[{"width":1024,"height":683,"url":"https:\/\/new.soitron.com\/wp-content\/uploads\/2019\/09\/V\u0161etky-izby-bud\u00fa-vybaven\u00e9-polohovate\u013en\u00fdmi-poste\u013eami-WiFi-pr\u00edstupom-na-internet-k\u00e1blovou-telev\u00edziou-toaletou-a-sprchou.-1024x683.jpg","type":"image\/jpeg"}],"author":"Jana Skalska","twitter_card":"summary_large_image","twitter_misc":{"Autor":"Jana Skalska","Predpokladan\u00fd \u010das \u010d\u00edtania":"6 min\u00fat"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/new.soitron.com\/a-leaking-server-room-or-a-congested-network-what-it-in-healthcare-should-not-look-like\/#article","isPartOf":{"@id":"https:\/\/new.soitron.com\/a-leaking-server-room-or-a-congested-network-what-it-in-healthcare-should-not-look-like\/"},"author":{"name":"Jana Skalska","@id":"https:\/\/new.soitron.com\/#\/schema\/person\/70724a93c7b9106bcdf018c2b66c2b0b"},"headline":"Zatekaj\u00faca serverov\u0148a \u010di pre\u0165a\u017een\u00e1 sie\u0165. 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