Riha Chris
Information Services Department, Carilion Health System, Virginia, USA.
Biomed Instrum Technol. 2004;Suppl:45-8.
WLANs deployments in health care institutions offer clinicians opportunities to increase productivity and improve patient care with additional point-of-care access to information systems. However, they are not a panacea. Any data that needs guaranteed reliability and protection for outside interference, such as real-time cardiac monitoring, should be on networks operating in the Wireless Medical Telemetry Service (WMTS) range. The WMTS range, (608-614 MHz, 1395-1400 MHz, and 1429-1432 MHz), was established in 1999 by the FCC as a protected frequency range (in the U.S.) making these products less likely to have interference problems than devices operating in the 802.11 range. Security challenges must also be addressed as each access point is synonymous with installing a RJ45 network jack in the parking lot of a facility and inviting the general public to connect to a network. Also, increased mobility of electronic devices means battery power; thus consideration will need to be given to charging, maintaining, and disposal of batteries. WLANs offer many advantages over conventional wired LANs but they also offer many challenges in addressing security and reliability issues. WLANs are not designed to replace conventional hard-wired network infrastructure; they are designed to augment the connectivity of LANs. Even with the 802.11 g standard, which supports connectivity up to 54 Mbps, large medical image files would not have enough bandwidth on this type of wireless network. Wireless networks can enhance the health care technology infrastructure but proper selection of technology and focus on the security and reliability during the planning and installation is a definite requirement.
医疗机构中无线局域网(WLAN)的部署为临床医生提供了机会,通过在护理点额外接入信息系统来提高工作效率并改善患者护理。然而,它们并非万灵药。任何需要保证可靠性并免受外部干扰保护的数据,比如实时心脏监测数据,都应该在运行于无线医疗遥测服务(WMTS)频段的网络上传输。WMTS频段(608 - 614兆赫兹、1395 - 1400兆赫兹以及1429 - 1432兆赫兹)于1999年由美国联邦通信委员会(FCC)确立为受保护频段(在美国),这使得这些产品相比运行在802.11频段的设备更不容易出现干扰问题。安全挑战也必须得到解决,因为每个接入点就如同在医疗机构停车场安装一个RJ45网络接口并邀请公众连接到网络一样。此外,电子设备移动性的增加意味着需要考虑电池供电;因此,必须考虑电池的充电、维护及处置问题。与传统有线局域网相比,无线局域网有诸多优势,但在解决安全和可靠性问题方面也面临诸多挑战。无线局域网并非旨在取代传统的硬线网络基础设施;它们旨在增强局域网的连接性。即便有支持高达54Mbps连接速度的802.11g标准,在这类无线网络上,大型医学图像文件也不会有足够的带宽。无线网络可以增强医疗技术基础设施,但在规划和安装过程中正确选择技术并注重安全和可靠性是绝对必要的。