The Crisis

A researcher working on a newly untested knowledge management files sharing application aimed at locating and transferring information across the whole network, was left running on a basic mode. The application started dealing with huge amount of data in the network and copying it in the database. The terabytes of data which was being copied from different computers on the network jammed the network switch which was centrally located which resulted in loss of all its functionalities. As a result, the systems started using redundant network routes, to communicate and transfer data. These redundant network routes were established to operate during events of network failure. But the redundant network also went down due to the massive flow of information for which the algorithms were not able to allocate the primary and backup routes. The breakdown affected the clinical units, radiology, clinical laboratories, operation room, emails, medical records, pharmacy and ambulatory services. Since no one who was able to speculate the exact problem, John Halamka, CareGroup CIO, decided to call CISCO for the rescue. The Cisco team was quick to response and on their arrival quickly took control of the complete network system at CareGroup. Cisco employed their CAP process in order to tackle the Denial of Service attack (DoS), due to heavy flood of data and information. They followed the below procedures in order to restore the network:         Remained on backup throughout the recovery process Established Internal Command center Focused on operations of clinical laboratories by providing “runners” The company switched to the primitive way of paper documentation for processes. Urgent lab results delivered to the responsible clinician Manual working and reporting in required processes Activating contingency plan for ambulatory laboratory Establishing help lines

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