Emergency medical care support device and emergency medical care support method

Abstract

This product provides an emergency patient acceptance support device and system that provides hospitals with the necessary information to quickly determine whether or not to accept a patient after receiving a request for acceptance from an ambulance crew. [Solution] The system includes an information acquisition unit that acquires emergency acceptance-related information regarding the availability of emergency patient care for physicians in each clinical department, which is input from terminal devices used by staff belonging to each clinical department; a support information generation unit that generates emergency acceptance support information by aggregating the respective emergency acceptance-related information acquired from the terminal devices; and an output unit that outputs the emergency acceptance support information to terminal devices used in the medical facility.

Description

Technical Field

[0001] The present invention relates to an emergency admission support device and an emergency admission support method.

Background Art

[0002] Emergency medical treatment for injuries, diseases, etc. caused by accidents or disasters is one of the important medical practices. Emergency medical treatment is provided at emergency hospitals designated by the governors of prefectures. These hospitals are required to meet the following conditions: having doctors familiar with emergency medicine on duty at all times, equipped with necessary medical devices and facilities, being easily accessible for transporting emergency patients, having appropriate facilities, and having special beds for emergency patients. In actual cases where injured or critically ill patients occur, these patients are transported to emergency hospitals by emergency teams. However, even in hospitals that meet the above four conditions, if at that time, doctors familiar with emergency medicine or specialists who can handle the diseases of emergency patients are attending to other patients, or if all the special beds for emergency patients are in use and there are no empty beds, the hospital cannot admit emergency patients.

[0003] To address this, technologies such as those disclosed in Patent Document 1 and Patent Document 2 have been proposed. Patent Document 1 discloses a system that matches multiple hospital internal information with transporter information created by emergency team members and selects hospital candidates based on the results. Patent Document 2 discloses a system that, when there is a request to transport an emergency patient, attaches pre-registered information including information on pre-registered medical facilities, residential facilities, etc. and the registrant's medical information to multiple medical facilities, makes an inquiry about the admission status, and determines an appropriate medical facility based on the response contents from multiple medical facilities to this inquiry.

Prior Art Documents

Patent Documents

[0004]

Patent Document 1

[0005] However, these technologies are designed to facilitate smooth communication between emergency medical services and multiple potential hospitals, and to quickly determine which hospital can accept the patient. They do not contribute to the receiving hospital's decision-making process regarding whether or not to accept the patient.

[0006] This invention has been made in view of the circumstances described above, and aims to provide an emergency medical patient acceptance support device and an emergency medical patient acceptance support method that provide hospitals with the necessary information to quickly determine whether or not to accept patients when they receive a request for acceptance from an ambulance crew. [Means for solving the problem]

[0007] To achieve the above objective, one aspect of the present invention is an emergency patient acceptance support device comprising: an information acquisition unit that acquires emergency patient acceptance-related information regarding the ability of physicians in each clinical department to handle emergency patients and diseases that are difficult to accept for emergency use, which is input from terminal devices used by physicians or other staff belonging to each clinical department; a support information generation unit that generates emergency patient acceptance support information by aggregating the respective emergency patient acceptance-related information acquired from the terminal devices; and an output unit that outputs the emergency patient acceptance support information to terminal devices used in medical facilities.

[0008] Furthermore, one aspect of the present invention is an emergency medical reception support device in which the emergency medical reception support information includes information on the presence of physicians in each medical department.

[0009] Furthermore, one aspect of the present invention is an emergency medical care support device in which the information on the presence of doctors in each of the medical departments can be obtained from a work schedule system or a location information positioning system.

[0010] Furthermore, in one aspect of the present invention, the emergency patient acceptance support device described above is an emergency patient acceptance support device in which the information acquisition unit acquires information on a period during which emergency response is not possible, in response to the input of such information from a physician of each medical department to the terminal device.

[0011] Furthermore, in one aspect of the present invention, the emergency patient acceptance support device described above is an emergency patient acceptance support device in which the information acquisition unit can also acquire a period of time during which the physician is unable to provide emergency care, based on data of the physician's surgical schedule from a surgical support system that manages surgical schedules.

[0012] Furthermore, in one aspect of the present invention, the emergency medical care acceptance support device described above is an emergency medical care acceptance support device in which the information acquisition unit acquires shift schedule data showing the schedule of doctors' on-call and overnight shifts from an external device, and the support information generation unit generates emergency medical care acceptance support information based on the emergency medical care acceptance-related information acquired from the terminal device and the shift schedule data.

[0013] Furthermore, one aspect of the present invention is an emergency medical care support device in which the emergency medical care information includes the physician's specialty diseases.

[0014] Furthermore, one aspect of the present invention is a computer-based emergency patient acceptance support method, which includes acquiring emergency patient acceptance-related information regarding the availability of physicians in each clinical department to handle emergency patients, which is input from terminal devices used by physicians and other staff belonging to each clinical department, generating emergency patient acceptance support information by aggregating the respective emergency patient acceptance-related information acquired from the terminal devices, and outputting the emergency patient acceptance support information to a terminal device used in a medical facility. [Effects of the Invention]

[0015] According to the present invention, it is possible to provide an emergency admission support device and an emergency admission support system that provide information necessary for quickly determining whether to admit a patient on the hospital side that has received an admission request from an emergency team.

Brief Description of the Drawings

[0016] [Figure 1] It is a block diagram showing the system configuration of the emergency admission support system A according to an embodiment of the present invention. [Figure 2] It is a block diagram showing the cooperation of the emergency admission support device B according to an embodiment of the present invention with an external system. [Figure 3] It is a block diagram showing the functional configuration of the emergency admission support device B according to an embodiment of the present invention. [Figure 4] It is a schematic functional block diagram showing other configurations of the emergency admission support device B according to an embodiment of the present invention. [Figure 5] It is a schematic diagram showing a display screen on which outpatient department information during normal times is displayed in an embodiment of the present invention. <...> [Figure 6] It is a schematic diagram showing an example of a monthly duty doctor schedule screen in an embodiment of the present invention. [Figure 7] It is a schematic diagram showing an example of an absence schedule input screen in an embodiment of the present invention.

Modes for Carrying Out the Invention

[0017] Hereinafter, an embodiment of the present invention will be described with reference to the drawings. FIG. 1 is a block diagram showing the system configuration of the emergency admission support system A according to an embodiment of the present invention. FIG. 2 is a block diagram showing the cooperation of the emergency admission support device B with an external system. The emergency admission support system A includes an emergency admission support device B (medical continuity plan support device), a plurality of communication terminals T each carried by a plurality of medical staff, and a communication line N that communicably connects the emergency admission support device B and each communication terminal T. The emergency admission support device B according to the present embodiment is a kind of computer. That is, the emergency admission support device B realizes the emergency admission support function through the cooperation of its own hardware resources and software resources such as the emergency admission support program.

[0018] The emergency admission support device B has a communication function as part of the above emergency admission support function. That is, the emergency admission support device B acquires various types of information (emergency admission related information) necessary for the emergency admission support function from a plurality of communication terminals T via the support communication line N, and transmits the emergency admission support information to the plurality of communication terminals T via the support communication line N.

[0019] In addition to acquiring emergency admission related information via the support communication line N, the emergency admission support device B also acquires emergency admission related information via the in-hospital network N1 and the public communication line N2. That is, the emergency admission support device B demonstrates the emergency admission support function by processing the emergency admission related information acquired via the support communication line N, the in-hospital network N1, and the public communication line N2 based on the emergency admission support program.

[0020] The plurality of communication terminals T are mobile terminals or stationary terminals operated by each department staff at various locations in the medical facility. By using this communication terminal T, each department staff transmits the emergency admission related information necessary for the emergency admission support function to the emergency admission support device B via the support communication line N.

[0021] In addition, the person in charge of determining whether to admit an emergency patient conducts the business of determining whether to admit an emergency patient based on the emergency admission information acquired from the emergency admission support device B via the communication terminal T and the support communication line N. Such a communication terminal T is a desktop personal computer, a tablet personal computer, a smartphone, etc. equipped with a communication function.

[0022] The support communication line N wirelessly connects the emergency medical receiving support device B and multiple communication terminals T. This support communication line N is not particularly limited and may be a well-known public wireless communication line, a dedicated communication line for the emergency medical receiving facility, or a combination of a public wireless communication line and a dedicated communication line. The dedicated communication line may consist of interconnected wireless and wired lines, or it may be formed solely by wireless lines.

[0023] As shown in Figure 2, this emergency patient acceptance support device B is freely connected to various in-hospital systems (in-hospital systems) via the in-hospital network N1 (in-facility network), and is also freely connected to multiple external servers via the public communication line N2. The in-hospital network N1 is a wired network and / or wireless network built within the medical facility and is connected to various in-hospital systems necessary for conducting medical practice in the medical facility.

[0024] The above-mentioned in-hospital systems include, as shown in the diagram, an electronic medical record system C for storing patient medical records, a safety confirmation and attendance management system D for confirming the safety of staff and determining whether they can assemble (commute to work) at medical facilities during disasters, an attendance management system E for managing the arrival and departure of staff, a surgical support system F to assist in managing surgical schedules, a radiology information management system G, an endoscopy information management system H, a medical equipment management system I, a central monitoring system J, a work schedule system K, and the like. Work information represents the work schedules of staff belonging to a medical facility. These staff members include, for example, doctors and nurses. The work information, for example, indicates the number of staff members who are on duty on a given day and capable of performing medical-related duties.

[0025] The public communication line N2 mentioned above is the Internet and / or a telephone line, and is connected to multiple external servers. These external servers are information servers that provide information related to emergency admission decisions at medical facilities. These external servers include, for example, a weather server L that provides weather information for the area where the medical facility is located, a local government server M that provides disaster occurrence information for the area where the medical facility is located, and a regional disaster prevention / medical institution information platform O. The emergency admission support device B will, as needed, request support from the regional disaster prevention / medical institution information platform O or provide support to external medical facilities (push-type support).

[0026] Next, we will explain the detailed configuration of the emergency patient reception support device B with reference to Figure 3. As shown in Figure 3, the emergency medical reception support device B comprises at least a first communication unit 1, a second communication unit 1A, a third communication unit 1B, a storage unit 2, an operation unit 3, a calculation unit 4, and a display unit 5. These first communication unit 1, second communication unit 1A, third communication unit 1B, storage unit 2, operation unit 3, calculation unit 4, and display unit 5 are the hardware resources of the emergency medical reception support device B. The emergency medical reception support device B may be a physical server or a cloud server provided by a cloud computing service.

[0027] The emergency medical admission support device B assists in the rapid determination of whether or not to accept an emergency patient by having such hardware resources work together with software resources such as a task definition sheet and an emergency medical admission support program (application program) pre-stored in the memory unit 2.

[0028] Here, the second communication unit 1A and the third communication unit 1B are information acquisition units in the emergency medical reception support device B. The storage unit 2 and the calculation unit 4 are support information generation units in the emergency medical reception support device B. Furthermore, the first communication unit 1 and the display unit 5 are output units in the emergency medical reception support device B.

[0029] The first communication unit 1 is electrically connected internally to the arithmetic unit 4 and is also freely connected to multiple communication terminals T via a support communication line N. Based on communication commands input from the arithmetic unit 4, the first communication unit 1 outputs emergency acceptance support information to the multiple communication terminals T via the arithmetic unit 4.

[0030] The second communication unit 1A is electrically connected internally to the calculation unit 4 and is also externally connected to multiple hospital systems via the hospital network N1, allowing for flexible communication. Based on communication commands input from the calculation unit 4, the second communication unit 1A sends requests to multiple hospital systems to acquire emergency admission-related information, thereby receiving emergency admission-related information from the hospital systems and outputting it to the calculation unit 4.

[0031] The third communication unit 1B is electrically connected internally to the arithmetic unit 4 and is also externally connected to multiple external servers via a public communication line N2, allowing for flexible communication. Based on communication commands input from the arithmetic unit 4, the third communication unit 1B sends requests to multiple external servers to acquire emergency admission-related information, receives emergency admission-related information from the external servers, and outputs it to the arithmetic unit 4.

[0032] The storage unit 2 is composed of ROM (Read Only Memory), RAM (Random Access Memory), and a hard disk, flash memory, EEPROM (Electrically Erasable Programmable Read Only Memory), or any combination thereof, and is electrically connected to the arithmetic unit 4. For example, non-volatile memory can be used for this storage unit 2. The storage unit 2 pre-stores the emergency admission support program in ROM and stores the business information input from the arithmetic unit 4 in RAM, etc. Such a storage unit 2 provides the emergency admission support program and emergency admission information to the arithmetic unit 4 based on read requests input from the arithmetic unit 4.

[0033] The control unit 3 is a collection of components such as a keyboard, mouse, and tablet, and is electrically connected to the processing unit 4. The control unit 3 receives operational instructions from the emergency admission decision-maker and outputs these instructions to the processing unit 4. These operational instructions are processed by the processing unit 4 based on the emergency admission support program.

[0034] The arithmetic unit 4 is a hardware resource electrically connected to the first communication unit 1, the second communication unit 1A, the third communication unit 1B, the storage unit 2, the operation unit 3, and the display unit 5. The arithmetic unit 4 may be composed of a processing unit such as a CPU (Central Processing Unit) or a dedicated electronic circuit. The arithmetic unit 4 generates an image signal showing the emergency admission support screen by reading and executing the emergency admission support program from the storage unit 2 and based on operation instructions input from the operation unit 3.

[0035] This calculation unit 4 includes a bed information management unit 4a, a staff information management unit 4b, and a facility information management unit 4c as individual functional components for generating the emergency admission support screen. The bed information management unit 4a is a functional component that manages the vacancy status of each ward in a medical facility (number of vacant beds in negative pressure rooms, other rooms, male multi-bed rooms, female multi-bed rooms, and shared multi-bed rooms) and nursing status (a numerical representation of the workload of nurses based on the nurse staffing levels in each ward and the severity of the illness of the inpatients) by coordinating with the electronic medical record system C described above.

[0036] The Staff Information Management Unit 4b is a functional component that manages staff members within the medical facility (hospital) by job type, in conjunction with the Safety Confirmation / Attendance Status Management System D, the Attendance Management System E, and the Work Schedule System K. The Facility Information Management Unit 4c is a functional component that manages the operational status of hospital infrastructure (electricity, emergency generators, gas supply, water and sewage, communications) by coordinating with the surgical support system F, the radiation information management system G, the endoscopy information management system H, the medical equipment management system I, and the central monitoring system J. Furthermore, the Bed Information Management Department 4a, the Staff Information Management Department 4b, and the Facility Information Management Department 4c can acquire various data in cooperation with the external systems mentioned above, but they may also acquire data entered by staff members via the input device of the communication terminal T.

[0037] The emergency medical care acceptance support program described above is a collection of multiple dedicated application programs. In other words, each functional component of the arithmetic unit 4 is realized through the cooperation of the arithmetic unit 4 (hardware resource) and individual dedicated application programs (software resources) pre-stored in the memory unit 2.

[0038] The display unit 5 is an image display device electrically connected to the calculation unit 4. The display unit 5 is installed in the emergency department and displays an emergency admission support screen based on image signals input from the calculation unit 4. The person in charge of deciding whether or not to accept an emergency patient makes a decision based on the emergency admission support screen displayed on the display unit 5.

[0039] The emergency admission support screen described above provides support information to those responsible for making decisions regarding the availability of emergency admissions, including information on in-hospital resources necessary for determining whether or not to accept an emergency patient. In other words, this emergency admission support screen is a dashboard-style screen that provides various support information to those responsible for making emergency admission decisions.

[0040] Next, the operation of the emergency medical reception support device B and the emergency medical reception support system A according to this embodiment will be described.

[0041] In the emergency patient acceptance support device B, the calculation unit 4 sequentially updates the resources necessary to perform the emergency patient acceptance task by appropriately acquiring emergency patient acceptance-related information from the communication terminal T, the in-hospital system, and the external server. Specifically, the calculation unit 4 acquires emergency patient acceptance-related information from multiple communication terminals T via the first communication unit 1 and the communication line N. The emergency patient acceptance-related information acquired by the calculation unit 4 via the first communication unit 1 and the communication line N is information manually entered into the communication terminal T by the operator of each communication terminal T (manual input information).

[0042] Furthermore, the calculation unit 4 automatically acquires emergency admission-related information from the hospital system via the second communication unit 1A and the hospital network N1. In addition, the calculation unit 4 automatically acquires emergency admission-related information from an external server via the third communication unit 1B and the public communication line N2. The emergency admission-related information acquired by the calculation unit 4 via the second communication unit 1A and the hospital network N1, and the third communication unit 1B and the public communication line N2, is information that is automatically acquired through communication between the second communication unit 1A and the hospital system, and communication between the third communication unit 1B and the external server.

[0043] Here, if the calculation unit 4 cannot obtain emergency admission-related information from the in-hospital system and external servers, it obtains emergency admission-related information from the communication terminal T. For example, when the communication terminal T receives a request from the emergency admission support device B to obtain emergency admission-related information regarding the in-hospital system and external servers, the operator manually inputs the emergency admission-related information regarding the in-hospital system and external servers into the communication terminal T, causing it to be transmitted to the emergency admission support device B.

[0044] In other words, the emergency patient acceptance support device B according to this embodiment may acquire emergency patient acceptance-related information from the communication terminal T via the communication line N, rather than acquiring it from the in-hospital system and external server, that is, without going through the in-hospital network N1 and the public communication line N2.

[0045] As described above, the emergency patient acceptance support device B according to this embodiment comprises a second communication unit 1A and a third communication unit 1B (information acquisition unit) that acquire emergency patient acceptance-related information of a medical facility during normal times, a storage unit 2 and a calculation unit 4 (support information generation unit) that generate emergency patient acceptance support information for medical operations during normal times based on the emergency patient acceptance-related information, and a display unit 5 (output unit) that outputs the emergency patient acceptance support information.

[0046] Furthermore, in this emergency patient acceptance support device B, the medical department information includes the availability and ability of specialists to provide care, as well as diseases that are difficult to treat. According to this embodiment, it is possible to accurately identify specialists who can provide care and diseases that are difficult to treat at the time of emergency patient acceptance, and thus it is possible to accurately perform emergency patient acceptance operations.

[0047] Furthermore, the emergency medical care acceptance support system A according to this embodiment includes an emergency medical care acceptance support device B, multiple communication terminals T each carried by multiple medical personnel, and a communication line N that allows for flexible communication between the emergency medical care acceptance support device B and the communication terminals T.

[0048] With this emergency patient acceptance support system A, the emergency patient acceptance support device B outputs emergency patient acceptance support information for medical facilities during normal times, and staff in each department of the hospital can understand how to operate this emergency patient acceptance support system A during normal times. Therefore, it is possible to reduce the confusion that usually occurs in emergency patient acceptance operations during disasters. Accordingly, this embodiment provides an emergency patient acceptance support system A that can be operated seamlessly during both disasters and normal times.

[0049] The present invention is not limited to the embodiments described above, and for example, the following modifications are possible. (1) In the above embodiment, the bed information management unit 4a, the staff information management unit 4b, and the facility information management unit 4c were made into a single device, i.e., functional components of the emergency admission support device B, but the present invention is not limited thereto. The bed information management unit 4a, the staff information management unit 4b, and the facility information management unit 4c may be configured as separate devices. Furthermore, some functional components may be deleted as needed, and new functional components may be added.

[0050] (2) In the above embodiment, the electronic medical record system C, the safety confirmation / attendance status management system D, the attendance management system E, the surgical support system F, the radiology information management system G, the endoscopy information management system H, the medical equipment management system I, the central monitoring system J, and the work schedule system K were used as information providers that provide emergency admission-related information to the emergency admission support device B, but the present invention is not limited thereto. Some of these multiple information providers may be adopted, or new information providers may be added to these multiple information providers.

[0051] Next, we will further explain an example of how the emergency medical reception support device B displays emergency medical reception support information that can be displayed to the communication terminal T. Figure 4 is a schematic functional block diagram showing other components of the emergency medical reception support device B. Components identical to those shown in Figure 3 are denoted by the same reference numerals, and their explanations are omitted. The explanation will mainly focus on the differing functions. The emergency medical reception support device B shown in Figure 4 can be used as the emergency medical reception support device B shown in Figure 1 or Figure 2.

[0052] The emergency medical receiving support device B has an information acquisition unit 10. The information acquisition unit 10 acquires various information from an external device located outside the supply and receiving support device B by communicating with the external device. The information acquisition unit 10 may have functions that include a first communication unit 1, a second communication unit 1A, and a third communication unit 1B, or it may be provided separately from the first communication unit 1, the second communication unit 1A, and the third communication unit 1B.

[0053] The information acquisition unit 10 acquires at least one of the following pieces of information from an external device, which is included in the emergency admission-related information: duty roster information regarding the duty schedule of staff at the medical facility; physician information by clinical department indicating whether or not physicians in each clinical department are available to handle emergency patients (availability); bed control information indicating the number of emergency patients that can be accepted in each ward; and medical equipment / facility information indicating the operating status of operating rooms, angiography rooms, and endoscopy rooms, the next reservation information, the operating status of endoscopy and diagnostic imaging, and the number of medical devices that can be used.

[0054] In the emergency admission support device B, the calculation unit 4 has a support information generation unit 4d. The support information generation unit 4d generates display data for a medical department information display screen, which is an example of emergency admission support information. Furthermore, the emergency medical acceptance support device B has an output unit 6. The output unit 6 is connected to the calculation unit 4. The output unit 6 outputs (for example, transmits) the emergency medical acceptance support information generated by the support information generation unit 4d to the terminal device T, thereby displaying it on the display screen of the terminal device T.

[0055] Figure 5 shows the medical department information display screen, where medical department information is displayed. On the medical department information display screen, information such as on-duty / night duty, department, doctor, specialty, mobile phone, presence in the building, availability, reason for unavailability, period of unavailability, and notes are displayed for each doctor. For example, the medical department information display screen can display information for the current day, but by specifying the date or period to be displayed, it is also possible to display doctor information for a different day, such as tomorrow, one week from now, yesterday, one week ago, etc. By checking this type of departmental information display screen, when deciding whether to accept an emergency patient, it becomes easier to determine whether or not doctors in each department are present, who the emergency duty doctor is, and what times and periods are possible or impossible to handle, as well as what types of illnesses are difficult to treat. For example, if an emergency physician needs to consult with a neurosurgeon to treat an emergency patient, they can quickly determine which neurosurgeon to consult to handle the case. This departmental information display screen may be accessible and allow registration and updating of necessary information via communication terminals T used by staff such as doctors, nurses, and medical office secretaries.

[0056] Traditionally, information such as the presence of doctors in each department, emergency duty rosters, availability to handle emergency patients, and information on specific diseases that cannot be treated by emergency services was managed through individual forms from each department. This meant that doctors had to obtain copies of these forms from each department and, if they needed to check information from a particular department, they had to consult the forms submitted by that department. Alternatively, emergency physicians would sometimes receive contact from staff in each department or gather information via internal phone calls, write it down on paper or a whiteboard, and share it among the emergency department staff. In this case, the more departments that needed to be checked, the more contacts were made, increasing the burden. Furthermore, delays due to unanswered phone calls and communication errors within the emergency department could lead to problems such as information not being updated when emergency services became available, resulting in continued refusals of emergency cases. In contrast, by using the aforementioned department information display screen, staff members of each department can input reports concerning their respective departments into the communication terminal T as needed. The emergency admission support device B then generates aggregated report data from multiple departments and provides the aggregated results to each department for viewing. This eliminates the need for staff members of each department to contact each other directly, streamlining communication and coordination and reducing communication errors. The presence information of doctors in each department may be linked to the shift schedule data entered on the "Monthly On-Call Doctor Schedule Screen" in Figure 6, or the information acquisition unit 10 may acquire it from external devices (for example, the attendance management system E, the work schedule system K, or a location information positioning system). The location information positioning system may use at least one of GNSS (Global Navigation Satellite System) and IPS (Indoor Positioning System), and presence information may be obtained by indicating that a doctor is present if the location data obtained as a result of the positioning corresponds to a medical facility, and not present if it does not correspond to a medical facility.

[0057] When the "Department" pull-down menu 1201 is operated from terminal device T and the target department is selected, the status of the physicians belonging to the selected department is displayed as a list. For example, if "Neurosurgery" is selected, the status of physicians belonging to "Neurosurgery" (code 1210) is displayed. In the "Day / Night Duty" column, an icon indicating that a physician is on day duty or night duty on that day (e.g., "1st", "2st", "Night Shift", etc.) is displayed, an icon indicating that a physician is on call (e.g., a telephone icon) is displayed, and an icon indicating that a physician is on day duty (e.g., "Day Shift") is displayed. Here, the calculation unit 4 sorts the list so that the doctors on duty that day are at the top, and displays them.

[0058] Furthermore, for specialists, the names of diseases they can treat are displayed in the "Specialized Diseases" section 1212. If there are periods when a specialist is unavailable, the time period and reason are displayed in the "Disorders Difficult to Accept" section 1202, along with the names of diseases they cannot treat and the duration of those periods. For example, if "Status Epilepticus" is displayed in the Specialized Diseases section, it indicates that there is one doctor available to treat Status Epilepticus on that day. If "Surgery" is displayed in the "Reason for Unavailability" section, and a time period such as "9:00-12:00" is displayed for "Unavailable Period," it indicates that the doctor is unavailable from 9:00 to 12:00 due to surgery. This result is also displayed on the Emergency Resources main screen.

[0059] In such a medical department information display screen, the calculation unit 4 may, based on the operation input from the communication terminal T, display the selectable options in the cell via a pull-down menu when a target cell is selected, and when an operation input is made for any item from the pull-down menu, modify the registered content based on that operation and reflect the modified data on the medical department information display screen. For example, the calculation unit 4 displays a medical department information display screen in which changes have been made to the physician's name, the physician's specialty disease, availability, reason for non-availability, and period of non-availability. Here, when the changes are received from one communication terminal T, the medical department information display screen is displayed based on the modified registered content, even when accessed from a communication terminal T in another department. In addition, the communication terminal T may not only modify the already displayed content but also register new physicians who are not displayed on the medical department information display screen. Furthermore, based on the operation input from the communication terminal T, the content of a memo may be received and displayed in the memo display field 1214.

[0060] Furthermore, if there are periods when a doctor is unable to accept emergency patients due to surgery or other reasons, the doctor may register "surgery" as the "reason for absence" and the time period during which they are unavailable as the "unavailable period" via the communication terminal T. This surgery schedule may be entered via the communication terminal T by the doctor or a staff member supporting the doctor. Additionally, the calculation unit 4 may acquire schedule data indicating the surgery schedule from a surgery management system, etc., and reflect this in the reasons for absence and unavailable period for each doctor.

[0061] Next, when an employee clicks the "Monthly On-Call Doctor Schedule" button 1203 in Figure 5 via the communication terminal T, the system transitions to the "Monthly On-Call Doctor Schedule Screen" in Figure 6. The "Monthly On-Call Doctor Schedule" button 1203 is an example of a transition button that displays shift display data. Figure 6 shows an example of a monthly on-call doctor schedule screen. In response to an operation input for the "Monthly On-Call Doctor Schedule" button 1203 being received from the communication terminal T, the support information generation unit 4d displays a screen corresponding to the shift schedule data (in this case, the monthly on-call doctor schedule screen) on the display screen of the communication terminal T. The monthly on-call doctor schedule screen displays the on-call duties for each day of the month, with each doctor assigned to that day.

[0062] Such shift schedule data may be one of the data included in emergency admission-related information, and the information acquisition unit 10 may acquire it from an external device (for example, the attendance management system E or the work schedule system K). Alternatively, the shift schedule data to be displayed on the monthly on-call doctor schedule screen may be output to an external device, edited on that external device, then acquired again by the information acquisition unit 10, and displayed on the monthly on-call doctor schedule screen by the calculation unit 4.

[0063] On the monthly on-call doctor schedule screen, clicking the "Import" button 1301 from the communication terminal T allows shift schedule data to be imported from an external device. Clicking the "Export" button 1302 from the communication terminal T allows shift schedule data corresponding to the content displayed on the monthly on-call doctor schedule screen to be output to the external device. The data format of such shift schedule data may be CSV (Comma-Separated Values). This monthly on-call doctor schedule screen can be viewed and used by, for example, doctors, nurses, medical office secretaries, and hotline recipients (emergency physicians, residents, paramedics, emergency department nurses, etc.) from their own communication terminals T.

[0064] Next, when an employee clicks the "Enter Absence Schedule" button 1204 in Figure 5 or the "Enter Absence Schedule" button 1300 in Figure 6 via the communication terminal T, the system transitions to the "Enter Absence Schedule" screen in Figure 7. Figure 7 shows an example of the screen for entering an absence schedule. On the absence schedule input screen, the on-call schedule for each day of a given month is displayed for each doctor.

[0065] Such absence schedules can be entered individually at any time by any staff member, such as a doctor, nurse, or medical office secretary, via a communication terminal T. For example, if a sudden change in duty schedule occurs after the shift schedule data has been created, or if another appointment comes up and the person is unable to respond, they can enter their absence schedule to register that time slot.

[0066] In order to implement a function that displays such medical department information on a display screen, the information acquisition unit 10 acquires acceptance-related information regarding the availability of doctors to the department to which an employee belongs, which is input from terminal devices used by multiple employees belonging to a medical facility, each employee belonging to a different department. The information acquisition unit 10 acquires acceptance-related information, which may include the physician's specialty diseases, or it may be shift schedule data showing the physician's work schedule. The support information generation unit 4d generates emergency medical acceptance support information by aggregating acceptance-related information obtained from communication terminals T of different departments. The support information generation unit 4d may also generate emergency medical acceptance support information based on acceptance-related information and shift schedule data obtained from communication terminals T. The output unit 6 outputs emergency admission support information to terminal devices used in medical facilities.

[0067] The emergency medical assistance device B in the above-described embodiment may be implemented using a computer. In that case, the program for implementing this function may be recorded on a computer-readable recording medium, and the program recorded on this recording medium may be loaded into a computer system and executed. Here, "computer system" includes hardware such as the OS and peripheral devices. Furthermore, "computer-readable recording medium" refers to portable media such as flexible disks, magneto-optical disks, ROMs, CD-ROMs, and storage devices such as hard disks built into a computer system. Moreover, "computer-readable recording medium" may also include those that dynamically hold programs for a short period of time, such as communication lines used when transmitting programs via networks such as the Internet or communication lines such as telephone lines, and those that hold programs for a certain period of time, such as volatile memory inside a computer system that acts as a server or client in such cases. Furthermore, the above program may be for implementing a part of the above-described function, or it may be a program that can implement the above-described function in combination with a program already recorded in the computer system, or it may be implemented using a programmable logic device such as an FPGA (Field Programmable Gate Array).

[0068] While embodiments of this invention have been described in detail above with reference to the drawings, the specific configuration is not limited to these embodiments and includes designs and the like that do not depart from the spirit of this invention. [Explanation of symbols]

[0069] A Emergency Medical Care Acceptance Support System B Emergency medical reception support device C Electronic Medical Record System D. Safety Confirmation and Assembly Eligibility Management System E Attendance Management System F Surgical Support System G Radiation Information Management System H Endoscopy Information Management System IME Equipment Management System J Central Monitoring System K Work Schedule System L Weather Server M Local Government Server N communication line N1 In-hospital network N2 Public Communication Line O Regional disaster prevention and medical institution information platform T Communication Terminal 1. First Communications Department 1A Second Communications Department 1B Third Communications Section 2 Storage section 3 Control section 4 Arithmetic section 4a Bed Information Management Department 4b Employee Information Management Department 4c Facility Information Management Department 4d Support information generation section 5 Display section 6 Output section 10 Information acquisition department

Claims

1. An information acquisition unit that acquires emergency patient acceptance-related information regarding the availability of physicians in each clinical department to handle emergency patients, which is input from terminal devices used by staff belonging to each clinical department, A support information generation unit generates emergency acceptance support information by aggregating the emergency acceptance-related information acquired from the aforementioned terminal device, An output unit that outputs the aforementioned emergency admission support information to a terminal device used in a medical facility. An emergency medical care support device characterized by being equipped with the following features.

2. The aforementioned emergency admission support information includes information on the availability of doctors in each medical department. The emergency medical reception support device according to feature 1.

3. Information on the presence of physicians in each of the aforementioned medical departments can be obtained from the work schedule system or the location information positioning system. The emergency medical reception support device according to feature 1.

4. The aforementioned information acquisition unit, When a physician from each clinical department inputs information indicating a period during which emergency response is unavailable into the terminal device, the terminal device acquires the information regarding the period during which emergency response is unavailable. The emergency medical reception support device according to feature 1.

5. The aforementioned information acquisition unit, The period during which the aforementioned physician is unable to provide emergency care can be obtained from the surgical support system that manages surgical schedules, based on the physician's surgical schedule data. The emergency medical reception support device according to feature 1.

6. The aforementioned information acquisition unit, The shift schedule data showing the doctor's work schedule, including on-call and overnight shifts, is obtained from an external device. The support information generation unit generates emergency acceptance support information based on the emergency acceptance-related information acquired from the terminal device and the shift schedule data. The emergency medical reception support device according to claim 1.

7. The aforementioned emergency admission-related information is, Including the specialist diseases of the aforementioned physician, An emergency medical reception support device according to any one of claims 1 to 6.

8. A computer-based method for supporting emergency admissions, The system acquires emergency patient acceptance-related information regarding the availability of physicians in each clinical department to handle emergency patients, which is entered from terminal devices used by staff belonging to each clinical department. Emergency admission support information is generated by aggregating the emergency admission-related information acquired from the aforementioned terminal device. The aforementioned emergency admission support information is output to a terminal device used at the medical facility. Emergency medical care support methods, including the following.

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