Emergency medical care support device and emergency medical care support method
The emergency admission support device addresses the challenge of hospital decision-making by offering real-time resource information, enhancing the ability to accept emergency patients efficiently.
Patent Information
- Authority / Receiving Office
- JP · JP
- Patent Type
- Applications
- Current Assignee / Owner
- Filing Date
- 2025-08-01
- Publication Date
- 2026-03-18
AI Technical Summary
Existing emergency medical systems do not provide hospitals with the necessary information to quickly determine whether to accept patients, especially when doctors are unavailable or beds are occupied, leading to potential rejection of emergency patients.
An emergency admission support device that acquires and generates displayable information on staff availability, bed capacity, medical equipment status, and facility operations to assist hospitals in making quick acceptance decisions.
Enables hospitals to make informed decisions on patient acceptance, reducing confusion and ensuring timely care by providing real-time resource information during emergencies.
Smart Images

Figure 2026049662000001_ABST
Abstract
Description
Technical Field
[0004] , , , , , , ,
[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 conditions such as having doctors familiar with emergency medicine on duty at all times, equipped with necessary medical equipment 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 treating other patients, or if all the special beds for emergency patients are in use and there are no empty beds, the hospital will not be able to 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 performs matching between information on multiple hospitals and information on carriers 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 information on the registrant's medical conditions to multiple medical facilities, makes an inquiry about the acceptance 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 admission support device comprising: an information acquisition unit that acquires emergency admission-related information at a medical facility; a support information generation unit that generates displayable emergency admission support information for each item, with respect to the information included in the emergency admission-related information, which includes 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 respond to emergency patients, bed control information indicating the number of emergency patients that can be accepted per ward, and medical equipment / facility information indicating the operating status and next reservation information of operating rooms, angiography rooms, and endoscopy rooms, the operating status of endoscopes and diagnostic imaging, and the number of medical devices that can be used; and an output unit that outputs the emergency admission support information to a terminal device.
[0008] Furthermore, in one aspect of the present invention, the emergency admission support device described above includes an information acquisition unit that acquires emergency admission-related information of a medical facility during normal times, a support information generation unit that generates emergency admission support information for medical operations during normal times based on the emergency admission-related information, and an output unit that outputs the emergency admission support information.
[0009] Furthermore, in one aspect of the present invention, in the emergency patient acceptance support device described above, the emergency patient acceptance support information is staff information, bed information, and medical facility information.
[0010] Furthermore, in one aspect of the present invention, in the emergency admission support device described above, the emergency admission support information includes the number of available beds and the number of patients that can be admitted for each ward.
[0011] Furthermore, in one aspect of the present invention, in the emergency patient acceptance support device described above, the emergency patient acceptance support information includes whether a physician in each medical department is able to handle emergency patients and diseases that are difficult to accept as emergency patients.
[0012] Furthermore, in one aspect of the present invention, the emergency patient acceptance support device described above includes the operating status and reservation status of operating rooms and angiography rooms, and the operating status of endoscopes and diagnostic imaging equipment.
[0013] Furthermore, in one aspect of the present invention, in the emergency medical reception support device described above, the emergency medical reception support information includes information on the number of available medical devices.
[0014] Furthermore, in one aspect of the present invention, in the emergency patient acceptance support device described above, the emergency patient acceptance support information includes alert information that notifies of abnormalities in the infrastructure of the hospital system, including electricity, water, medical gas, and electronic medical records and nurse call systems.
[0015] In the present invention, the emergency medical care acceptance support device described above has sub-items belonging to at least one of the following items: the duty roster information, the physician information by medical department, the bed control information, and the medical equipment / facility information. The support information generation unit extracts the target specified as the display target for at least one of the items and sub-items and generates the emergency medical care acceptance support information.
[0016] Furthermore, in one aspect of the present invention, an emergency medical care acceptance support device is an emergency medical care acceptance support device in which the support information generation unit displays information related to the items such that the width corresponds to the number of unit widths assigned to each item, based on a unit width which is the width of one of the division areas when the target area for displaying the emergency medical care acceptance support information on the display screen is divided horizontally into N (where N is a natural number of 2 or more) divisions.
[0017] Furthermore, one aspect of the present invention is a computer-based emergency admission support method, which includes acquiring emergency admission-related information at a medical facility, generating displayable emergency admission support information for each item, with respect to the information included in the emergency admission-related information, which includes duty roster information regarding the duty schedule of staff at the medical facility, physician information by clinical department indicating whether physicians in each clinical department are available to handle emergency patients, 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 and next reservation information of operating rooms, angiography rooms, and endoscopy rooms, the operating status of endoscopes and diagnostic imaging, and the number of usable medical devices, and outputting the generated emergency admission support information to a terminal device. [Effects of the Invention]
[0018] According to the present invention, it is possible 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 after receiving a request for acceptance from an emergency medical team. [Brief explanation of the drawing]
[0019] [Figure 1] This is a block diagram showing the system configuration of Emergency Reception Support System A, according to one embodiment of the present invention. [Figure 2] This is a block diagram illustrating the integration of an emergency medical reception support device B, according to one embodiment of the present invention, with an external system. [Figure 3] This is a block diagram showing the functional configuration of emergency medical reception support device B according to one embodiment of the present invention. [Figure 4]It is a schematic functional block diagram showing another configuration of the emergency acceptance support device B according to an embodiment of the present invention. [Figure 5] It is a schematic diagram showing an example of the emergency resource main screen according to an embodiment of the present invention. [Figure 6] It is a schematic diagram for explaining the case of customizing the emergency resource main screen. [Figure 7] It is a schematic diagram showing a display screen on which hospitalization patient management data in the event of a disaster according to an embodiment of the present invention is displayed. [Figure 8] It is a schematic diagram showing a display screen on which outpatient department information in normal times according to an embodiment of the present invention is displayed. [Figure 9] It is a schematic diagram showing an example of the monthly duty doctor schedule screen according to an embodiment of the present invention. [Figure 10] It is a schematic diagram showing an example of the absence schedule input screen according to an embodiment of the present invention. [Figure 11] It is a schematic diagram showing the facility information screen in normal times according to an embodiment of the present invention. [Figure 12] It is a schematic diagram showing the facility information screen displayed after switching to the disaster mode according to an embodiment of the present invention. [Figure 13] It is a schematic diagram showing an example of the facility information screen according to an embodiment of the present invention. [Figure 14] It is a schematic diagram showing an example of the items to be displayed on the emergency resource main screen according to an embodiment of the present invention. [Figure 15] It is a schematic diagram showing an example of the registration screen for reporting the disaster situation according to an embodiment of the present invention.
Embodiments for Carrying Out the Invention
[0020] [[ID=***]] Hereinafter, an embodiment of the present invention will be described with reference to the drawings. Figure 1 is a block diagram showing the system configuration of an emergency medical care support system A according to one embodiment of the present invention. Figure 2 is a block diagram showing the cooperation of the emergency medical care support device B with an external system. The emergency medical care support system A comprises an emergency medical care support device B (medical continuity planning support device), multiple communication terminals T carried by multiple medical personnel, and a communication line N that enables communication between the emergency medical care support device B and each communication terminal T. The emergency medical services acceptance support device B according to this embodiment is a type of computer. That is, the emergency medical services acceptance support device B realizes its emergency medical services acceptance support function through the cooperation of its own hardware resources and software resources such as emergency medical services acceptance support programs.
[0021] Emergency medical admission support device B is equipped with a communication function as part of the emergency medical admission support function described above. Specifically, emergency medical admission support device B acquires various information necessary for the emergency medical admission support function (emergency admission-related information) from multiple communication terminals T via the support communication line N, and transmits emergency medical admission support information to multiple communication terminals T via the support communication line N.
[0022] Furthermore, 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. In other words, the emergency admission support device B performs its 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.
[0023] Multiple communication terminals T are portable or stationary terminals operated by staff members in various departments within the medical facility. Each department staff member uses these communication terminals T to transmit emergency admission-related information necessary for the emergency admission support function to the emergency admission support device B via the support communication line N.
[0024] Furthermore, the person in charge of determining whether or not to accept emergency patients performs the task of determining whether or not to accept emergency patients based on emergency patient acceptance information obtained from the emergency patient acceptance support device B via the communication terminal T and the support communication line N. Such a communication terminal T is a desktop computer, tablet computer, or smartphone equipped with communication functions.
[0025] 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.
[0026] 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.
[0027] 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.
[0028] 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).
[0029] 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.
[0030] 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.
[0031] 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.
[0032] 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.
[0033] 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.
[0034] 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.
[0035] 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.
[0036] 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.
[0037] 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.
[0038] 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.
[0039] 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.
[0040] 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.
[0041] 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.
[0042] 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.
[0043] 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.
[0044] 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).
[0045] 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.
[0046] 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.
[0047] 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.
[0048] The calculation unit 4 then updates the emergency admission support screens (for example, the emergency resource main screen (Figure 5), the clinical department information screen (Figure 7), and the facility information screen (Figure 12)) as appropriate based on the results of monitoring these resources. As a result, the emergency resource main screen, the clinical department information screen, and the facility information screen present the person in charge of deciding whether or not to accept an emergency patient with the latest information related to the resources necessary to carry out the emergency admission task.
[0049] Furthermore, the emergency patient acceptance support screen is equipped with a switch button that allows switching between normal mode and disaster mode. In other words, the emergency patient acceptance support device B and emergency patient acceptance support system A according to this embodiment are configured to handle not only emergency patient acceptance operations during normal times but also emergency patient acceptance operations during disasters.
[0050] The emergency patient reception staff can use the control unit 3 to press a switch button to display the disaster facility information screen (Figures 12 and 13) on the display unit 5 instead of the facility information screen (Figure 11). In the event of a disaster, staff of the disaster response headquarters formed within the hospital can check this screen to quickly assess the damage within the hospital and make a decision on whether or not to accept emergency patients.
[0051] 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.
[0052] In other words, this emergency patient acceptance support device B outputs not only emergency patient acceptance support information for medical facilities during normal times, but also emergency patient acceptance support information for medical facilities during disasters. Therefore, it is configured to be usable not only during normal times but also during disasters. Accordingly, according to this embodiment, emergency patient acceptance personnel can become proficient in operating the device during normal times, and the emergency patient acceptance support device B can be provided to the hospital, which receives an acceptance request from an ambulance crew, to provide the information necessary to quickly decide whether or not to accept the patient.
[0053] Therefore, according to this embodiment, staff members in each department of the hospital can understand how to operate this emergency patient acceptance support system during normal times, thereby reducing the confusion that normally occurs in emergency patient acceptance operations during disasters, enabling rapid information sharing of hospital resources, and facilitating quick decisions regarding the acceptance of emergency patients and responses to damaged facilities.
[0054] Furthermore, in this emergency patient acceptance support device B, the bed information includes the number of available beds and the number of patients that can be accepted at the medical facility. According to this embodiment, it is possible to accurately grasp the number of available beds and the number of patients that can be accepted at the medical facility when an emergency patient is accepted, and thus it is possible to accurately perform emergency patient acceptance operations.
[0055] 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.
[0056] Furthermore, in this emergency patient acceptance support device B, facility information includes the operational and reservation status of operating rooms, angiography rooms, endoscopy rooms, and radiology rooms. According to this embodiment, it is possible to accurately identify the operating rooms, angiography rooms, endoscopy rooms, and radiology rooms that can be used when accepting emergency patients, and thus it is possible to accurately carry out emergency patient acceptance operations.
[0057] Furthermore, in this emergency patient acceptance support device B, the facility information includes the number of available medical devices. According to this embodiment, it is possible to accurately determine the available medical devices at the time of emergency patient acceptance, and thus it is possible to accurately perform emergency patient acceptance operations.
[0058] 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.
[0059] 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.
[0060] 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.
[0061] (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.
[0062] 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.
[0063] 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.
[0064] 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.
[0065] In the emergency medical care acceptance support device B, the calculation unit 4 has a support information generation unit 4d. The support information generation unit 4d generates display data for the emergency resource main screen, which is an example of emergency medical care acceptance 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 communication terminal T, thereby displaying it on the display screen of the communication terminal T.
[0066] Figure 5 is a schematic diagram showing an example of the emergency resource main screen generated by the support information generation unit 4d, and represents the case where the settings for the items to be displayed are set to default. In this diagram, the main emergency resources screen displays the following items on a single screen: duty roster (800), physician information by medical department (810), bed control (820), medical equipment and facility information (830), and infrastructure alerts (840). For example, traditionally, obtaining information on duty rosters, physician information by medical department, bed control, medical equipment and facility information, and infrastructure alerts required individually calling staff in each department or obtaining memos from each department to understand the situation in other departments. As a result, it took time and effort to understand the situation in other departments in order to decide whether or not to accept emergency patients. This sometimes prolonged the decision-making process, and insufficient information sharing within the emergency department, resulting in a lack of real-time information and potentially leading to incorrect decisions.
[0067] In contrast, according to the above-described embodiment, by checking the emergency resource main screen, information necessary for deciding whether to accept emergency patients can be checked comprehensively and in real time, shortening the time required to decide whether or not to accept emergency patients and leading to more accurate decisions. Furthermore, it is possible to check resource information for the entire hospital, and the screen allows users to refer to information such as available beds and the availability of doctors, whether in normal times or during a disaster. For at least one of the following items, the duty roster (800), physician information by medical department (810), bed control (820), medical equipment / facility information (830), and infrastructure alerts (840), it is acceptable to include sub-items belonging to that item. Regarding the display fields on this emergency resource main screen, if any staff member within the hospital enters data via a communication terminal T, staff members belonging to different departments (clinical departments, wards, etc.) can also view the data via the communication terminal T, making it easy to share information between different departments.
[0068] The duty roster 800 contains information about staff duty schedules at medical facilities. For example, the duty roster 800 displays sub-items such as "emergency duty doctor" and "doctor car" registered for each hospital. In the columns for emergency duty doctors and doctor cars displayed on the duty roster 800, the Staff Information Management Department 4b may obtain data from the Emergency Department's monthly duty roster from the Attendance Management System E or the Work Schedule System K, and the Calculation Unit 4 may display the names of the doctors and other staff in the display column of the duty roster based on this monthly duty roster data. For example, the Calculation Unit 4 may obtain the doctor's department, name, specialty, telephone number, and whether or not they are present from the Attendance Management System E, and obtain data from the Work Schedule System K that shows a duty roster containing this information, including day / night duty, availability, reason for unavailability, and period of unavailability. When using the monthly duty roster data, the Calculation Unit 4 extracts and displays the staff members whose time slots (day shift / night shift) correspond to the current time, based on the time slots set in the monthly duty roster data.
[0069] The physician information by medical department (item 810) indicates whether a physician in each medical department is able to accept patients. The physician information by medical department (item 810) includes sub-items such as "Medical Department" and "Diseases for which acceptance is not permitted," linked to the update time, and displays information on whether physicians in each medical department can accept emergency patients, diseases for which acceptance is difficult, etc. This information can be registered in the emergency medical care support system B by having staff members input information about their respective medical departments using communication terminal T in the display section for physician information of their medical department.
[0070] The support information generation unit 4d registers the information as physician information 810 for each medical department based on the input of "○" if the medical department is able to provide the service, and "×" if it is not, from the communication terminal T, and displays it on the display screen. In addition, if the medical department is unavailable, the unavailable medical department and the period or time during which it is unavailable can also be displayed. For example, if "×" is displayed for the medical department "Neurosurgery," it can be understood that there are times when neurosurgery is unavailable, making it difficult to provide services related to neurosurgery, and also difficult to confirm by phone, etc. This can be used as a basis for deciding whether or not to accept the patient.
[0071] The section for diseases that cannot be accepted displays the names of diseases for which acceptance is difficult, along with the periods and times when acceptance is not possible, making it easy to check. If there are multiple diseases for which acceptance is difficult, they can be displayed on multiple lines. For example, if the department "Neurosurgery" displays "Status Epilepticus" as a disease for which admission is STOP, along with "12:00-14:00," it indicates that the neurosurgery department cannot accept patients with Status Epilepticus between 12:00 and 14:00. When the "Medical Department" transition button 860 is clicked by the communication terminal T, it is possible to transition to the "Medical Department Information" display screen (Figure 8).
[0072] The bed control 820 displays the number of available beds in each ward. The bed control 820 displays a list of available beds and other information for each ward. It is also possible to set a predetermined threshold value for the number of available beds from the communication terminal T, and if the number of available beds falls below that threshold value (for example, if the number of remaining available beds is 0, or if the number of remaining available beds is 3 or less), the calculation unit 4 may highlight the number of available beds. If there are available beds, it is easier to determine that there is room to accept emergency patients, and if there are no available beds, it can be used as a basis for determining that it is difficult to accept emergency patients. This Bed Control 820 can display a sub-item, "Available," indicating the number of available beds for each type of ward, such as the intensive care unit or general ward. The information displayed on the bed control 820 can use electronic medical record information obtained from the electronic medical record system C.
[0073] Medical Equipment / Facility Information 830 indicates the room in which a medical device is installed and whether or not that medical device is available for use. Medical Equipment / Facility Information 830 displays information managed by combinations (sets) of medical devices and rooms, as well as the number of available medical devices. Here, the usage status is displayed for each sub-category: "Surgery," "Angioscopy," "Endoscopy," "Diagnostic Imaging," "Central Sterilization / Central Laboratory / Blood Transfusion," and "Medical Equipment." Unavailable status can also be highlighted. Furthermore, it is possible to set a predetermined threshold value for the remaining number of medical devices from the communication terminal T, and if the remaining number of medical devices falls below that threshold value (for example, if the remaining number is 0, or if the remaining number is 3 or less), the calculation unit 4 may highlight the remaining number of medical devices. This medical device / facility information 830 can be accessed by clicking the "Facility Information" button 870, which will take you to the facility information screen shown in Figure 11, where you can view more detailed information. Medical facility information may be acquired by the information acquisition unit 10 from the surgical support system F, the radiation information management system G, the endoscopy information management system H, and the medical equipment management system I.
[0074] Infrastructure Alert 840 displays information about infrastructure facilities within a healthcare facility that are unavailable or have limited use. While hospital infrastructure may be unavailable due to malfunctions or failures, it may also be temporarily unavailable due to routine maintenance. In situations where infrastructure is unavailable, either during normal times or during a disaster, for example, if an elevator in a particular ward is unusable, it can be determined that it is better to detour through another ward to transfer patients between floors. Furthermore, if certain infrastructure facilities are unavailable, it may be difficult to accept emergency patients. Therefore, the condition of the infrastructure facilities can be taken into consideration when determining whether or not it is possible to accept emergency patients. The support information generation unit 4d acquires malfunction information, inspection information, repair arrangements, etc. from the central monitoring system J, and if there are any infrastructure facilities that are unavailable due to malfunctions or inspections, it displays in the infrastructure display column that those infrastructure facilities are unavailable. The information displayed on the infrastructure alert 840 may be obtained from the central monitoring system J, or if a report regarding infrastructure is received from the communication terminal T, the information may be displayed using the contents of that report. For example, the support information generation unit 4d may, as needed, accept input of malfunction information and inspection information based on the operation content entered by the staff via the communication terminal T, and display it on the screen.
[0075] As shown in this emergency resource main screen (Figure 5), multiple items that serve as the basis for deciding whether to accept an emergency patient are displayed on a single screen, making it easier to decide whether to accept an emergency patient by checking the emergency resource main screen.
[0076] <Customization function for the main emergency resource screen> In the above embodiment, the case in which the items set as default are displayed on the emergency resource main screen described above has been explained. However, the support information generation unit 4d may change (customize) the display manner of the emergency resource main screen according to at least one of the following: the order in which the items displayed on the emergency resource main screen are arranged, the items displayed are rearranged, or the number of items displayed is changed, in response to instructions from the communication terminal T. Here, at least one of the following items—duty schedule, physician information by medical department, bed control, medical equipment / facility information, and infrastructure alerts—may contain sub-items belonging to that item. In this case, the support information generation unit 4d may generate emergency admission support information by extracting targets designated as display targets for at least one of the items and sub-items.
[0077] Figure 6 illustrates how to customize the main emergency resource screen. Display screen Ga10 is the emergency resource main screen that appears with the default settings, as shown in Figure 5. Display screen Ga11 is an example of a display screen that shows facility information. Facility information that can be displayed includes surgical suitability ("Surgery", "Angiography", "Endoscopy"), examinations and procedures ("Diagnostic Imaging", "Central Sterilization / Central Laboratory / Blood Transfusion", "Medical Equipment"), infrastructure information ("Electricity", "Water / Medical Gas / Other", disaster status report, etc.). Employees using the communication terminal T can change the settings to display items that are highly relevant to their work and frequently used, by selecting them arbitrarily from a variety of items.
[0078] Here, when the communication terminal T specifies that the medical department information (physician information by medical department) on display screen Ga10 and the two sub-items "Surgery" and "Angio" from the facility information on display screen Ga11 are to be displayed, the support information generation unit 4d displays the emergency resource main screen as shown on display screen Ga12, including the specified items and excluding items that were not specified. For example, a physician who wants to know about medical department information and surgical feasibility information during normal times can set up display screen Ga12 to view the information they want extracted on a single screen. During normal times, physicians rarely have the opportunity to check, for example, infrastructure, so by excluding it from the emergency resource main screen, they can narrow down the display to the information they want to use.
[0079] Furthermore, if two items from the facility information on display screen Ga11—infrastructure ("electricity," "water, medical gas, and others") and the disaster situation report—are specified by the communication terminal T, the support information generation unit 4d will display the emergency resource main screen, as shown on display screen Ga13, including the specified items and excluding items that were not specified. For example, in the event of a disaster, staff at the disaster response headquarters who want to check the infrastructure and the damage situation within the hospital side by side can set up such a display screen Ga13 to view the information they want extracted on a single screen. In the event of a disaster, when a disaster response headquarters is established, it is preferable for headquarters staff to prioritize understanding the infrastructure and damage situation at medical facilities over the availability of operating rooms or the number of available beds, so they can narrow down the display to the information they want to use. Furthermore, by using this customization feature, users can easily narrow down the display and rearrange the functions they select, much like a smartphone widget.
[0080] Furthermore, when customizing the emergency resource main screen, the support information generation unit 4d may display information related to an item in a way that corresponds to the number of unit widths assigned to each item, based on the unit width which is the width of one of the divided areas when the target area for displaying emergency acceptance support information on the display screen is divided into N (N is a natural number of 2 or more) so that multiple items are arranged horizontally. For example, in the display screen Ga10 in Figure 6, the area for displaying the main emergency resource screen is divided horizontally into 10 sections. One section is assigned to the duty roster, three sections to physician information by medical department, two sections to bed control, three sections to medical equipment and facility information, and one section to infrastructure for display. Furthermore, even if the items to be displayed are rearranged, as shown in display screen Ga12, two divided areas will be allocated to information regarding the feasibility of surgery, and three divided areas will be allocated to physician information by medical department for display.
[0081] Furthermore, when customizing the emergency resources main screen, if the items to be displayed do not fit on a single screen, you may assign the items to be displayed on a separate screen, such as a second screen, and allow the user to switch to the second screen by swiping horizontally or vertically on the first screen.
[0082] In this way, each individual can freely arrange the main emergency resource screen, or they may be able to choose from pre-prepared emergency admission layouts (columns for surgery, angiography, and endoscopy, and a column for physician information in each department) and facility-only layouts (two sets of infrastructure items: "electricity" and "water, medical gas, and other" and a disaster situation report).
[0083] Figure 7 shows the inpatient management screen during a disaster. This inpatient management screen during a disaster is accessed via a tab switch from the bed control screen, which is accessed when the "Bed Control" button 850 on the emergency resource main screen shown in Figure 5 is clicked. This screen is only displayed when the system is switched to disaster mode. The inpatient management screen during a disaster displays the ward name, the number of patients that can be admitted ("Acceptable" item), the current number of vacant beds ("Currently Vacant" item), the disaster response headquarters coordination, inpatient information, and the transfer category. The communication terminal T can also view this disaster relief inpatient management screen, and can also display it on the emergency resource main screen by specifying any of the items. For example, the display fields 1101 for "Disaster Response Headquarters Adjustment" and 1102 for "Inpatient Information" on the inpatient management data display screen can be specified. In this case, the support information generation unit 4d may also extract the "Ward Name" item to determine which ward the "Disaster Response Headquarters Adjustment" and "Inpatient Information" items belong to, and display "Disaster Response Headquarters Adjustment" and "Inpatient Information" by arranging them in the "Ward Name" display field 1100. Here, for example, one divided area may be allocated to "Ward Name" and "Disaster Response Headquarters Adjustment" and three divided areas may be allocated to "Inpatient Information".
[0084] Figure 8 shows a display screen where medical department information is shown. This medical department information display screen is accessed when the "Medical Department Information" button 860 on the emergency resource main screen shown in Figure 5 is clicked. 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 day 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.
[0085] Clicking the "Emergency Resources" button 1205 on this department information display screen can also transition to the main emergency resources screen shown in Figure 5.
[0086] 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 9, or the information acquisition unit 10 may acquire it from an external device (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.
[0087] When the "Medical Department" pull-down menu 1201 is operated from the communication terminal T and the target medical department is selected, the status of the doctors belonging to the selected medical department is displayed as a list. For example, if "Neurosurgery" is selected, the status of doctors belonging to "Neurosurgery" (code 1210) is displayed. In the "Day Duty / Night Duty" column, an icon indicating that a doctor is on day duty or night duty on that day (e.g., "1st", "2st", "Night Shift", etc.) is displayed, an icon indicating that a doctor is on call (e.g., a telephone icon) is displayed, and an icon indicating that a doctor 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.
[0088] 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.
[0089] 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, when a change is input to the communication terminal T regarding the physician's name, the physician's specialty disease, availability, reason for non-availability, and period of non-availability, the calculation unit 4 uses the information acquisition unit 10 to acquire emergency response non-availability period information based on the input content and displays a medical department information display screen that reflects the changes indicated by the acquired emergency response non-availability period information. Here, when the change content is received from one communication terminal T, even when accessed from a communication terminal T in another department, the medical department information display screen is displayed based on the modified registered content. In addition, the communication terminal T may not only modify the content already displayed, but also register new physicians who are not displayed on the medical department information display screen. Alternatively, the system may accept the contents of a memo based on the operation input from the communication terminal T and display it in the memo display field 1214.
[0090] 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.
[0091] Next, when an employee clicks the "Monthly On-Call Doctor Schedule" button 1203 in Figure 8 via the communication terminal T, the system transitions to the "Monthly On-Call Doctor Schedule Screen" in Figure 9. The "Monthly On-Call Doctor Schedule" button 1203 is an example of a transition button that displays shift display data. Figure 9 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.
[0092] 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.
[0093] 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.
[0094] Next, when an employee clicks the "Enter Absence Schedule" button 1204 in Figure 8 or the "Enter Absence Schedule" button 1300 in Figure 9 via the communication terminal T, the system transitions to the "Enter Absence Schedule" screen in Figure 10. Figure 10 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.
[0095] 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.
[0096] 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.
[0097] Figure 11 shows the facility information screen during normal operation. This facility information screen is accessed when the "Facility Information" button 870 on the emergency resource main screen shown in Figure 5 is clicked. The facility information screen has display fields 1500 for medical equipment and facility information and infrastructure within the medical facility, and a display field 1501 that displays the aggregated results of the disaster situation report. During normal operation, display field 1500 is displayed and viewable, while display field 1501 is grayed out and hidden. During normal operation, display field 1501 is grayed out regardless of which communication terminal T is viewing the facility information screen. This facility information screen manages facilities such as medical equipment and rooms as a set. For example, items showing the room name and medical equipment name together, items showing the usage status, and items showing the usage time are displayed side by side. More specifically, "Operating Room 1 Micro" indicates an operating room equipped with the necessary equipment for performing microsurgery, and is displayed with "In Use" and "14:00-16:00" associated with it, indicating that it is currently in use and the usage time is from 14:00 to 16:00. Similarly, "Operating Room 5 Endoscopy" is displayed with "Available" and "-", indicating that it is available and no usage time is set. When it is anticipated that an emergency patient requiring surgery is to be considered for admission, checking display field 1500 allows for a smooth determination of whether a room equipped with the necessary medical equipment can be immediately secured (i.e., whether it is available) for surgery. For example, if a medical facility receives a call requesting the acceptance of an emergency patient, by gathering information about the patient's condition, it is possible to narrow down to some extent whether surgery is necessary and, if so, what medical equipment will be required. By checking the facility information screen to see if there is a room available with the necessary medical equipment, it becomes easier to decide whether or not to accept the patient.
[0098] For example, if it is estimated that an emergency patient's condition requires treatment using microsurgery, the availability of microsurgery rooms can be checked in the "Surgery" section of the facility information screen based on the items marked "micro". In this section, the operating rooms are displayed sequentially starting with "Operating Room 1," and among them, "Operating Room 1" and "Operating Room 2" are equipped with the "micro" medical equipment. It can be confirmed that "Operating Room 2" is currently available ("Available"). This makes it easy to understand whether the rooms and medical equipment are available, making it easier to decide whether or not to accept emergency patients.
[0099] In the event of a disaster, if any communication terminal T inputs an operation to switch to disaster mode to the button 1502 which switches between normal mode and disaster mode, the calculation unit 4 switches to disaster mode. In normal mode, the output unit 6 hides emergency medical services information regarding the disaster situation and displays it on the communication terminal T. However, when the communication terminal T receives an instruction to switch from normal mode to disaster mode, the output unit 6 makes the emergency medical services information regarding the disaster situation viewable.
[0100] Figure 12 shows the facility information screen displayed after switching to disaster mode. In disaster mode, the display area 1501 is de-grayed, and information related to receiving assistance for the disaster is displayed. Additionally, clicking the "Emergency Resources" button 1530 on the facility information screen can transition to the main emergency resources screen shown in Figure 5. When an instruction to switch to disaster mode is received from any one of the multiple communication terminals T, the display field 1501 will be displayed in an unlocked state, regardless of which communication terminal T is viewing the facility information screen.
[0101] The information acquisition unit 10 acquires damage status report information (emergency admission-related information) from different communication terminals T in each department, reporting the damage status of at least one item of equipment or medical device in the department to which the employee using the communication terminal T belongs. The support information generation unit 4d generates facility information (emergency medical acceptance support information) by aggregating the contents of disaster situation reports (emergency medical acceptance-related information) obtained from communication terminals T of different departments. The output unit 6 displays the facility information (emergency medical acceptance support information) thus generated so that it can be viewed by each communication terminal T.
[0102] Display area 1501 shows disaster situation information, which is part of the emergency admission-related information and concerns the extent of the damage. Here, each department is categorized into "Clinical Department," "Ward," and "Other," and the submission status of disaster situation reports for each department is displayed. By clicking the details button, it is possible to view detailed information about the disaster situation reports for each department. The departmental classifications "Clinical Department," "Ward," and "Other" are displayed in an unexpanded state. When a command is input from terminal T for any of the unexpanded departmental classifications, output unit 6 expands the specified departmental classification, thereby outputting the departments belonging to that specified departmental classification to the terminal device.
[0103] For example, if an instruction is entered from communication terminal T for item 1510 under "Other," the departments belonging to the "Other" category will be displayed in the expanded area 1511, transitioning from a non-expanded state to an expanded state. This allows employees using communication terminal T to understand the damage status of facilities and medical equipment related not only to their own department but also to other departments, and to determine whether facilities or equipment are unusable due to damage or whether they remain operational even during a disaster. Therefore, it is possible to confirm whether facilities and medical equipment are usable if not being used by others, or whether they are operational due to the effects of the disaster.
[0104] Furthermore, for example, if an instruction is entered from communication terminal T for item 1520, information on all wards within the medical facility belonging to the "ward" item will be expanded and displayed. Figure 13 shows an example of a facility information screen when the "Ward" item is expanded and displayed. The "Ward" item is expanded and displayed in the expanded area 1521. The damage status for each ward is displayed in the expanded area 1511. As a result, staff using the communication terminal T can see the submission status of damage status reports for each ward in the medical facility, and by clicking the details button for the submitted damage status reports, they can view the damage status reports for each department.
[0105] You can also select any of the items included in the facility information screen, as shown in Figures 12 and 13, and configure them to be displayed on the emergency resources main screen. Figure 14 shows an example of items to be displayed on the emergency resource main screen. Here, items that can be displayed after switching to disaster mode can also be used as items to be displayed on the emergency resource main screen.
[0106] Furthermore, the facility information screen includes a "Report Damage Situation" button 1530, which allows users to transition to a registration screen where they can register the details of the damage situation. Each staff member can transition the displayed screen to the registration screen by inputting an operation to the "Report Damage Situation" button 1530 from their communication terminal T. Figure 15 shows an example of a registration screen for reporting the damage situation. The registration screen includes input fields for department / ward name (1800), patient disaster status (1810), disaster status (1811), electricity / water / medical gas / other (1812), and in-hospital system (1813).
[0107] The Department / Ward Name Input Field 1800 is for entering the department to which the staff member reporting the disaster situation belongs, and can be selected, for example, from a pull-down menu. The patient injury status input area 1810 is an input field for entering the injury status of patients in the department to which the user belongs. The damage status input area 1811 is an input field where the employee reporting the damage status can enter information regarding whether or not a fire occurred, whether or not there was flooding, and the extent of damage to ceilings, floors, windows, walls, etc., in the room or other area of the department to which they belong. Input field 1812 for electricity, water, medical gas, and other information is an input field where the department to which the employee reporting the disaster situation belongs can input information regarding the availability of electricity, water, and medical gas.
[0108] The in-hospital system input area 1813 is an input field where the availability of each function of the in-hospital system in the department to which the employee reporting the disaster belongs can be entered. Examples of in-hospital system functions include electronic medical records, nurse call systems, internal telephones, the internet, PHS (Personal Handyphone System), and broadcasting equipment. For example, if it is confirmed that ceiling damage has occurred in a room on both the 5th and 6th floors, the departments on the 5th and 6th floors can report the damage using their respective communication terminals T. This information is then aggregated on the facility information screen, and "Damage" will be displayed for both the 5th and 6th floors under the "Ceiling Damage" category.
[0109] The items to be reported on such a registration screen may be the same as the input format based on the items to be displayed in EMIS (Emergency Medical Information System). In other words, they may be the same items that need to be entered into EMIS. EMIS is a system that, in the event of a disaster, allows medical institutions in the affected area to register the damage status of their facilities. By aggregating information from medical institutions such as disaster base hospitals, medical organizations, fire departments, public health centers, and municipalities, it shares information about the activities of medical institutions inside and outside the affected area with the national and local governments, thereby supporting medical and relief activities quickly and appropriately.
[0110] Traditionally, the disaster response headquarters established within hospitals would gather staff from each department to report on the damage to the hospital verbally, circulate paper damage reports, receive reports from each department, compile them, summarize the situation on a whiteboard, and then the person in charge would input the information into EMIS. This process required a great deal of effort and time to grasp the situation to the point where it could be entered into EMIS.
[0111] In contrast, the aforementioned emergency medical services acceptance support system allows each department to input disaster information into the communication terminal T according to an input format based on the items required to be entered in EMIS, and the system automatically compiles the data. This makes it possible to quickly input the necessary items into EMIS from the communication terminal T while viewing the organized and integrated disaster information provided by the emergency medical services acceptance support system during a disaster.
[0112] The information acquisition unit 10 can acquire acceptance-related information (emergency acceptance-related information) entered from the communication terminal T based on the input format, and the support information generation unit 4d can generate facility information (emergency acceptance support information) by aggregating the respective disaster information (emergency acceptance-related information) acquired from the terminal devices of different departments. This allows staff from each department to input their disaster status via communication terminal T, enabling the emergency medical services support system to aggregate the damage status within the medical institution. This eliminates the need for staff within the medical institution to contact each department via radio or other means to gather information, allowing for the rapid collection and understanding of information for registration in EMIS. This reduces the time and effort required to prepare information for transfer to EMIS.
[0113] Here, while emergency admission support information, which aggregates admission-related information, is displayed on the communication terminal T, it is also possible to input the information displayed on the screen into EMIS using an input device (keyboard, mouse, touch panel, etc.). Furthermore, the output unit 6 may display a facility information screen, as shown in Figures 12 and 13, on the communication terminal T using a display screen with a layout that conforms to the items that can be input into EMIS. This makes it possible to directly transfer the items displayed on the communication terminal T to EMIS, saving effort and time before inputting into EMIS.
[0114] Furthermore, even in environments where the emergency medical care system and EMIS cannot directly exchange data, the emergency medical care system can prepare emergency medical care information that needs to be reported to EMIS in a consolidated state at the medical institution, enabling smooth communication with EMIS.
[0115] Furthermore, the output unit 6 may output facility information, which aggregates acceptance-related information, to an external device (such as EMIS) in a data format that can be handled by EMIS. This makes it easier to share emergency acceptance support information, which aggregates disaster information (emergency acceptance-related information), with EMIS. In addition, staff can input damage reports for their respective departments from the communication terminal T, and these reports will be aggregated and registered in EMIS. This eliminates the need for staff to collect disparate memos created by each department within the medical institution and then have people organize and integrate them, thus significantly reducing the time and effort required to register data in EMIS.
[0116] Furthermore, traditionally, information for each item was managed individually. For example, if each item was managed in a separate system, the information would be distributed across multiple systems, and even the same item might be managed redundantly in different systems. As a result, even for the same item, the data in different systems may not necessarily be up-to-date, leading to a mix of new and old data and potentially causing confusion. In contrast, according to the above embodiment, multiple items can be consolidated and managed in the emergency medical reception support device B, thus avoiding confusion caused by the same items existing in different systems. Furthermore, traditionally, information sharing methods differed between normal times and disasters. For example, during peacetime, existing systems were used to share information within medical facilities, while during disasters, each hospital would bring memos and other materials to the local government for sharing. As a result, since the task of sharing information with the local government was only performed during disasters, staff were sometimes unfamiliar with this task, making smooth information sharing difficult. In contrast, according to the above-described embodiment, a system for handling information useful during disasters can be realized even during normal times using the emergency medical reception support device B. Therefore, even if a disaster occurs, information can be smoothly shared by simply transferring it from the emergency medical reception support device B to the local government. Furthermore, by switching to disaster mode, it can be used seamlessly even during a disaster.
[0117] 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).
[0118] 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]
[0119] 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 Examples of display items that can be shown on the emergency resource main screen (Ga10-13) 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. The Information Acquisition Department acquires information related to emergency admissions at medical facilities, The information included in the aforementioned emergency admission-related information, Information regarding the duty schedule for staff at the aforementioned medical facility, This includes physician information for each medical department, indicating whether or not each physician in that department is able to handle emergency patients, and Bed control information showing the number of emergency patients that can be accepted in each ward, This section displays the operating status of the operating rooms, angiography rooms, and endoscopy rooms, as well as information on upcoming reservations, the operating status of endoscopes and diagnostic imaging equipment, and medical equipment and facility information showing the number of available medical devices. Regarding this, a support information generation unit generates emergency acceptance support information that can be displayed for each item, An output unit that outputs the aforementioned emergency acceptance support information to a terminal device. An emergency medical reception support device equipped with [specific features / features].
2. For at least one of the items mentioned above—the duty roster information, the physician information by medical department, the bed control information, and the medical equipment / facility information—a sub-item belonging to that item is included. The aforementioned support information generation unit, The emergency medical services support information is generated by extracting the targets designated as display targets for at least one of the above items and sub-items. The emergency medical reception support device according to claim 1.
3. The aforementioned support information generation unit, Based on the unit width, which is the width of one of the divisions when the target area for displaying the emergency acceptance support information on the display screen is divided horizontally into N (where N is a natural number of 2 or more) divisions, the information related to the item is displayed so that the width corresponds to the number of unit widths assigned to each item. The emergency medical reception support device according to claim 1 or claim 2.
4. A computer-based method for supporting emergency admissions, We obtain information related to emergency admissions at medical facilities. The information included in the aforementioned emergency admission-related information, Information regarding the duty schedule for staff at the aforementioned medical facility, Doctor information by medical department, Bed control information showing the number of emergency patients that can be accepted in each ward, This section displays the operating status of the operating rooms, angiography rooms, and endoscopy rooms, as well as information on upcoming reservations, the operating status of endoscopes and diagnostic imaging equipment, and medical equipment and facility information showing the number of available medical devices. Regarding this, we generate emergency acceptance support information that can be displayed for each item, The generated emergency admission support information is output to the terminal device. Emergency medical care support methods, including the following.
Citation Information
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