Emergency medical care support device and emergency medical care support method

Abstract

This product provides an emergency medical patient acceptance support device and system that provide hospitals with the necessary information to quickly determine whether or not to accept a patient after receiving a request for acceptance from an ambulance crew. [Solution] The system comprises an information acquisition unit that acquires at least one of the following types of acceptance-related information: first acceptance-related information, which is input from a terminal device used by staff belonging to each clinical department, regarding the damage status of at least one item of equipment or medical device in the department to which the staff member belongs; and second acceptance-related information, which includes the operating status and reservation status of operating rooms and angiography rooms, the operating status of endoscopes and diagnostic imaging, the number of usable medical devices, and alert information indicating abnormalities in the infrastructure of the hospital system, including electricity, water, medical gas, and electronic medical records and nurse call; a support information generation unit that generates emergency acceptance support information by aggregating the respective acceptance-related information acquired; and an output unit that outputs the emergency acceptance support information to the terminal device.

Description

Technical Field

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

Background Art

[0002] Emergency medical treatment for injuries, diseases, etc. caused by accidents or disasters is one of the important medical practices. Emergency medical treatment is provided at emergency hospitals designated by the governors of prefectures. These hospitals are required to meet conditions such as having doctors familiar with emergency medicine on a regular basis, equipped with necessary medical devices and facilities, easy access for transporting emergency patients, proper facilities, and special beds for emergency patients. When an injured person or an emergency patient actually occurs, these injured people are transported to an emergency hospital by an emergency team. However, even in hospitals that meet the above four conditions, if at that time a doctor familiar with emergency medicine or a specialist who can handle the disease of the emergency patient is treating other patients, or if all the special beds for emergency patients are in use and there are no empty beds, the hospital cannot accept emergency patients.

[0003] To address this, technologies such as those disclosed in Patent Document 1 and Patent Document 2 have been proposed. Patent Document 1 discloses a system that matches multiple in-hospital information with carrier information created by emergency team members and selects hospital candidates based on the results. Patent Document 2 discloses a system that, when there is a request to transport an emergency patient, attaches pre-registered information including information on pre-registered medical facilities, residential facilities, etc. and 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 the multiple medical facilities.

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 acceptance support device and an emergency medical acceptance support system 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 medical admission support device comprising: an information acquisition unit that acquires at least one of the following types of admission-related information: first admission-related information relating to the disaster situation, including the number of affected patients in the department to which the staff member belongs, the damage status of building facilities, and the availability status of systems, which is input from a terminal device used by staff members of each department belonging to each clinical department; and second admission-related information including the operating status and reservation status of operating rooms and angiography rooms, the operating status of endoscopes and diagnostic imaging equipment, the number of usable medical devices, and alert information indicating abnormalities in the infrastructure of the hospital system, including electricity, water, medical gas, and electronic medical records and nurse call systems; a support information generation unit that generates emergency admission support information by aggregating the acquired admission-related information; and an output unit that outputs the emergency admission support information to the terminal device.

[0008] Furthermore, in one aspect of the present invention, the emergency medical acceptance support device described above is an emergency medical acceptance support device in which the terminal device receives input of first acceptance-related information regarding the disaster situation in accordance with an input format based on the target items to be displayed in EMIS (Emergency Medical Information System), and the information acquisition unit acquires the first acceptance-related information input based on the input format from the terminal device.

[0009] Furthermore, in one aspect of the present invention, the emergency medical acceptance support device described above is an emergency medical acceptance support device in which the output unit outputs the aggregated emergency medical acceptance support information to an external device.

[0010] Furthermore, in one aspect of the present invention, the emergency medical reception support device described above is an emergency medical reception support device in which, in the disaster mode, when the output unit receives input from the terminal device for the detailed buttons corresponding to each department, it outputs detailed information of the disaster situation report of the department corresponding to the input detailed button to the terminal device.

[0011] Furthermore, in one aspect of the present invention, the emergency medical acceptance support device described above is an emergency medical acceptance support device in which the output unit hides the first acceptance-related information in the normal mode, and displays the first acceptance-related information in a viewable format when an instruction to switch from the normal mode to the disaster mode is received from the terminal device.

[0012] Furthermore, one aspect of the present invention is a computer-based emergency medical service acceptance support method, which includes acquiring at least one of the following types of acceptance-related information: first acceptance-related information relating to the damage status of at least one item of equipment or medical device in the department to which the employee belongs, and second acceptance-related information indicating whether the room in which the medical device is installed and whether the medical device is usable, input from a terminal device used by an employee belonging to each department; generating emergency medical service acceptance support information by aggregating the acquired acceptance-related information; outputting the emergency medical service acceptance support information, including the second acceptance-related information, to a terminal device used in a medical facility in normal mode; and outputting the emergency medical service acceptance support information, including the first acceptance-related information, to the terminal device in disaster mode. [Effects of the Invention]

[0013] According to the present invention, it is possible to provide an emergency medical acceptance support device and an emergency medical acceptance support system that provide hospitals with the necessary information to quickly determine whether or not to accept a patient after receiving a request for acceptance from an emergency medical team. [Brief explanation of the drawing]

[0014] [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] This is a schematic functional block diagram showing other configurations of the emergency medical reception support device B according to one embodiment of the present invention. [Figure 5] This is a schematic diagram showing the facility information screen during normal operation in one embodiment of the present invention. [Figure 6] This is a schematic diagram showing a facility information screen displayed after switching to disaster mode in one embodiment of the present invention. [Figure 7] It is a schematic diagram showing an example of a facility information screen according to an embodiment of the present invention. [Figure 8] It is a schematic diagram showing an example of a registration screen for reporting the disaster situation according to an embodiment of the present invention.

Embodiments for Carrying Out the Invention

[0015] Hereinafter, an embodiment of the present invention will be described with reference to the drawings. FIG. 1 is a block diagram showing the system configuration of an emergency admission support system A according to an embodiment of the present invention. FIG. 2 is a block diagram showing the cooperation of the emergency admission support device B with external systems. The emergency admission support system A includes an emergency admission support device B (medical continuity plan support device), a plurality of communication terminals T each carried by a plurality of medical staff, and a communication line N that communicably connects the emergency admission support device B and each communication terminal T. The emergency admission support device B according to the present embodiment is a kind of computer. That is, the emergency admission support device B realizes the emergency admission support function by the cooperation of its own hardware resources and software resources such as the emergency admission support program.

[0016] The emergency admission support device B has a communication function as part of the above emergency admission support function. That is, the emergency admission support device B acquires various types of information (emergency admission-related information) necessary for the emergency admission support function from a plurality of communication terminals T via the support communication line N, and transmits the emergency admission support information to a plurality of communication terminals T via the support communication line N.

[0017] In addition to acquiring emergency admission-related information via the support communication line N, the emergency admission support device B also acquires emergency admission-related information via the in-hospital network N1 and the public communication line N2. That is, the emergency admission support device B demonstrates the emergency admission support function by processing the emergency admission-related information acquired via the support communication line N, the in-hospital network N1, and the public communication line N2 based on the emergency admission support program.

[0018] The plurality of communication terminals T are mobile terminals or stationary terminals operated by each department staff at various locations in the medical facility. By using this communication terminal T, each department staff transmits emergency admission-related information necessary for the emergency admission support function to the emergency admission support device B via the support communication line N.

[0019] In addition, the person in charge of determining whether emergency admission is possible performs the task of determining whether to admit an emergency patient based on the emergency admission information obtained from the emergency admission support device B via the communication terminal T and the support communication line N. Such a communication terminal T is a desktop computer, tablet computer, or smartphone equipped with a communication function.

[0020] The support communication line N wirelessly connects the emergency admission support device B and the plurality of communication terminals T in a freely communicable manner. This support communication line N is not particularly limited and is a well-known public wireless communication line, a dedicated communication line of the emergency admission target facility, or a combination of a public wireless communication line and a dedicated communication line. The dedicated communication line is one in which a wireless line and a wired line are interconnected, or is formed only by a wireless line.

[0021] As shown in FIG. 2, such an emergency admission support device B is communicably connected to various in-hospital systems (intra-facility systems) via the in-hospital network N1 (intra-facility network) and is also communicably connected to a plurality of external servers via the public communication line N2. The in-hospital network N1 is a wired network or / and a wireless network constructed within the medical facility and is connected to various in-hospital systems necessary for the implementation of medical services in the medical facility.

[0022] As shown in the figure, the in-hospital systems include an electronic medical record system C for storing patients' medical records, a safety confirmation and attendance permission management system D for confirming the safety of staff during disasters and determining whether they can gather (report for duty) at the medical facility, an attendance management system E for managing the attendance of staff, etc., a surgical support system F for assisting in the scheduling of surgeries, a radiation information management system G, an endoscope information management system H, a ME device management system I, a central monitoring system J, a duty roster system K, etc. 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.

[0023] 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).

[0024] 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.

[0025] 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.

[0026] 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.

[0027] 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.

[0028] 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.

[0029] 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.

[0030] 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.

[0031] 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.

[0032] 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.

[0033] 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.

[0034] 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.

[0035] 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.

[0036] 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.

[0037] 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.

[0038] 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.

[0039] 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).

[0040] 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.

[0041] 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.

[0042] 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.

[0043] The calculation unit 4 then updates the emergency admission support screen (facility information screen (Figure 5)) as appropriate based on the results of monitoring these resources. As a result, the facility information screen presents the person in charge of determining whether or not to accept emergency patients with the latest information related to the resources necessary to carry out the emergency admission task.

[0044] 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.

[0045] The emergency patient reception staff can use the control unit 3 to press a switch button to display the disaster facility information screen (Figures 6 and 7) on the display unit 5 instead of the facility information screen (Figure 5). 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.

[0046] 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.

[0047] 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.

[0048] 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.

[0049] 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.

[0050] 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.

[0051] 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.

[0052] 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 identify the available medical devices at the time of emergency patient acceptance, and thus it is possible to accurately perform emergency patient acceptance operations.

[0053] 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.

[0054] 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.

[0055] 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.

[0056] (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.

[0057] 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.

[0058] 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.

[0059] 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.

[0060] 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.

[0061] Figure 5 shows the facility information screen during normal operation. The facility information screen has display fields 1500 for medical equipment and facility information and infrastructure within the medical facility, and display field 1501 for displaying 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 terminal device 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.

[0062] 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.

[0063] In the event of a disaster, if any terminal device 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 terminal device T. However, when the terminal device 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.

[0064] Figure 6 shows the facility information screen displayed after switching to disaster mode. In disaster mode, display field 1501 is de-grayed out, and the first reception-related information regarding the disaster situation is displayed. When an instruction to switch to disaster mode is received from any one of the multiple terminal devices T, the display field 1501 will be displayed with the grayed-out area unlocked, regardless of which terminal device T is viewing the facility information screen.

[0065] The information acquisition unit 10 acquires disaster situation report information (first acceptance-related information), including the number of affected patients, the damage status of building facilities, and the availability status of systems, from different terminal devices T in each department to which the employee using the terminal device T belongs. The support information generation unit 4d generates facility information (emergency acceptance support information) by aggregating disaster situation report information (first acceptance-related information) obtained from terminal devices T of different departments. The output unit 6 displays the facility information (emergency acceptance support information) thus generated so that it can be viewed by each terminal device T.

[0066] Display field 1501 shows the damage status information, which is part of the first acceptance-related information. Here, each department is classified into "Clinical Department," "Ward," and "Other," and the submission status of the damage status report for each department is displayed. By clicking the details button, it is possible to view detailed information of the damage status report 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.

[0067] For example, if an instruction is entered from terminal device T for item 1510 under "Other," the departments belonging to the "Other" item will be displayed in the expanded area 1511, transitioning from a non-expanded state to an expanded state. This allows employees using terminal device T to understand the damage status of equipment and medical devices related not only to their own department but also to those of 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 equipment and medical devices are usable if not being used by others, or whether they are operational due to the effects of the disaster.

[0068] Furthermore, for example, if an instruction is entered from terminal device T for item 1520, the information for all wards within the medical facility belonging to the "ward" item will be expanded and displayed. Figure 7 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 terminal device 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.

[0069] You can also select any of the items included in the facility information screen, as shown in Figures 6 and 7, and configure them to be displayed on the emergency resources main screen.

[0070] 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 terminal device T. Figure 8 shows an example of a registration screen for reporting the extent of the damage. 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).

[0071] 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.

[0072] 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 respective departments on the 5th and 6th floors can input "damage detected" reports from their terminal devices T. This information is then aggregated on the facility information screen, and "damage detected" is displayed for both the 5th and 6th floors under the "ceiling damage" category.

[0073] 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.

[0074] 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.

[0075] In contrast, the aforementioned emergency medical services acceptance support system allows each department to input disaster information into terminal device 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 terminal device T while viewing the organized and integrated disaster information from this emergency medical services acceptance support system during a disaster.

[0076] The information acquisition unit 10 can acquire first acceptance-related information entered from the terminal device T based on the input format, and the support information generation unit 4d can generate facility information (emergency acceptance support information) by aggregating the disaster situation report information (first acceptance-related information) acquired from the terminal devices of different departments. This allows staff from each department to input their disaster status via terminal device 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.

[0077] Here, while emergency admission support information, which aggregates admission-related information, is displayed on terminal device T, it is also possible to input the information displayed on this screen into EMIS using an input device (keyboard, mouse, touch panel, etc.). Furthermore, output unit 6 may display a facility information screen on terminal device T, as shown in Figures 6 and 7, 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 terminal device T to EMIS, saving effort and time before inputting into EMIS.

[0078] 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.

[0079] Furthermore, the output unit 6 may output facility information (emergency acceptance support information), which is an aggregate of disaster situation report information (first acceptance-related information), to an external device (EMIS, etc.) in a data format that can be handled by EMIS. This makes it easier to share emergency acceptance support information, which is an aggregate of acceptance-related information, with EMIS. In addition, staff members can input damage reports for their respective departments from terminal device T, and these 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.

[0080] 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.

[0081] 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).

[0082] Although 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]

[0083] A Emergency Medical Care Acceptance Support System B Emergency medical reception support device C Electronic Medical Record System D. Safety Confirmation and Assembly Eligibility Management System E Attendance Management System F Surgical Support System G Radiation Information Management System H Endoscopy Information Management System IME Equipment Management System J Central Monitoring System K Work Schedule System L Weather Server M Local Government Server N communication line N1 In-hospital network N2 Public Communication Line O Regional disaster prevention and medical institution information platform T Communication Terminal 1. First Communications Department 1A Second Communications Department 1B Third Communications Section 2 Storage section 3 Control section 4 Arithmetic section 4a Bed Information Management Department 4b Employee Information Management Department 4c Facility Information Management Department 4d Support information generation section 5 Display section 6 Output section 10 Information acquisition department

Claims

1. First, reception-related information regarding the disaster situation, including the number of affected patients in the department to which the staff member belongs, the damage status of building facilities, and the availability of systems, which is entered from terminal devices used by staff members belonging to each clinical department. Second-tier admission-related information includes the operating status and reservation status of operating rooms and angiography rooms, the operating status of endoscopes and diagnostic imaging equipment, the number of available medical devices, and alert information indicating abnormalities in the hospital's infrastructure, including electricity, water, medical gases, and electronic medical records and nurse call systems. An information acquisition unit that acquires acceptance-related information from at least one of the following: A support information generation unit generates emergency acceptance support information by aggregating the acquired acceptance-related information, An output unit that outputs the aforementioned emergency acceptance support information to the terminal device. An emergency medical reception support device equipped with [specific features / features].

2. The aforementioned terminal device is The system accepts input of the first acceptance-related information regarding the disaster situation in accordance with the input format based on the items to be displayed in EMIS (Emergency Medical Information System for Wide-Area Disasters), The aforementioned information acquisition unit, The first reception-related information, which is input based on the aforementioned input format, is acquired from the terminal device. The emergency medical reception support device according to claim 1.

3. The output unit is, The aggregated emergency admission support information is output to an external device. The emergency medical reception support device according to claim 2.

4. The output unit, in disaster mode, When the terminal device receives input for the detail buttons corresponding to each department, it outputs detailed information about the damage situation report for the department corresponding to the input detail button to the terminal device. An emergency medical reception support device according to any one of claims 1 to 3.

5. The output unit is, In normal mode, the first acceptance-related information is hidden, and when the terminal device receives an instruction to switch from normal mode to disaster mode, the first acceptance-related information is made viewable. The emergency medical reception support device according to claim 4.

6. A computer-based method for supporting emergency admissions, First acceptance-related information concerning the damage status of at least one item of equipment or medical device in the department to which the staff member belongs, which is entered from a terminal device used by staff members belonging to each clinical department, Second-tier admission-related information includes the operating status and reservation status of operating rooms and angiography rooms, the operating status of endoscopes and diagnostic imaging equipment, the number of available medical devices, and alert information indicating abnormalities in the hospital's infrastructure, including electricity, water, medical gases, and electronic medical records and nurse call systems. Obtain acceptance-related information from at least one of the following: The acquired acceptance-related information is aggregated to generate emergency acceptance support information, The aforementioned emergency admission support information is output to the terminal device. Emergency medical care support methods, including the following.

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