Lessons learned from the total evacuation of a hospital after the 2016 Kumamoto Earthquake

2017 ◽  
Vol 15 (4) ◽  
pp. 259 ◽  
Author(s):  
Youichi Yanagawa, MD, PhD ◽  
Hisayoshi Kondo, MD, PhD ◽  
Takashi Okawa, MD, PhD ◽  
Fumio Ochi, MD, PhD
Keyword(s):  
Large Scale ◽  
Medical Information ◽  
Lessons Learned ◽  
Medical Information System ◽  
Activity Data ◽  
Self Defense ◽  
The 2016 Kumamoto Earthquake ◽  
The 2016 Kumamoto Earthquakes ◽  
Combined Use ◽  
Frequent Reason

Background: The 2016 Kumamoto Earthquakes were a series of earthquakes that included a foreshock earthquake (magnitude 6.2) on April 14 and a main shock (magnitude 7.0) on April 16, 2016. A number of hospitals in Kumamoto were severely damaged by the two major earthquakes and required total evacuation.Methods: The authors retrospectively analyzed the activity data of the Disaster Medical Assistance Teams using the Emergency Medical Information System records to investigate the cases in which the total evacuation of a hospital was attempted following the 2016 Kumamoto Earthquake.Results: Total evacuation was attempted at 17 hospitals. The evacuation of one of these hospitals was canceled. Most of the hospital buildings were more than 20 years old. The danger of collapse was the most frequent reason for evacuation. Various transportation methods were employed, some of which involved the Japan Ground Self-Defense Force; no preventable deaths occurred during transportation.Conclusions: The hospitals must now be renovated to improve their earthquake resistance. The coordinated and combined use of military and civilian resources is beneficial and can significantly reduce human suffering in large-scale disasters.

scholarly journals 2018 Natural Disaster Response in Japan

2019 ◽  
Vol 34 (s1) ◽  
pp. s98-s98
Author(s):  
Hisayoshi Kondo ◽  
Yuichi Koido ◽  
Hirotaka Uesgi ◽  
Yoshitaka Kohayagawa ◽  
Ayako Takahashi ◽  
...  
Keyword(s):  
Water Supply ◽  
Disaster Response ◽  
Medical Information ◽  
Flood Hazard ◽  
Lessons Learned ◽  
Medical Information System ◽  
The West ◽  
Torrential Rain ◽  
Disaster Assistance ◽  
Medical Response

Introduction:Japan experienced several major disasters in 2018.Aim:Evaluation of medical response was conducted and problems determined to solve for future response.Methods:An evaluation conducted on DMAT responding report of Northern Osaka Earthquake, West Japan Torrential Rain Disaster, Typhoon Jebi, and Hokkaido Iburi East Earthquake.Results:DMAT responded 58 teams for Osaka Northern Earthquake, 119 teams for West Japan Torrential Rain Disaster, 17 teams for Typhoon Jebi, 67 teams for Hokkaido Iburi East Earthquake. At the Osaka Northern Earthquake, by comparing the report of seismic diagnosis, results and, a magnitude of each region, hospital damage was evaluated. At the West Japan Torrential Rain Disaster, a flood hazard map was used to expect inundation at hospitals. At the Hokkaido Iburi East Earthquake, information of hospital generator was gathered and planned assistance for loss of power. Water supply cessation in the West Japan Torrential Rain Disaster and loss of power in the Hokkaido Iburi East Earthquake influenced hospital functionality. More precise preparation for hospital management in the event of a loss of power and water supply situation required in not only in local government but also each hospital. For the West Japan Torrential Rain Disaster, we experienced the same type of major disasters in the past, but could not manage accordingly. For the Hokkaido Iburi East Earthquake, we applied what was learned from the West Japan Torrential Rain Disaster.Discussion:Disaster medical operation was supposed to be managed with information from the Emergency Medical Information System (EMIS). However, 2018 disasters provided lessons that require a full understanding of disaster prior information and expected disaster damage information to manage disaster assistance. To accomplish effective disaster assistance, information must be gathered of supplies and assistance required by hospitals. An effective system to facilitate lessons learned needs to be developed

Cloud Computing as the Useful Resource for Application of the Medical Information System for Quality Assurance Purposes

2016 ◽  
Vol 1 (2) ◽  
pp. 1-23
Author(s):  
Ekaterina Kldiashvili
Keyword(s):  
Health Care ◽  
Cloud Computing ◽  
Information System ◽  
Health Care Services ◽  
High Performance ◽  
Large Scale ◽  
Medical Information ◽  
Health Care Research ◽  
Healthcare Sector ◽  
Medical Information System

The eHealth is a rapidly evolving and changing field. The different models and protocols of medical information system (MIS) are now available. The MIS and its everyday usage is extremely beneficial for the healthcare sector, but its introduction in everyday practice is slow. Cloud computing is perspective field and it differs from the conventional distributed computing by its focus on large-scale sharing, innovative applications, and high-performance orientation. This paper defines “cloud computing” as flexible, secure, coordinated resource for data sharing among dynamic collections of individuals, institutions, and etc. It should be emphasized, that cloud computing can be reviewed as a useful tool for sharing of computing resources and services. The author expects that this technology has huge potential in health care and can improve health care services, as well as provide benefits for health care research. It is proposed that the solution is the widespread and routine implementation of the medical information system. The present article will discuss the application of cloud computing for the medical information system practical usage. The goal in the information age must be to create knowledge from medical information with less time managing medical information and data. The availability of adaptable technology and possibility of improvement of the infrastructure conditions is the basis for medical informatics applications. The routine application of MIS by healthcare organization holds the potential to improve, develop and realize medical service in the effective and comprehensive mode.

Application of the Cloud Computing for the Effective Implementation of the Medical Information System

2014 ◽  
Vol 4 (3) ◽  
pp. 52-68 ◽  
Author(s):  
Ekaterina Kldiashvili
Keyword(s):  
Health Care ◽  
Cloud Computing ◽  
Information System ◽  
Resource Sharing ◽  
High Performance ◽  
Large Scale ◽  
Medical Information ◽  
Health Care Research ◽  
Medical Information System ◽  
Effective Implementation

The field of healthcare informatics is rapidly evolving. The new models and protocols of medical information system (MIS) are developed. Despite obvious advantages and benefits, practical application of MIS in everyday practice is slow. Cloud computing have emerged as an important new field, distinguished from conventional distributed computing by its focus on large-scale sharing, innovative applications, and, in some cases, high-performance orientation. “Cloud computing” the authors are going to define as flexible, secure, coordinated resource sharing among dynamic collections of individuals, institutions, and resources. Cloud computing is a new way of delivering computing resources and services. It is plausible, that this technology has more potential and can improve health care services, benefit health care research, and change the face of health information technology. This can be solution for widespread and effective implementation of the medical information system. The present article will discuss the application of cloud computing for the medical information system practical usage. The ideal of healthcare in the information age must be to create knowledge from medical information and less time managing medical information and data. The application of easily available and adaptable technology and improvement of the infrastructure conditions is the basis for medical informatics applications. The usage of MIS holds the potential to improve, develop and realize medical service in the effective and comprehensive mode.

Cloud Computing as the Useful Resource for Application of the Medical Information System for Quality Assurance Purposes

2020 ◽  
pp. 15-33
Author(s):  
Ekaterina Kldiashvili
Keyword(s):  
Health Care ◽  
Cloud Computing ◽  
Information System ◽  
High Performance ◽  
Large Scale ◽  
Medical Information ◽  
Health Care Research ◽  
Medical Information System ◽  
Performance Orientation ◽  
Care Services

The eHealth is a rapidly evolving and changing field. The different models and protocols of medical information system (MIS) are now available. The MIS and its everyday usage is extremely beneficial for the healthcare sector, but its introduction in everyday practice is slow. Cloud computing is perspective field and it differs from the conventional distributed computing by its focus on large-scale sharing, innovative applications, and high-performance orientation. This paper defines “cloud computing” as flexible, secure, coordinated resource for data sharing among dynamic collections of individuals, institutions, and etc. It should be emphasized, that cloud computing can be reviewed as a useful tool for sharing of computing resources and services. The author expects that this technology has huge potential in health care and can improve health care services, as well as provide benefits for health care research. It is proposed that the solution is the widespread and routine implementation of the medical information system. The present article will discuss the application of cloud computing for the medical information system practical usage. The goal in the information age must be to create knowledge from medical information with less time managing medical information and data. The availability of adaptable technology and possibility of improvement of the infrastructure conditions is the basis for medical informatics applications. The routine application of MIS by healthcare organization holds the potential to improve, develop and realize medical service in the effective and comprehensive mode.

Experiences With and Lessons Learned From Developing, Implementing, and Evaluating a Support Program for Older Hearing Aid Users and Their Communication Partners in the Hearing Aid Dispensing Setting

2020 ◽  
Vol 29 (3S) ◽  
pp. 638-647 ◽  
Author(s):  
Janine F. J. Meijerink ◽  
Marieke Pronk ◽  
Sophia E. Kramer
Keyword(s):  
Large Scale ◽  
Hearing Aid ◽  
Critical Discussion ◽  
Lessons Learned ◽  
Research Note ◽  
Support Program ◽  
Large Sample Size ◽  
Long Term Effects ◽  
Communication Program ◽  
Communication Partners

Purpose The SUpport PRogram (SUPR) study was carried out in the context of a private academic partnership and is the first study to evaluate the long-term effects of a communication program (SUPR) for older hearing aid users and their communication partners on a large scale in a hearing aid dispensing setting. The purpose of this research note is to reflect on the lessons that we learned during the different development, implementation, and evaluation phases of the SUPR project. Procedure This research note describes the procedures that were followed during the different phases of the SUPR project and provides a critical discussion to describe the strengths and weaknesses of the approach taken. Conclusion This research note might provide researchers and intervention developers with useful insights as to how aural rehabilitation interventions, such as the SUPR, can be developed by incorporating the needs of the different stakeholders, evaluated by using a robust research design (including a large sample size and a longer term follow-up assessment), and implemented widely by collaborating with a private partner (hearing aid dispensing practice chain).

Current Status of a Medical Information System

1970 ◽  
Vol 09 (03) ◽  
pp. 149-160 ◽  
Author(s):  
E. Van Brunt ◽  
L. S. Davis ◽  
J. F. Terdiman ◽  
S. Singer ◽  
E. Besag ◽  
...  
Keyword(s):  
Information System ◽  
Medical Records ◽  
Medical Information ◽  
Clinical Laboratory ◽  
Development Program ◽  
Medical Data ◽  
Direct Access ◽  
Medical Information System ◽  
Current Status ◽  
Central System

A pilot medical information system is being implemented and currently is providing services for limited categories of patient data. In one year, physicians’ diagnoses for 500,000 office visits, 300,000 drug prescriptions for outpatients, one million clinical laboratory tests, and 60,000 multiphasic screening examinations are being stored in and retrieved from integrated, direct access, patient computer medical records.This medical information system is a part of a long-term research and development program. Its major objective is the development of a multifacility computer-based system which will support eventually the medical data requirements of a population of one million persons and one thousand physicians. The strategy employed provides for modular development. The central system, the computer-stored medical records which are therein maintained, and a satellite pilot medical data system in one medical facility are described.

Coordinating Medical Literature with Patient Care

1977 ◽  
Vol 16 (04) ◽  
pp. 234-240 ◽  
Author(s):  
Joann Gustafson ◽  
J. Nelson ◽  
Ann Buller
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Medical Information ◽  
Medical Literature ◽  
Medical Information System ◽  
Staff Members ◽  
Information Displays ◽  
Medical Displays ◽  
Computerized Medical Information ◽  
The Given

The contribution of a special library project to a computerized problem-oriented medical information system (PROMIS) is discussed. Medical information displays developed by the PROMIS medical staff are accessible to the health care provider via touch screen cathode terminals. Under PROMIS, members of the library project developed two information services, one concerned with the initial building of the medical displays and the other with the updating of this information. Information from 88 medical journals is disseminated to physicians involved in the building of the medical displays. Articles meeting predetermined selection criteria are abstracted and the abstracts are made available by direct selective dissemination or via a problem-oriented abstract file. The updating service involves comparing the information contained in the selected articles with the computerized medical displays on the given topic. Discrepancies are brought to the attention of PROMIS medical staff members who evaluate the information and make appropriate changes in the displays. Thus a feedback loop is maintained which assures the completeness, accuracy, and currency of the computerized medical information. The development of this library project and its interface with the computerized health care system thus attempts to deal with the problems in the generation, validation, dissemination, and application of medical literature.

Software for medical information system for audit and analysis of patients with gastrointestinal bleedings

2015 ◽  
Vol 11 (12) ◽  
pp. 73-79
Author(s):  
I.D. Duzhyi ◽  
◽  
V.V. Gorokh ◽  
O.V. Trubilko ◽  
S.V. Kharchenko ◽  
...  
Keyword(s):  
Information System ◽  
Medical Information ◽  
Medical Information System
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