Using a Cloud-based Electronic Health Record During Disaster Response: A Case Study in Fukushima, March 2011

Nagata, Takashi; Halamka, John; Himeno, Shinkichi; Himeno, Akihiro; Kennochi, Hajime; Hashizume, Makoto

doi:10.1017/s1049023x1300037x

Cited by 13 publications

(7 citation statements)

References 15 publications

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“…The medical staff of that facility had joined the disaster medical activities of the Japan Medical Association Team following the Great East Japan Earthquake in 2011. 9 It is acknowledged that the availability of the old building at Himeno Hospital was a matter of good fortune. The building had electricity and water and could accommodate some patients.…”

Section: Patient Transfers To Other Hospitalsmentioning

confidence: 99%

Successful Hospital Evacuation After the Kumamoto Earthquakes, Japan, 2016

Nagata

Himeno²,

Himeno³

et al. 2017

Disaster med. public health prep.

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Two major earthquakes struck Kumamoto Prefecture in Japan in April 2016. Disaster response was immediately provided, including disaster medical services. Many hospitals were damaged and patients needed immediate evacuation to alternative facilities. The hospital bed capacity of Kumamoto Prefecture was overwhelmed, and transportation of more than 100 patients was needed. Hospital evacuation was carried out smoothly with the coordinated efforts of multiple agencies. The overall operation was deemed a success because patients were transported in a timely manner without any significant adverse events. Upon repair of facilities in Kumamoto Prefecture, patients were returned safely to their previous facilities. The management of inpatients after this natural disaster in Kumamoto Prefecture can serve as a model for hospital evacuation with multi-agency coordination in the future. Future efforts are needed to improve interfacility communications immediately following a natural disaster. (Disaster Med Public Health Preparedness. 2017;11:517-521).

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Section: Patient Transfers To Other Hospitalsmentioning

confidence: 99%

Successful Hospital Evacuation After the Kumamoto Earthquakes, Japan, 2016

Nagata

Himeno²,

Himeno³

et al. 2017

Disaster med. public health prep.

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“…An interesting approach is the work of Nagata et al, who successfully implemented a cloud-based EHR for reducing adverse health consequences of the earthquake and nuclear disaster in Fukushima in 2011. To allow the emergency teams in Fukushima an efficient management and handling of patient data, access to EHRs for assessing patient data was provided in the form of software as service [ 78 ].…”

Section: Resultsmentioning

confidence: 99%

“…If applications are described they are usually in a prototype status [ 1 , 7 , 10 - 13 , 15 , 17 - 22 , 28 , 29 , 31 , 33 , 34 , 39 - 45 , 47 , 48 , 55 , 58 , 59 , 61 - 70 , 72 - 75 , 93 - 101 ]. Successful implementations of cloud systems in healthcare were only described in 13 of the 104 articles [ 9 , 25 , 27 , 32 , 36 - 38 , 51 , 57 , 60 , 71 , 78 , 102 ].…”

Section: Resultsmentioning

confidence: 99%

“…End users of the applications described are from five main groups: physicians, other medical staff, patients, clinical researchers, and IT experts. Several articles describe physicians and other medical staff storing, sharing and analyzing patient data or medical images [ 1 , 7 - 9 , 11 - 13 , 17 , 19 , 25 , 27 - 29 , 31 , 36 , 46 , 51 , 58 , 69 , 71 , 78 , 88 , 90 , 92 , 94 , 96 , 102 ]. Also therapy planning or simulation of radiation dose might be enabled for physicians using cloud systems [ 64 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A scoping review of cloud computing in healthcare

Griebel

Prokosch

Köpcke

et al. 2015

BMC Med Inform Decis Mak

192

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BackgroundCloud computing is a recent and fast growing area of development in healthcare. Ubiquitous, on-demand access to virtually endless resources in combination with a pay-per-use model allow for new ways of developing, delivering and using services. Cloud computing is often used in an “OMICS-context”, e.g. for computing in genomics, proteomics and molecular medicine, while other field of application still seem to be underrepresented. Thus, the objective of this scoping review was to identify the current state and hot topics in research on cloud computing in healthcare beyond this traditional domain.MethodsMEDLINE was searched in July 2013 and in December 2014 for publications containing the terms “cloud computing” and “cloud-based”. Each journal and conference article was categorized and summarized independently by two researchers who consolidated their findings.Results102 publications have been analyzed and 6 main topics have been found: telemedicine/teleconsultation, medical imaging, public health and patient self-management, hospital management and information systems, therapy, and secondary use of data. Commonly used features are broad network access for sharing and accessing data and rapid elasticity to dynamically adapt to computing demands. Eight articles favor the pay-for-use characteristics of cloud-based services avoiding upfront investments. Nevertheless, while 22 articles present very general potentials of cloud computing in the medical domain and 66 articles describe conceptual or prototypic projects, only 14 articles report from successful implementations. Further, in many articles cloud computing is seen as an analogy to internet-/web-based data sharing and the characteristics of the particular cloud computing approach are unfortunately not really illustrated.ConclusionsEven though cloud computing in healthcare is of growing interest only few successful implementations yet exist and many papers just use the term “cloud” synonymously for “using virtual machines” or “web-based” with no described benefit of the cloud paradigm. The biggest threat to the adoption in the healthcare domain is caused by involving external cloud partners: many issues of data safety and security are still to be solved. Until then, cloud computing is favored more for singular, individual features such as elasticity, pay-per-use and broad network access, rather than as cloud paradigm on its own.Electronic supplementary materialThe online version of this article (doi:10.1186/s12911-015-0145-7) contains supplementary material, which is available to authorized users.

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“…In addition, the Fukushima Nuclear Power Plant accident caused by the tsunami released large amounts of radioactive materials into the air [4]. On March 12, 2011, the government issued an evacuation order for people living within a 20-km radius of the plant [5]. Many pregnant and parturient women lived in these areas.…”

Section: Introductionmentioning

confidence: 99%

Maternal Anxiety 16 Months after the Great East Japan Earthquake Disaster Area: First Report

Yoshii¹,

Saito²,

Kikuchi³

et al. 2014

Health

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The Great East Japan Earthquake, a magnitude 9.0 quake that occurred on March 11, 2011, left more than 20,000 killed or missing and resulted in more than 400,000 people being displaced. The Fukushima Nuclear Power Plant accident released large amounts of radioactive material into the air. Among the victims of this combined disaster were many pregnant and parturient women, and this study aimed to determine post-disaster anxiety among this specific population and measures for the future. Participants were 259 women (mean age 33.02 ± 4.79 years) who gave birth around the time of the earthquake in Miyagi Prefecture, one of the disaster areas. Sixteen months after the earthquake, we administered survey questionnaires on anxiety. We transcribed questionnaire responses, coded raw data by context, and categorized these codes by commonality. After extracting subcategories of anxiety-related factors, we categorized them into more abstract concepts. Among the participants, 126 (48.6%) reported having no available professionals with whom they could consult about childrearing. Participants reported anxiety in the following 12 categories: "radiation," "child's physical and mental growth/development," "recurrence of earthquake and tsunami," "financial issues," "childrearing environment," "living environment," "maternal employment," "stigma," "familial issues," "maternal health," "childrearing," and "the future". A beneficial way to reduce maternal anxiety in the 12 areas identified would be to develop support systems that provide continuous support for children's mental health care needs, psychological guidance, community support for maternal empowerment, outreach for individual support, and professional consultation for mothers who have high anxiety about radioactivity.

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Using a Cloud-based Electronic Health Record During Disaster Response: A Case Study in Fukushima, March 2011

Cited by 13 publications

References 15 publications

Successful Hospital Evacuation After the Kumamoto Earthquakes, Japan, 2016

Successful Hospital Evacuation After the Kumamoto Earthquakes, Japan, 2016

A scoping review of cloud computing in healthcare

Maternal Anxiety 16 Months after the Great East Japan Earthquake Disaster Area: First Report

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