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

Published online by Cambridge University Press:  26 April 2013

Takashi Nagata ,
John Halamka ,
Shinkichi Himeno ,
Akihiro Himeno ,
Hajime Kennochi  and
Makoto Hashizume
Takashi Nagata*
Affiliation:
Faculty of Medical Sciences, Department of Advanced Medical Initiatives, Kyushu University, Fukuoka, Japan
John Halamka
Affiliation:
Harvard Medical School, Boston, Massachusetts USA
Shinkichi Himeno
Affiliation:
Himeno Hospital, Fukuoka, Japan
Akihiro Himeno
Affiliation:
Himeno Hospital, Fukuoka, Japan
Hajime Kennochi
Affiliation:
Center for Advanced Medical Innovation, Kyushu University, Fukuoka, Japan
Makoto Hashizume
Affiliation:
Faculty of Medical Sciences, Department of Advanced Medical Initiatives, Kyushu University, Fukuoka, Japan Center for Advanced Medical Innovation, Kyushu University, Fukuoka, Japan
*
Correspondence: Takashi Nagata, MD Department of Advanced Medical Initiatives Faculty of Medical Sciences Kyushu University 3-1-1, Maidashi, Higashi-ku Fukuoka-city, 812-8582, Japan E-mail nagata.takashi@gmail.com
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Abstract

Following the Great East Japan Earthquake on March 11, 2011, the Japan Medical Association deployed medical disaster teams to Shinchi-town (population: approximately 8,000), which is located 50 km north of the Fukushima Daiichi nuclear power plant. The mission of the medical disaster teams sent from Fukuoka, 1,400 km south of Fukushima, was to provide medical services and staff a temporary clinic for six weeks. Fear of radiation exposure restricted the use of large medical teams and local infrastructure. Therefore, small volunteer groups and a cloud-hosted, web-based electronic health record were implemented. The mission was successfully completed by the end of May 2011. Cloud-based electronic health records deployed using a “software as a service” model worked well during the response to the large-scale disaster.

NagataT, HalamkaJ, KennochiH, HimenoS, HimenoA, HashizumeM. Using a Cloud-based Electronic Health Record During Disaster Response: A Case Study in Fukushima, March 2011. Prehosp Disaster Med. 2013;28(4):1-5.

Keywords

cloud-basedelectronic health recordFukushimaradiation

Information

Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 28 , Issue 4 , August 2013 , pp. 383 - 387
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2013 

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References

1.Nagamatsu, S, Maekawa, T, Ujike, Y, et al; The Japanese Society of Intensive Care Medicine. The earthquake and tsunami - observations by Japanese physicians since the 11 March catastrophe. Crit Care. 2011;15(3):167-169.CrossRefGoogle ScholarPubMed
2.Ishii, M. Japan Medical Association Team's (JMAT) first call to action in the Great Eastern Japan Earthquake. The World Medical Journal. 2011;54(4):131-140.Google Scholar
3.Ishii, M. Fukushima nuclear power plant accidents caused by gigantic earthquake and tsunami-healthcare support for radiation exposure. The World Medical Journal. 2011;57(4):141-144.Google Scholar
4.National Police Agency. 2011. Countermeasures for the Great East Japan Earthquake. 2011. http://www.npa.go.jp/archive/keibi/biki/index.htm. Accessed November 1, 2012.Google Scholar
5.Nuclear and Industry Safety Agency. 2011. Countermeasures for the Great East Japan Earthquake. http://www.nisa.meti.go.jp/english/index.html. Accessed November 1, 2012.Google Scholar
6.Tanigawa, K, Hosoi, Y, Hirohashi, N, et al. Loss of life after evacuation: lessons learned from the Fukushima accident. Lancet. 2012;379(9819):889-891.CrossRefGoogle ScholarPubMed
7.McCurry, J. Japan's Tohoku earthquake: 1 year on. Lancet. 2012;379(9819):880-881.CrossRefGoogle ScholarPubMed
8.Nagata, T, Kimura, Y, Ishii, M. Use of a geographic information system (GIS) in the medical response to the Fukushima nuclear disaster in Japan. Prehosp Disaster Med. 2012;27(2):213-215.CrossRefGoogle Scholar
9.Lenert, LA, Kirsh, D, Griswold, WG, et al. Design and evaluation of a wireless electronic health records system for field care in mass casualty settings. J Am Med Inform Assoc. 2011;18(6):842-852.CrossRefGoogle ScholarPubMed
10.Reddick, C. Information technology and emergency management: preparedness and planning in US states. Disasters. 2010;35(1):45-61.CrossRefGoogle ScholarPubMed
11.Troy, DA, Carson, A, Vanderbeek, J, Hutton, A. Enhancing community-based disaster preparedness with information technology. Disasters. 2008;32(1):149-165.CrossRefGoogle ScholarPubMed
12.Loonsk, JW, McGarvey, SR, Conn, LA, et al. The public health information network (PHIN) preparedness initiative. J Am Med Inform Assoc. 2006;13(1):1-4.CrossRefGoogle ScholarPubMed
13.Chan, TC, Killeen, J, Griswold, W, et al. Information technology and emergency medical care during disasters. Acad Emerg Med. 2004;11(11):1229-1236.CrossRefGoogle ScholarPubMed
14. Ministry of Health, Labor and Welfare, Japan. The safety guideline for the medical informatics system version 4.1. http://www.whlw.go.jp/shingi/2010/02/dl/s0202-4a.pdf. Accessed November 1, 2012.Google Scholar
15.Inui, A, Kitaoka, H, Majima, M, et al. Effect of the Kobe earthquake on stress and glycemic control in patients with diabetes mellitus. Arch Intern Med. 1998;158(3):274-278.CrossRefGoogle ScholarPubMed
16.Ogawa, S, Ishiki, M, Nako, K, et al. Effects of the Great East Japan Earthquake and huge tsunami on glycaemic control and blood pressure in patients with diabetes mellitus. BMJ Open. 2012;2(2):e000830. doi:10.1136/bmjopen-2012-000830.CrossRefGoogle ScholarPubMed
17.Akashi, M, Kumagaya, K, Kondo, H, et al. Concerns of disaster medical assistance team (DMAT) members about troubles at the nuclear power plant: experience from the Niigata Chuetsu-Oki earthquake, July 16, 2007, in Japan. Health Phys. 2010;98(6):804-809.CrossRefGoogle ScholarPubMed
18.Brown, SH, Fischetti, LF, Graham, G, et al. Use of electronic health records in disaster response: the experience of Department of Veterans Affairs after Hurricane Katrina. Am J Public Health. 2007;S1:136-141.CrossRefGoogle Scholar