JP6692787B2 - Emergency transport support device and emergency transport support program - Google Patents

Description

  The present invention relates to an emergency transportation support device and an emergency transportation support program capable of selecting a medical institution at the time of emergency transportation of an injured person.

  When an injured person is to be transported by emergency, even if a request is made to a hospital, which is a medical institution, it may be refused due to various circumstances, and it may be difficult to determine the destination hospital. Therefore, various devices have been proposed as devices for deciding a hospital to be transported.

  For example, in the rescue support system described in Patent Document 1, the types / conditions / procedures / rescue points of the injury / illness that are patient data, the address / specialized subject / vacant bed information / hands of the doctor in charge of the emergency designated hospital that is the hospital data. Specialized items for hospitals by accumulating the processed points by multiplying the available ratio, the position information data (GPS) of the ambulance crew, the activity status of the crew, by the ratio given according to each attribute. If the result matches that of the patient's injury or illness, the doctor can deal with it, and there is an empty bed, the hospital closest to the hospital is selected from the position information of the ambulance crew data and the hospital data.

  In addition, the emergency transportation support system and terminal described in Patent Document 2 are terminals installed in an ambulance or held by an ambulance crew, and the results of acceptance of emergency transportation in hospitals transmitted from this terminal for each of a plurality of hospitals. In the database, and when a terminal inquires about the acceptance response status of emergency transportation, the emergency response acceptance result data stored in the database is used to generate the emergency transportation acceptance response data at the hospital. , And an information management device for transmitting to a terminal possessed by emergency personnel.

International Publication No. 2013/065113 JP2012-008778A

In the rescue support system described in Patent Document 1, hospital data indicating vacant bed information, availability of doctors in charge, and the like are used as one element for determining the transport destination. However, the hospital data must always be kept up to date, and busy hospital staff can reflect the presence or absence of doctors who can handle the ever-changing victims and the status of empty beds in the database. It is difficult.
In addition, even if the doctor in charge is available and the doctor in charge is absent or the doctor's hand is blocked, even in the case of emergency transportation, even if it is a non-specialized injury or illness, other doctors may accept it at their discretion. is there. However, the discretionary range is not publicly disclosed, which makes it difficult to decide which medical institution or doctor to carry.

In the emergency transportation support system described in Patent Document 2, as a “responding result”, when the department calls the department in charge of the medical department of the hospital and inquires about the acceptance of the emergency transportation of the patient, the hospital sends the patient to the hospital. When the response to the emergency transportation is acceptable, it is “acceptable”, and when the hospital refuses the emergency transportation of the patient to the hospital, it is “not acceptable”.
Therefore, the ambulance crew will have to keep a record even if they are unacceptable, increasing the work procedure of the ambulance crew.

  Therefore, the present invention provides an emergency transfer support device and an emergency transfer support program capable of accurately determining a medical institution to be transferred without relying on information from the medical institution side and without increasing the work procedure of emergency personnel. The purpose is to provide.

  The emergency transportation support device of the present invention is emergency transportation data indicating information regarding emergency transportation described in the emergency activity record form, and transfer date and time data indicating the date and time when the injured person was transferred to the medical institution side from the emergency personnel, Includes medical institution name data indicating the name of the medical institution that accepted the injured person, doctor name data indicating the doctor who made the initial diagnosis of the injured person, and injured disease data indicating the injured condition of the injured person who was transported by emergency, and each Storage means for storing associated emergency transportation data, shift estimating means for generating a work shift corresponding to the number of times of acceptance for each doctor from the doctor name data and the transfer date and time data, and the accepted time zone, A medical doctor search means for extracting the doctor name data associated with the medical care data compatible with the medical condition of the target injured person to be transported by emergency; The extracted doctor name data, the doctor data indicating the doctor estimated to work during the emergency transportation extracted from the work shift, and the medical institution name where the doctor selected based on the number of acceptances works And a delivery destination determining means for determining a delivery destination medical institution candidate from the medical institution name data.

  The emergency transportation support program of the present invention is a computer, which is emergency transportation data indicating information about the emergency transportation described in the emergency activity record form, and the transfer date and time indicating the date and time when the injured person was transferred from the emergency personnel to the medical institution side. Includes data, medical institution name data indicating the name of the medical institution that accepted the injured, doctor name data indicating the doctor who made the first diagnosis of the injured, and injured data indicating the injured condition of the injured patient , Storage means for storing emergency transportation data associated with each other, shift estimation for generating a work shift in which the number of times of acceptance for each doctor is associated with the accepted time zone from the doctor name data and the transfer date and time data Means, medical doctor search means for extracting the doctor name data associated with the injury and illness data that matches the illness and illness status of the target victim to be transported by emergency, A doctor selected based on the doctor name data extracted by the medical doctor search means, the doctor data indicating the doctor estimated to work during the emergency transportation extracted from the work shift, and the doctor selected based on the number of acceptances work. It is characterized in that it functions as a delivery destination deciding means for deciding a candidate of a delivery destination medical institution from data of a medical institution name showing a medical institution name.

  According to the present invention, from the emergency transport data based on the emergency activity record form, a work shift is generated based on the date and time when the victim was accepted and the doctor, and the injury condition that matches the victim's disease state of the emergency victim. The doctor who accepted the injured person is searched, and from the search result and the work shift, a doctor who is able to examine the injured condition of the injured person is determined from the search results and the work shift, and the medical institution of the delivery destination is determined as a candidate. .. Therefore, the present invention does not use the information from the medical institution side that may not be sequentially updated because the emergency activity record sheet created by the ambulance crew after the emergency transportation is used as the database. Further, since the data for identifying the medical institution to be transported is the data posted on the emergency activity record sheet, the emergency personnel do not need any special judgment or work.

The shift estimation means calculates a work estimation value obtained by multiplying the number of acceptances by a weighting value increased from the past toward the present with respect to the time zone when the doctor accepted the injured person, and the delivery destination determination means is A doctor having a high estimated work value can be selected.
According to this configuration, by calculating the work estimated value by multiplying the number of acceptances by the weighted value increased from the past to the present, it is possible to add the work state that changes with the years to the work shift.

The shift estimating means assigns a doctor who accepted the injured person to a day shift or a shift time including the time zone in which the injured person is accepted, and assigns a value smaller than one acceptance number as a work estimated value. The transport destination determining means can select a doctor having a high estimated work value when selecting a doctor who works at the time of emergency transport.
According to this configuration, if even one time zone for accepting the injured person is included in the time zone for the day shift and the time zone for the duty, the doctor who accepted the injured person will work during the day shift, the time zone for the shift duty. Can be presumed to be working for. Therefore, the shift estimation means assigns the doctor who accepted the injured person during the day shift and the shift time, and when the transport destination determination means selects the doctor who works during the emergency transport, the estimated work value is By selecting a doctor with a high price, it is possible to add day shifts and shifts to the selection of a doctor.

The shift estimating means extracts a doctor who works at the same medical institution from the medical institution name data and the doctor name data, and estimates the rotation of work based on the working status of the doctor in the work shift, Rotation can be assigned to the work shift.
According to this configuration, the shift estimating means estimates the doctor's rotation from the work status of the work shift and assigns the rotation to the work shift, so that the work status of the doctor can be estimated accurately.

It is possible to provide a record form generating means for generating an emergency activity record form based on the input injury / disease data indicating the injured condition of the target injured person to be transported by emergency.
According to this configuration, the record form generating means generates the emergency activity record form based on the input injury / disease data input when the victim is transported by emergency, so that the time required to create the emergency record form is shortened. be able to.

  According to the present invention, the data for identifying the medical institution of the delivery destination is used as the data to be posted on the emergency activity record sheet without using the information from the medical institution that may not be sequentially updated. Therefore, the emergency personnel do not need to make any special judgments or work, so it is possible to accurately determine the medical institution to be transferred without relying on information from the medical institution side and without increasing the work procedure of the emergency personnel. it can.

It is a figure which shows the emergency conveyance assistance system using the emergency conveyance assistance apparatus which concerns on embodiment of this invention. It is a figure for demonstrating the structure of the emergency conveyance assistance apparatus shown in FIG. It is a figure which shows a part of emergency activity record slip. It is a figure which shows an example of the work shift which a shift estimation means produces | generates. 3 is a flowchart for explaining the operation of the emergency transportation support device shown in FIG. 1. FIG. 4 is a diagram showing a state in which injury and illness data of the emergency activity record form shown in FIG. 3 is entered. It is a figure which shows an example of the weighting value which increased from the past to the present with respect to the time zone when the doctor accepted the victim. It is a figure for demonstrating rotation of the doctor who works in the same medical institution, (A) is a figure which shows an example of the work shift of the doctor who works in the same medical institution, (B) is a rotation to doctor's working condition. It is a figure which shows an example of the work shift which estimated.

An emergency transport support system using an emergency transport support device according to an embodiment of the present invention will be described with reference to the drawings.
In the emergency transport support system shown in FIG. 1, the emergency transport support device 10 installed in the fire department headquarters, the local government, or the center room C of the operating company uses the terminal device 20 carried by the ambulance crew who transports the injured person by ambulance. Information is provided via the Internet W, which is an example of a telecommunication line.

The emergency transportation support device 10 is a management server that causes a computer to operate an emergency transportation support program.
As shown in FIG. 2, the emergency transportation support device 10 includes a communication unit 11, a shift estimating unit 12, a medical doctor searching unit 13, a transport destination determining unit 14, a calendar unit 15, and a recording form generating unit 16. , Storage means 17.

The communication unit 11 has a function of inputting information from the Internet W and outputting the information to each unit in the emergency conveyance support device 10 and outputting information from each unit in the emergency conveyance support device 10 to the Internet W. I have it.
The shift estimating means 12 generates a work shift in which the number of times of acceptance for each doctor is associated with the accepted time zone from the doctor name data and the takeover date and time data.

The medical doctor searching means 13 extracts the doctor name data associated with the injury / illness data matching the injury / illness state of the target injured person to be transported by emergency.
The destination determination unit 14 is selected based on the doctor name data extracted by the doctor searching unit in charge, the doctor data extracted from the work shift, which indicates the doctor estimated to work during the emergency transfer, and the number of acceptances. From the medical institution name data indicating the name of the medical institution where the doctor works, the candidate of the medical institution of the delivery destination is determined.

The calendar means 15 outputs the current month / day, day of the week, and time.
The record form generating means 16 forms an emergency activity record form based on the data input by the emergency personnel.
The storage unit 17 stores the emergency transportation data indicating the information regarding the emergency transportation described in the emergency activity record sheet.

Here, the emergency transportation data will be described in detail with reference to the drawings.
The emergency transportation data is a database that is input and accumulated based on the emergency activity record sheet filled in by the emergency personnel who have transported the injured person to the medical institution and the doctor who has handed over the injured person from the emergency personnel.
The emergency activity record sheet shown in Fig. 3 is a form prescribed by the Fire Department, records that medical institutions have accepted the victims who were transported by the ambulance team, and passes on the information on the victims immediately after transporting to the doctor. , To record that the ambulance team delivered the victim to a medical institution.

  In the emergency activity record form, a transfer date / time column R1, a medical institution name R2, a doctor signature column R3, a participation column R4, etc. are listed in the upper row. In addition, the main complaint column R5 and the finding column R6 when the ambulance crew arrives are posted from the middle to the bottom.

The date and time entered in the transfer date and time column R1 becomes the transfer date and time data indicating the date and time when the injured person was transferred from the emergency personnel to the medical institution side.
The medical institution name entered in the accommodating medical institution name R2 becomes medical institution name data indicating the name of the medical institution that accepted the injured person.
The doctor name entered in the doctor signature field R3 becomes doctor name data indicating the doctor who made the initial diagnosis of the victim.
The information about the illness and illness entered in the main complaint column R5 and the finding column R6 when the ambulance arrives becomes the illness and illness data indicating the illness state of the injured person transported by emergency.

Next, the terminal device 20 operated by the emergency personnel will be described.
The terminal device 20 shown in FIG. 1 accesses the emergency transportation support device 10 via the Internet W and displays the information from the emergency transportation support device 10 on the display screen. For example, the terminal device 20 can be a tablet, a smartphone, or a laptop personal computer.
In the terminal device 20, a dedicated application program may be operated to access the emergency transportation support device 10, or if the information from the emergency transportation support device 10 is provided in HTML, the browsing software may be operated. You may access the emergency transportation support device 10.

The operation and usage state of the emergency transportation support device according to the embodiment of the present invention configured as described above will be described with reference to the drawings.
It is assumed that the storage means 17 shown in FIG. 2 has already stored the emergency transport data accumulated over a long period of time. Further, the shift estimating means 12 is assumed to generate the work shift based on the emergency transportation data.

As for the work shift, for example, as shown in FIG. 4, one week from Sunday to Saturday is divided from 0:00 to 24:00 into hourly intervals. The work shift indicates how many times the doctor indicated by the doctor data accepted the injured person in each time zone including the date and time indicated by the takeover date and time data.
The example shown in FIG. 4 indicates that the doctor M has accepted three times in the past during work from 4 am to 5 am on Sunday.

The ambulance team is on standby with the work shift generated.
For example, it is assumed that the target victim of emergency transportation occurs on Tuesday at 5:30 am. The ambulance crew operates the terminal device 20 shown in FIG. 1 to rush to the scene and look at the injured person, and to fill in the main complaint column R5 shown in FIG. 3 and the finding column R6 when the ambulance arrives. Then, the emergency transportation support device 10 is accessed and input (see step S10 in FIG. 5). The information entered in the main complaint column R5 and the finding column R6 when the ambulance arrives is transmitted to the emergency transportation support device 10 as input injury / illness data.

In the emergency transportation support device 10, the medical doctor searching means 13 searches the illness / illness data stored in the storage means 17 that matches the illness / illness state (input illness / illness data) input from the terminal device 20. For example, if the victim of the emergency transportation is in the supine position, the face is pale, and the patient is vomiting blood, the medical doctor searching means 13 causes the storage means 17 to read the “supine position” and the “pale position”. , "And" blood loss "are searched for injured patients (see step S20).
At this time, even if not all items match, if the injury / illness state of the items that do not match is substantially the same from a medical point of view, the medical doctor searching means 13 determines that it is “matching”. It's set up to look. Further, the medical doctor searching means 13 may output the search result at the matching rate.

Then, when a victim matching the input injury data is searched, the medical doctor searching means 13 reads out doctor name data indicating a doctor who has accepted the victim (see step S30).
For example, it is assumed that the doctor B is searched as a result of the search based on the disease data (input disease data) shown in FIG.

In the case of emergency transportation, it is not always the case that a specialist is in charge, and acceptance of acceptance is determined by the doctor's discretion even in a non-specialized injury or illness state. However, the scope of that discretion is not publicly disclosed, and it is difficult to find a doctor whose wound condition is unprofessional but may accept it.
In the emergency transport support device 10 according to the present embodiment, the medical doctor search means 13 searches for the injury / illness data of the emergency transport data that matches the injury / illness state (input injury / illness data) input from the terminal device 20. Therefore, by searching for a doctor based on the record of acceptance in the past, it is possible to search for a doctor who has accepted this victim despite being a non-specialist victim.

The transfer destination determining unit 14 searches whether the doctor B indicated by the doctor name data searched by the medical doctor searching unit 13 is included in the work shift as doctor data.
According to the work shift shown in FIG. 4, at 5:30 am when a victim for emergency transportation occurred, doctor B accepted twice and doctor D accepted once in the past.
Therefore, since the doctor B searched by the medical doctor searching unit 13 is included in this time zone, the transfer destination determining unit 14 determines the medical institution to which the doctor B works as a transfer destination candidate (step (See S40). According to this determination, the delivery destination determining means 14 outputs the name of the doctor B, the hospital name of the medical institution in which the doctor B works, the address of this hospital, the contact information such as the telephone number, and the information about the receiving doctor. As a result, the data is transmitted to the terminal device 20 shown in FIG. 1 via the Internet W (see step S50).

  When a plurality of doctors are searched for during the emergency transportation time, all the doctors may be displayed, or the doctors may be displayed in the order of the coincidence rate of the injury / illness data.

  The emergency personnel can contact based on the telephone number of the medical institution (hospital) displayed on the terminal device 20 and can transport the injured person by ambulance by ambulance based on the address of the hospital.

  In this way, the emergency transportation support device 10 generates a work shift based on the date and time when the victim is accepted and the doctor from the emergency transportation data based on the emergency activity record sheet, and determines the injury status of the target victim who is to be emergency transported. Search for a doctor who has accepted a victim with a suitable injury and illness status, and from the search results and work shifts, determine the physician who is on duty to be able to examine the injury or illness status of the victim, and then deliver to the medical institution. Is decided as a candidate.

Therefore, in the emergency transportation support device 10, since the emergency activity record sheet created by the emergency personnel after the emergency transportation is used as the database, the information from the medical institution side that may not be updated one by one is used. Absent. Further, since the data for identifying the medical institution to be transported is the data posted on the emergency activity record form, the emergency personnel do not need to make any special judgment or work.
Therefore, the emergency transfer support device 10 can accurately determine the transfer destination medical institution without depending on the information from the medical institution side and without increasing the work procedure of the emergency personnel.

The rescue staff operates the terminal device 20 to access the emergency transportation support device 10 and instruct to create an emergency activity recording sheet, so that the recording sheet generating means 16 inputs when the victim is transported by emergency. An emergency activity record voucher is generated based on the emergency transport data (input injury / illness data) shown in FIG. 6 and transmitted to the terminal device 20.
The ambulance crew operates the terminal device 20 to print the emergency activity record sheet received from the emergency transportation support device 10 using a printing device (not shown) connected to the terminal device 20 wirelessly or by wire. You can The ambulance crew needs to prepare the ambulance activity record sheet by filling in the blanks on the ambulance activity chart printed by the printing device or by the doctor who accepted the injured person. The time can be shortened.

The work shift shown in FIG. 4 indicates how many times the doctor indicated by the doctor name data accepted the injured person in each time zone. However, the cycle of work shifts may change while doctors work for many years at medical institutions.
Therefore, the shift estimating means 12 calculates a work estimation value by multiplying the number of acceptances by the weighting value increased from the past to the present for the time period when the doctor accepted the injured person.

As the weighted value increased from the past to the present, for example, if the emergency transport data is accumulated for 10 years including this year, as shown in FIG. 7, this year is 1.0 and last year is 0.9. A weighting value is set such that it decreases by 0.1 from the present to the past (increases by 0.1 from the past to the present), such as 0.8 from the previous year. Then, it is assumed that the doctor M has received a total of 11 times, that is, four times during a certain time period nine years ago, three times eight years ago and four times five years ago. Further, it is assumed that the doctor N has received a total of 5 times, three times in the same time period four years ago, once in two years, once in one year and once in one year.
As shown in FIG. 7, the doctor M has a larger number of acceptances, but when the estimated work value in consideration of the acceptance status in recent years is calculated, the doctor M is “3.0” and the doctor N is “3. 8 ”, the doctor N has a larger value. Therefore, the delivery destination determining unit 14 selects the doctor N having a high estimated work value.

  In this way, by calculating the estimated work value by multiplying the number of acceptances by the weighted value increased from the past to the present, it is possible to add a work state that may change with the years to the work shift.

  On the other hand, doctors work at medical institutions by combining day shifts and shifts. The day shift is from 9 am to 5 pm, and the shift is from 5 pm to 9 am the next day. Therefore, if it means that the victim was accepted during the time period from 9 am to 5 pm, it can be estimated that the doctor was working day and day, and the victim could be in the time zone from 5 pm to 9 am the next day. If it means that he / she accepted, it is presumed that the doctor was on duty.

  Therefore, the shift estimating means 12 assigns the doctor who accepted the sick person to the day shift or the shift time including the time zone where the sick person is accepted, and does not actually accept the sick person. , A value less than one acceptance is assigned as the estimated work value. A value less than 1 acceptance does not mean that the doctor has actually accepted the injured person, but it is highly possible that he or she is working on a day shift or on duty. However, it can be set to 0.5.

  By doing so, even if there is only one time zone that accepts the injured person, if it is included in 8 hours during the day (day shift) and 16 hours at night (on duty), the doctor who accepts the injury will be It can be estimated that they are working in the obi or the shift time. Therefore, when the shift estimating means 12 allocates the doctor who accepted the sick and injured during the day shift and the shift time, and the delivery destination determining means 14 selects the doctor who works during the emergency delivery, the work estimation is performed. By selecting a doctor with a high value, it is possible to add day shifts and shifts to the selection of the doctor.

To calculate the estimated work day shift or shift duty, the estimated work shift may be calculated by adding the daily shift / shift duty from the work shift for one week generated from the emergency transport data, or 1 week per year from the emergency transport data. It is also possible to generate a work shift for a minute, calculate a work estimated value in consideration of the day shift and shift work, and then group the work shifts for one week for each year.
When calculating the estimated work value by a work shift for one week each year, as shown in FIG. 7, the estimated work value may be added with a weighted value for each year in which acceptance occurs.

Next, estimation of work shifts by rotation of doctors' work will be described.
The shift estimating means 12 extracts a doctor who works in the same medical institution from the medical institution name data and the doctor name data, and when the doctors work in the same medical institution, the working status of the doctor in the work shift. Estimate work rotations based on, and assign rotations to work shifts.

In the example shown in FIG. 8A, the work shift from Sunday to Saturday is from 17:00 to 24:00 on Wednesday, from 0:00 to 9:00 on Thursday, from 9:00 to 17:00 on Friday, It is assumed that no victims were accepted on Saturday from 9:00 to 17:00.
From the work shift shown in FIG. 8 (A), it can be seen that after a doctor has made a day shift, he / she goes straight to the duty and is handed over to the next doctor. The order is rotation from doctor P to doctor Q, doctor Q to doctor R, and doctor R to doctor P.

  Therefore, as shown in FIG. 8 (B), the shift estimating means 12 is on duty at 17:00 to 24:00 on Wednesday and 0:00 to 9:00 on Thursday to see the doctor Q as to the time period when there was no acceptance. It can be estimated that the doctor P is working at 9: 00-17: 00 on Friday, and the doctor P is working at 9: 00-17: 00 on Saturday. It can be presumed that

  In this way, the shift estimating means 12 estimates the rotation of the doctor from the work status of the work shift and allocates the rotation to the work shift, so that the work status of the doctor can be accurately estimated.

  In the present embodiment, the emergency transportation support device 10 is connected to the terminal device 20 via the Internet W, and provides information by access from the terminal device 20. However, the terminal device 20 may be provided with the function of the emergency transportation support device 10 so that the terminal device 20 does not perform communication via the Internet W but performs the processing locally.

  INDUSTRIAL APPLICABILITY The present invention is suitable for supporting emergency personnel who carry out emergency transportation.

10 Emergency Transport Support Device 11 Communication Means 12 Shift Estimating Means 13 Responsible Doctor Searching Means 14 Transport Destination Determining Means 15 Calendar Means 16 Record Form Generating Means 17 Storage Means 20 Terminal Device C Center Room W Internet R1 Handover Date / Time Column R2 Medical Institution Name R3 Doctor signature column R4 Participation column R5 Main complaint column R6 Finding column when the ambulance crew arrives

Claims (2)

It is the emergency transport data showing the information about the emergency transport described in the emergency activity record form, and the transfer date and time data indicating the date and time when the injured person was handed over to the medical institution side from the emergency personnel and the medical institution name that accepted the injured person The medical institution name data indicating, the doctor name data indicating the doctor who made the first diagnosis of the injured person, and the injured disease data indicating the injured condition of the injured patient are stored, and the associated emergency transfer data is stored. Storage means,
From the doctor name data and the transfer date and time data, a shift estimating means for generating a work shift in which the number of acceptances for each doctor is associated with the accepted time zone,
A medical doctor searching means for extracting the doctor name data associated with the injury / illness data matching the injury / illness state of the target injured person to be transported by emergency;
A doctor selected based on the doctor name data extracted by the responsible doctor search unit, the doctor data indicating the doctor estimated to work during the emergency transportation extracted from the work shift, and the doctor selected based on the number of acceptances An emergency transportation support device comprising a transportation destination determining means for determining a candidate of a transportation destination medical institution based on medical institution name data indicating a medical institution name. Computer,
It is the emergency transportation data showing the information about the emergency transportation described in the emergency activity record form, and the transfer date and time data indicating the date and time when the injured person was handed over to the medical institution side from the emergency personnel and the medical institution name that accepted the injured person The medical institution name data indicating, the doctor name data indicating the doctor who made the first diagnosis of the injured person, and the injured disease data indicating the injured condition of the injured patient are stored, and the associated emergency transfer data is stored. Storage means,
Shift estimating means for generating a work shift corresponding to the number of times of acceptance for each doctor from the doctor name data and the takeover date and time, the accepted number of times,
A medical doctor searching means for extracting the doctor name data associated with the injury / illness data matching the injury / illness state of the target injured person to be transported by emergency;
A doctor selected based on the doctor name data extracted by the doctor in charge searching means, the doctor data extracted from the work shift indicating the doctor estimated to work during emergency transportation, and the doctor selected based on the number of times of acceptance An emergency transport support program that functions as a transport destination determining unit that determines a candidate for a transport destination medical institution based on medical institution name data indicating a medical institution name.

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