Analysis of the J-SPEED/Emergency Medical Team Minimum Data Set of Japan

2023 Fiscal Year Final Research Report

• Project/Area Number: 21K09020
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 55060:Emergency medicine-related
• Research Institution: Hiroshima University
• Principal Investigator: Kubo Tatsuhiko 広島大学, 医系科学研究科(医), 教授 (00446121)
• Project Period (FY): 2021-04-01 – 2024-03-31
• Keywords: J-SPEED / 災害医療 / DMAT / Emeregency Medical Team / WHO EMT Minimum Data Set / Operational Epidemiology

Outline of Final Research Achievements

Japan improved disaster response following the 2011 Great East Japan Earthquake, revealing challenges from the lack of standard medical record forms for Emergency Medical Teams (EMTs). Without daily report form, the EMT Coordination Cell (EMTCC) couldn’t gather the number and type of patients. In response, the Joint Committee on Medical Records during Disasters has been formed, introducing the "Disaster Medical Record" and "J-SPEED" forms as standards. J-SPEED proved effective during the 2016 Kumamoto Earthquake, ensuring consistent recording and transfer of medical data. It swiftly provided insights into patient demographics and disease patterns among EMT-treated cases. Based on the methodology, the WHO has developed the EMT Minimum Data Set (MDS). The MDS had been activated in global disaster responses, including during Cyclone Idai in Mozambique (2019). This research has analyzed J-SPEED data of Japan and MDS data from Mozambique, and published six original papers.

Free Research Field

公衆衛生学

Academic Significance and Societal Importance of the Research Achievements

災害医療分野においては、従来、患者データ収集は困難とみなされていた。この状況を一変させたのがJ-SPEED診療日報であり、熊本地震以降の災害において診療データに基づく災害医療調整が行われるようになった。加えて、J-SPEEDの手法はWHO国際標準として採用されたため、海外においても同様のデータが蓄積されることとなった。本研究はモザンビーク保健省の研究参加も得て、我が国およびモザンビークで蓄積されたJ-SPEED/MDSを解析し、６本の原著論文として発表された。同論文によって得られた知見は、今後の災害対応において国内外を問わず参照されていくエビデンスとなる。