A Bed-Management System Proposal for the Urgent and Emergency Care System of a Municipal Health Network in Brazil: Technical Proposal and System Architecture

In many municipal networks, bed availability is still updated manually across non-interoperable systems, which causes delays, rework, and misallocation. This article presents a technical architecture and implementation blueprint for an Internet of Medical Things (IoMT)-enabled Emergency Medical Services (EMS) integrated real-time bed management system. Bed-mounted load cell sensors infer occupancy and temporary unavailability, reconcile these states with hospital information systems, and publish updates in real time to the bed management dashboard and to the Mobile Emergency Care Service (SAMU, Brazil’s EMS). This replaces manual status calls and improves the accuracy and speed of bed availability communication. The approach aligns with the cybersociety and IoMT concepts and provides a continuous data stream for hospital quality indicators. In this proposal, the accumulation of data over time enables strategic analysis that supports resource optimization and continuous improvement in health services.