A implantação e operacionalização do sistema prontuário digital em pronto-atendimentos AMA no município de São Paulo

• Ano de defesa: 2016
• Autor(a) principal: Ribeiro, José Eduardo [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Public health informatics; Electronic health record; Technology of information; Informática em saúde pública; Registros eletrônicos de saúde; Tecnologia da informação
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=4948451; http://repositorio.unifesp.br/handle/11600/47650

Introduction: The health sector is permeated by information systems for operation, developed and applied to management. This essay is the result of a study about the "digital paper" in use on segment of the public health system in São Paulo. It?s a Digital Health Record system, an innovative technology that provides registration and storage information of the patients, scanning a handwritten of the health care professionals during the assistance. Objectives: The aim was to search the deployment and operation, to evaluate the effectiveness into the information system as tool within professional in their routines of the work process and how his contribution of these technology into the assistance under the point of view of the health care professional, to whom the system was made. Methods: In the methodology used, exploratory and descriptive, 1211 health care professionals that had been worked in all health care units, including managers, physicians and nurses. They were invited to participate in their categories of the research, answering queries by Internet about the ?digital paper?. Furthermore, to improve the knowledge of the theme, it was realized a review in the specific literature with articles on similar technology deployed in home health care, pre-hospital and hospital attendance at overseas. Results: 145 professionals responded to applied research, 11.97 percent of them. Of the answers, highlight that 75.8 percent of the managers knew information systems in health and 57.6 percent took the management of AMAs before the system was deployment, 63.6 percent said they were informed and / or consulted on new development plans and 51.5 percent received training; 54.5 percent of the managers answered that occurring falls or flashes during the attendance. Nurses responded that 85.7 percent of them make daily use of the digital pen, 42.9 percent agreed partially to the fields and spaces for notes are enough for notes and 18.4 percent often recover data / information of patients. About the system performance, 14.3 percent of nurses evaluated the great and 55.1 percent as good. 79.4 percent of physicians daily use digital pen and 42.9 percent partially agree that the existing fields and spaces are sufficient for your notes; as the rescue information of patients, 41.3 percent answered rarely. The evaluation of system performance resulted in 6.3 percent of physicians responded very good and 27 percent as good; 52.4 percent of these physicians prefers to use the computer. Conclusion: The conclusion was that the Digital Health Record is a system that provides innovative and advanced technology as deployed and in operation, nonetheless, it?s not fully utilized on his high potential and requires continuous and interactive development to increase its effectiveness. There are critical success factors that must be identified, therefore, are essential for the full operation of systems, concomitant establishing measurable goals and initiatives that are designed to increase its effectiveness. The situational diagnosis is essential to stimulate the full use of this technology, contributing for his enhancement.