Desenvolvimento do Módulo de Oftalmologia para o Prontuário Eletrônico do Paciente do Hospital São Paulo
Data
2022-10-25
Autores
Silva, João Teofilo da 
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
É necessário garantir o cumprimento dos requisitos legais já existentes no
Prontuário Eletrônico do Paciente (PEP) do Hospital São Paulo (HSP), tais como:
processos de acesso, fontes de dados, dados mínimos, rastreamento de ações,
cópias de segurança, controle de edição, manutenção e restauração encontram-se
explícitos no item requisitos tecnológicos. Objetivo: Criar um piloto para o Módulo do
Prontuário Eletrônico do Paciente em Oftalmologia e Manual de Usabilidade para
atender as demandas dos profissionais e pacientes da referida área no cenário do
Hospital São Paulo. Metodologia: Trata-se de uma pesquisa tecnológica descritiva,
exploratória, prospectiva de abordagem quantitativa. O estudo foi desenvolvido no
Departamento de Oftalmologia em parceria com o Departamento de Informática em
Saúde, setor de Tecnologia da Informação do Hospital São Paulo e Comissão de
Revisão de Prontuários do HSP. O período da pesquisa ocorreu entre janeiro de
2020 a março de 2022. Uma revisão bibliográfica estudou normas, requisitos
tecnológicos, métodos e técnicas de usabilidade e funcionalidades para criação do
Módulo PEP Oftalmologia. Foram utilizadas bases de dados bibliográficas Medline e
Web of Knowledge, como fonte de busca por meio dos Descritores em Saúde a
partir da Biblioteca Virtual em Saúde. Para constituir a equipe multidisciplinar de
estudo e discussão sobre os aspectos relevantes para elaboração dos requisitos
tecnológicos do PEP Oftalmologia, foram selecionados profissionais com base nos
seguintes critérios: estar atuando na gestão e assistência nos Departamentos de
Oftalmologia e Informática em Saúde, bem como no setor de TI do Hospital São
Paulo; estar atuando em atividades teórico-práticas do PEP do Hospital São Paulo;
ter expertise na referida temática. Resultados: Após discussão, análise e seleção
dos aspectos relevantes do Módulo PEP Oftalmologia, o passo seguinte foi
elaborado um piloto deste Módulo, determinando requisitos tecnológicos destinados
à atuação administrativa e assistencial do cuidado para equipe de saúde em cenário
hospitalar. As telas do PEP foram desenhadas e apresentadas na forma de
imagens, incluindo respectivas funcionalidades, acesso, organização e segurança
dos dados, layout e navegação do usuário. Um manual de usabilidade para
capacitação foi desenvolvido a partir do piloto; descrito e apresentado neste estudo.
Conclusões: Foi possível construir módulos adicionais do PEP Hospital São Paulo
xiii
com sucesso. Assim, incorporaram-se novos componentes e funcionalidades.
Sobretudo em hospitais universitários, esta prática é uma necessidade premente;
outrossim, deve-se estar em constate avanço a fim de atender às exigências do
mercado de trabalho e busca por atuação eficaz em relação à gestão da informação
por parte da tecnologia.
It is necessary to ensure compliance with existing legal requirements in the Electronic Patient Record (PEP) of Hospital São Paulo (HSP), such as: access processes, data sources, minimum data, tracking of actions, backups, editing, maintenance and restoration are explicit in the item technological requirements. Objective: to create a pilot for the Electronic Patient Record Module in Ophthalmology and Usability Manual to meet the demands of professionals and patients in that area in the scenario of Hospital São Paulo. Methodology: this is a descriptive, exploratory, prospective technological research with a quantitative approach. The study was developed at the Department of Ophthalmology in partnership with the Department of Health Informatics, the Information Technology sector of Hospital São Paulo and the HSP Medical Records Review Commission. The research period took place between January 2020 and March 2022. A bibliographic review studied norms, technological requirements, usability methods and techniques and functionalities for creating the PEP Ophthalmology Module. Medline and Web of Knowledge bibliographic databases were used as a search source through the Health Descriptors from the Virtual Health Library. To form the multidisciplinary team to study and discuss the relevant aspects for the elaboration of the technological requirements of the PEP Ophthalmology, professionals were selected based on the following criteria: to be working in the management and assistance in the Departments of Ophthalmology and Health Informatics, as well as in the sector of IT at Hospital São Paulo; to be working in theoretical-practical activities of the PEP of Hospital São Paulo; have expertise in that topic. Results: after discussion, analysis and selection of the relevant aspects of the PEP Ophthalmology Module, the next step was to prepare a pilot of this Module, determining technological requirements for the administrative and care performance of the healthcare team in a hospital setting. The PEP screens were designed and presented in the form of images, including respective functionalities, access, organization and security of data, layout and user navigation. A usability manual for training was developed from the pilot; described and presented in this study. Conclusions: it was possible to successfully build additional modules of the PEP Hospital São Paulo. Thus, new components and functionalities were incorporated. xv Especially in university hospitals, this practice is a pressing need; on the other hand, there must be constant progress in order to meet the demands of the job market and the search for effective action in relation to the management of information by technology.
It is necessary to ensure compliance with existing legal requirements in the Electronic Patient Record (PEP) of Hospital São Paulo (HSP), such as: access processes, data sources, minimum data, tracking of actions, backups, editing, maintenance and restoration are explicit in the item technological requirements. Objective: to create a pilot for the Electronic Patient Record Module in Ophthalmology and Usability Manual to meet the demands of professionals and patients in that area in the scenario of Hospital São Paulo. Methodology: this is a descriptive, exploratory, prospective technological research with a quantitative approach. The study was developed at the Department of Ophthalmology in partnership with the Department of Health Informatics, the Information Technology sector of Hospital São Paulo and the HSP Medical Records Review Commission. The research period took place between January 2020 and March 2022. A bibliographic review studied norms, technological requirements, usability methods and techniques and functionalities for creating the PEP Ophthalmology Module. Medline and Web of Knowledge bibliographic databases were used as a search source through the Health Descriptors from the Virtual Health Library. To form the multidisciplinary team to study and discuss the relevant aspects for the elaboration of the technological requirements of the PEP Ophthalmology, professionals were selected based on the following criteria: to be working in the management and assistance in the Departments of Ophthalmology and Health Informatics, as well as in the sector of IT at Hospital São Paulo; to be working in theoretical-practical activities of the PEP of Hospital São Paulo; have expertise in that topic. Results: after discussion, analysis and selection of the relevant aspects of the PEP Ophthalmology Module, the next step was to prepare a pilot of this Module, determining technological requirements for the administrative and care performance of the healthcare team in a hospital setting. The PEP screens were designed and presented in the form of images, including respective functionalities, access, organization and security of data, layout and user navigation. A usability manual for training was developed from the pilot; described and presented in this study. Conclusions: it was possible to successfully build additional modules of the PEP Hospital São Paulo. Thus, new components and functionalities were incorporated. xv Especially in university hospitals, this practice is a pressing need; on the other hand, there must be constant progress in order to meet the demands of the job market and the search for effective action in relation to the management of information by technology.