Aplicativo para dispositivo móvel direcionado aos usuários das Unidades de Pronto Atendimento (UPA) 24 horas de Curitiba

Abstract

The 24-hour Emergency Care Units (UPAs) in Curitiba were implemented with the main purpose of assisting patients in urgency/emergency situations. However, due to the fact that most of the pathologies, in any severity, were attended in a shorter time with the immediate accomplishment of certain tests (laboratory, radiography and electrocardiogram), in relation to Basic Health Units (UBS), UPAs became overcrowded with frequent conflicts between patients and health professionals. In order to meet the users according to the degree of severity of the clinical condition, the UPAs organize the queue based on the Manchester Protocol. In the screening ward, the nursing team separates the patients by levels/colors, in relation of a maximum time for the first contact with the doctor. However, the lack of understanding about this process generates discussions, since everyone wants to be attended quickly, and the exacerbated number of people seeking assistance in the units, especially presenting non-urgent/ emergent clinical conditions, cause even greater deadlines for servisse, compromising the assistance of serious cases. Based on the problems caused by overcrowding and lack of information, an Android system mobile application (app) was created in this Project, using Microsoft Visual Studio software on the Xamari.Forms integration platform. This application offers data about the location of the UPAs and its routes, definition of the risk classification and the symptoms belonging to it, number of patients awaiting care by classification, explanation of technical terms and general information of operation. The app has been made available on the Google Play Store platform in closed mode for participants released through their emails. To review the benefits, usability, ease and quality of the app, 51 people responded to the usability test by Google.Forms. The results indicated high public acceptance, considering that only between 1 and 3 people were unfavorable to the characteristics of the application. Some indications of changes made by participants, such as decreasing the size of the application, are very useful and will be considered in a possible continuity of the project. It was concluded that this application can be of great assistance to the population that uses these emergency services in Curitiba.