Scrum Framework and Health Solutions: Management and Results.

INTRODUCTION: Technology arrives aiming at bringing benefits to society, with aspects applied to health such as Information and Communication Technologies (ICTs). Developing a technology solution requires methodological rigor and systematic instructional design. METHOD: This experience report method used the Agile methodology for management and control of results in the development of Information and Communication Technologies. RESULTS: The Agile methodology was adopted using the Scrum framework, involving people, artifacts, and ceremonies. The Scrum team was consisted of multidisciplinary professionals and undergraduate students. Artifacts are comprised of product backlog, sprints, sprint backlog, time-box, ready concept, and release burn-down. CONCLUSIONS: The adoption of the Scrum methodology helps with the integration of roles and knowledge to a project. Moreover, it efficiently helps carrying out activities by allowing careful analysis of each stage with regard to quality, technology, and implementation.

System Management Software for Emergency Call.

Present the experience of the development of a system as an effective communication strategy between the user/requester and the mobile prehospital care service. APPROACH: It is a methodological study, fragmented into five stages, developed by health and technology professionals and students. RESULT: The five stages were followed to reach the final product. CONCLUSION: The app is groundbreaking and contributes to the safe and efficient communication with healthcare professionals and users.

Questionnaire for assessing patient safety culture in emergency services: an integrative review.

OBJECTIVE: to identify the instruments used to assess patient safety culture in emergency settings. METHOD: an integrative literature review conducted from 2000 to 2018. RESULTS: 13 instruments were identified to assess patient safety culture in hospital and pre-hospital emergencies, comprising 12 to 50 questions, grouped from three to 12 dimensions, with dimensions related to teamwork, support, and management actions for patient safety and for continuous process improvement and continuing education. The Emergency Medical Service Safety Attitude Questionnaire, which is exclusive for pre-hospital care, stands out. CONCLUSIONS: the choice and the best decision regarding the instrument are linked to the objectives, the environment and the population to be investigated, as well as the instrument's reliability.

Fatores associados à não adesão dos antirretrovirais em portadores de HIV/AIDS / Factores asociados a la no adhesión a los retrovirales de portadores de VIH/SIDA / Factors associated with non-compliance with antiretrovirals in HIV/AIDS patients

Resumo Objetivo Identificar os fatores associados à não adesão ao tratamento antirretroviral em portadores de HIV/ AIDS em um Hospital de referência em Manaus. Métodos Estudo com abordagem quantitativa, transversal de base hospitalar, desenvolvido com 100 participantes com HIV/AIDS em acompanhamento ambulatorial. Para a coleta de dados foi utilizado o questionário autoaplicável, denominado "Questionário para a avaliação da adesão ao tratamento antirretroviral em pessoas com HIV/AIDS" (CEAT-VIH). Foi realizada análise descritiva, empregado o teste de qui-quadrado de Pearson chi-square para o valor de p. Resultados Predominou o sexo masculino (57%), faixa etária entre 40 a 59 anos (34%) escolaridade de 2º Grau (49%), sem vínculo empregatício (84%), renda mensal de 1 a 3 salários mínimos (54%), solteiros (47%), heterossexuais (76%), com parceiro sexual (56%), sem vida sexual ativa (61%), tempo de diagnóstico entre 6 meses a 5 anos (59%), nenhuma internação hospitalar (59%). O nível de adesão predominante foi a média adesão (85%). As variáveis sociodemográficas que tiveram associação estatisticamente significantes com a adesão TARV foram a orientação sexual (p=0,010) e o tempo de diagnóstico (p=0,035). Conclusão O estudo mostrou que pessoas que convivem com HIV aderem a TARV, porém com média adesão e os principais fatores associados a esse resultado foram a orientação sexual e o tempo de diagnóstico.

Resumen Objetivo Identificar los factores asociados a la no adhesión al tratamiento antirretroviral en portadores de VIH/SIDA en Hospital de referencia de Manaus. Métodos Estudio con abordaje cuantitativo, transversal, de base hospitalaria, desarrollado con 100 participantes con VIH/SIDA en seguimiento ambulatorio. Datos recolectados mediante cuestionario autoaplicable, denominado "Cuestionario para evaluación de la adhesión al tratamiento antirretroviral en personas con VIH/SIDA" (CEAT-VIH). Se realizó análisis descriptivo, utilizando el test de Chi-cuadrado de Pearson Chi-square para el valor de p. Resultados Predominio de sexo masculino (57%), faja etaria de 40 a 59 años (34%), educación secundaria (49%), sin trabajo fijo (84%), ingresos mensuales de 1 a 3 salarios mínimos (54%), solteros (47%), heterosexuales (76%), con pareja sexual (56%), sin vida sexual activa (61%), tiempo de diagnóstico de 6 meses a 5 años (59%), sin internaciones hospitalarias (59%). El nivel de adhesión predominante fue la mediana adhesión (85%). Las variables sociodemográficas con asociación estadísticamente significativa con la adhesión al TARV fueron la orientación sexual (p=0,010) y el tiempo de diagnóstico (p=0,035). Conclusión El estudio mostró que las personas que conviven con VIH adhieren al TARV, aunque con mediana adhesión, y los principales factores asociados a tal resultado fueron la orientación sexual y el tiempo de diagnóstico.

Abstract Objective To identify the factors associated to non-compliance with antiretroviral treatment in HIV / AIDS patients at a reference hospital in Manaus. Methods Hospital-based, quantitative, cross-sectional study developed with 100 participants with HIV / AIDS in outpatient follow-up. For the data collection, the self-administered "Questionnaire for the evaluation of compliance with antiretroviral treatment in people with HIV / AIDS" (CEAT-VIH) was used. Descriptive analysis was performed using the Pearson chi-square to obtain the p-value. Results Male participants were predominant (57%), age between 40 and 59 years (34%), secondary education (49%), without employment bond (84%), monthly income of one to three minimum wages (54% ), unmarried (47%), heterosexual (76%), with sexual partner (56%), without active sexual life (61%), time since diagnosis between six months and five years (59%), no hospitalization (%). The predominant level of compliance was medium compliance (85%). The sociodemographic variables that revealed a statistically significant association with ARVT were sexual orientation (p = 0.010) and time since diagnosis (p = 0.035). Conclusion The study showed that people living with HIV comply with ARVT, but with medium compliance. The main factors associated with this result were sexual orientation and time since diagnosis.