DIGITAL PLATFORM FOR MANAGEMENT OF SPECIAL IMMUNOBIOLOGICALS IN PRIMARY HEALTH CARE

Braga, Cláudia Carolina Costa; Parada, Cristina Maria Garcia de Lima

doi:10.1590/1980-265X-TCE-2023-0233en

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Special Section • Texto contexto - enferm. 32 • 2023 • https://doi.org/10.1590/1980-265X-TCE-2023-0233en copy

DIGITAL PLATFORM FOR MANAGEMENT OF SPECIAL IMMUNOBIOLOGICALS IN PRIMARY HEALTH CARE

PLATAFORMA DIGITAL PARA LA GESTIÓN DE INMUNOBIOLÓGICOS ESPECIALES EN ATENCIÓN PRIMARIA DE SALUD

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to develop and validate a digital platform for managing special immunobiologicals in Primary Health Care.

Method:

this is a methodological study, carried out in Campinas/SP, Brazil. The platform development took place between July and December 2021. Between April and October 2022, simulation and validity were carried out by professionals, applying an instrument containing statements referring to the ISO/IEC 25010 standard characteristics and sub-characteristics, judged as in agreement, disagreement or does not apply. Values of characteristics and subcharacteristics were estimated, considering the minimum value of 70% of positive answers to be adequate. Characteristics and subcharacteristics that did not reach the minimum value had their justifications categorized according to changes made.

Results:

the platform was called ConectAPS-CRIE. Login, Home Dashboard, Users, Units, Immunobiological, Patients, Requests, Reports and Help areas were developed. When validated by nurses, the Accessibility (66.7%) and Protection Against Error (66.7%) subcharacteristics were considered inadequate. Information technology professionals considered the Reliability characteristic (52.8%) and the Functional correctness (69.2%), Accessibility (37.5%), Error protection (40%), Integrity (59.1%) and Non-repudiation (66.7%) sub-characteristics to be inadequate. The categories of justifications reported and changed were: disappearance of patients’ record when changing it; access to the system using only a password; lack of accessibility characteristics; lack of validity of personal data; exclusion of patients with a registered request; inclusion of a request without patient registration; layout and text message adjustment in the Attach File function; request disconnected from the requesting user’s unit.

Conclusion:

the platform can facilitate the management of requests for special immunobiologicals in Primary Care and its validity has allowed it to be improved.

DESCRIPTORS:
Nursing informatics; Biomedical technology; Software; Software validation; Vaccination; Immunization programs

Area	Access	Functions
Login	All	Fill in username and password for access.
Home Dashboard	All registered users	Welcome message and number of requests, patients, units and registered immunobiological. Instructions on how the platform works and sidebar with icons for accessing other areas.
Users	Administrators only	List of registered users and their data, making it possible to change, delete or register new users to access the platform.
Units	Administrators only	List of registered units, making it possible to change, delete and register new units. They can be filtered by name, district, city or state.
Immunobiological	Administrators only	List of registered immunobiological, making it possible to change, delete, register new vaccines and filter them by name.
Patients	All users, restricted to the unit in which they are registered	List of registered patients, making it possible to change, delete, insert new ones and filter by patient data. When entering a new one, there is a place to fill out patients’ registration, with name, date of birth, sex, mothers’ name, color, profession, address, telephone, Brazilian Health System (SUS - Sistema Único de Saúde) card, Identification (ID) card or Birth Certificate and underlying illness or risk condition.
Requests	All users, restricted to the unit in which they are registered	List of vaccines already requested for each patient, including the requesting unit, vaccine, date of birth, age and request status. For each request there are four icons in the Actions field: Status (view of order status history), Attachments (view of the file attached to the request or possibility of attaching other files), View (issues individual report with patient and request data, being possible to print), Change (request edit) and Delete. There is the Insert New icon to add a new request.
Reports	All users, restricted to the unit in which they are registered	List of all requests, which can be filtered by BHU, immunobiological, status, patient name, date of birth, age and justification. There is the Print icon, which allows to print.
Help	All registered users	Access to the platform usage tutorial and link to the CRIE Manual.55. Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Imunização e Doenças Transmissíveis. Manual dos centros de referência para imunobiológicos especiais [Internet]. Brasília: Ministério da Saúde; 2019[cited 2023 Aug 19]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/manual_centros_imunobiologicos_especiais_5ed.pdf https://bvsms.saude.gov.br/bvs/publicaco...

Characteristic	Subcharacteristics	Nurses			IT professionals
Characteristic	Subcharacteristics	Answers in agreement	Total answers	*SCV (%)	Answers in agreement	Total answers	*SCV(%)
Functional adequacy	Functional integrity	17	18	94.4	15	17	88.2
	Functional correctness	24	27	88.9	18	26	69.2
	Functional fitness	9	9	100	8	9	88.9
	†CV	-	-	94.4	-	-	82.1
Reliability	Maturity	6	6	100	4	8	50.0
	Fault tolerance	2	2	100	2	6	33.3
	Recoverability	1	1	100	3	6	50.0
	Availability	5	5	100	7	9	77.8
	†CV	-	-	100	-	-	52.8
Usability	Adequacy recognition	27	27	100	37	40	92.5
	Learnability	26	26	100	24	28	85.7
	Operability	18	18	100	15	18	83.3
	Accessibility	6	9	66.7	3	8	37.5
	Error protection	4	6	66.7	4	10	40.0
	User interface Aesthetics	18	18	100	19	20	95.0
	†CV	-	-	88.9	-	-	72.3
Performance efficiency	Time	18	18	100	19	19	100
	Resources	9	9	100	10	10	100
	Capacity	16	18	88.9	19	24	79.2
	†CV	-	-	96.3	-	-	93.1
Compatibility	Interoperability	9	12	75.0	8	9	88.9
	Coexistence	5	6	83.3	5	6	83.3
	†CV	-	-	79.2	-	-	86.1
Security	Confidentiality	8	8	100	9	9	100
	Integrity	16	19	84.2	13	22	59.1
	Non-repudiation	8	9	88.9	2	3	66.7
	Accountability	11	13	84.6	8	10	80.0
	Authentication	6	6	100	6	7	85.7
	†CV	-	-	91.5	-	-	78.3
Ease of maintenance	Analyzability	-	-	-	5	6	83.3
	Modifiability	-	-	-	3	4	75.0
	Testability	-	-	-	3	4	75.0
	Modularity	-	-	-	3	4	75.0
	Reusability	-	-	-	5	6	83.3
	†CV	-	-	-	-	-	78.3
Portability	Adaptability	-	-	-	5	6	83.3
	Installability	-	-	-	5	5	100
	Ability to replace	-	-	-	3	4	75.0
	†CV	-	-	-	-	-	86.1

Justification category	Characteristic/subcharacteristic	Professionals
I- Disappearance of patient record when changing it	Functional adequacy/functional correctness	P2, P2, P8, P7
	Reliability/ maturity	P1
	Security/integrity	P8
II- Access to the system using password only	Functional adequacy/functional correctness	P2
II- Access to the system using password only	Security/integrity	P8
III- Lack of accessibility resources	Usability/accessibility	E2, E8, P2, P5, P6, P9
IV- Lack of validity of personal data	Functional adequacy/functional correctness	P8, P2, P7, P6
IV- Lack of validity of personal data	Usability/error protection	E2, P1, P2, P8
V- Exclusion of a patient with a registered request	Functional adequacy/functional correctness	P2
V- Exclusion of a patient with a registered request	Security/integrity	P2, P7
VI- Inclusion of request without patient registration	Usability/error protection	P7
VII- Layout and text message adjustment in the Attach File function	Functional adequacy/functional correctness	P2
VIII- Request unlinked to the requesting user’s unit	Functional adequacy/functional correctness	P2

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] CORRESPONDING AUTHOR
Cláudia Carolina Costa Braga claudia.braga@unesp.br