ABSTRACT The focus of this work was to research the physiotherapeutic parameters recommended by the various official health bodies in Brazil for the treatment of patients affected by the COVID-19 virus, aiming to better guide UFRN design engineers in the design and development of a low-cost portable mechanical ventilator prototype. that is effective, safe and ready to meet the minimum health requirements necessary to successfully apply for registration with ANVISA (National Health Surveillance Agency). The methodology adopted was hypothetical-deductive, approaching descriptive and applied research. As results, the tests and validation of the initial hypotheses are presented, associated with technical information on the suggested adjustments so that the ventilators meet the minimum medical-physiotherapy needs. Considering that the requirements are not limited to the health area, but also involve engineering constraints, a flowchart guide was developed addressing the bureaucratic steps and engineering standards that need to be consulted and adopted. Additionally, the contributions arising from this research culminated in the filing of a patent for the innovative low-cost equipment. It is also noteworthy that the ventilator provides, in an unprecedented way, a very important physiotherapy alarm that corresponds to the. driving pressure and which is non-existent, even in the most sophisticated commercial ventilators. This means that it has a strong potential to prevent deaths from serious lung injuries. Overall, it is concluded that a few details remain to be fulfilled concerning the medical-physiotherapy field, but are easy to implement, so that the ventilator is ready to face pre-clinical studies in animal models, followed by clinical studies in humans. Therefore, the main adjustments refer to the sound implementation of some alarms. It will be essential to include the assisted mode to use during weaning. It is also concluded that it is necessary to increase the size of the bellows from 1000 ml to 1200 ml to meet AMIB requirements so that the minute volume reaches up to 70 liters/minute. Finally, although the scientific community, to date, does not recommend the use of a single traditional equipment to ventilate more than one patient, with the new ventilator design that is the focus of this research it is concluded that this challenge has been overcome, as it does allow ventilate two differentiated lungs respecting the individuality of each patient and without risk of cross-contamination.

This study focuses on Permanent Health Education (EPS) for professionals from the Unified Health System (SUS). This is a descriptive research, with a qualitative approach, with a transversal temporality and with an action-research proposal. This study aims to develop educational resources on the nutritional approach in Autism Spectrum Disorder (ASD) for SUS professionals, through Telehealth. The research was carried out in a virtual environment, through the application of a digital questionnaire following the recommendations of the General Data Protection Law and circular nº 2/2021/CONEP/CNS/MS. The data collection period took place in May 2023, the sample of the study population was chosen for convenience and involved nutritionists working in the Multiprofessional Primary Care Teams (eMulti), former Support Center for Family Health and Primary Care ( NASF-AB), present in an instant messaging application group. Initially, a literature review and situational diagnosis were carried out through the application of a semi-structured questionnaire. Within the questionnaire, three open questions were sent about the challenges and interests of nutritionists about ASD, these responses will serve as the basis for the elaboration of a course and a web lecture on the learning platform of the Unified Health System (AVASUS). The open responses of the questionnaire were analyzed using the IRAMUTEQ software, through content analysis through word clouds and similarity analysis. Closed questions were analyzed using the SPSS for Windows program, version 18.0 (SPSS Inc. Chicago, United States) and Excel (2007), only for the elaboration of expanded summaries, in which basic statistics were extracted, only at that moment the choice was made. if by a quantitative-qualitative approach. The study pointed out that there is a lack of interaction between multidisciplinary teams to share knowledge and a high demand for courses and training regarding knowledge involving nutrition in autism. Having food selectivity as the theme of greatest interest, followed by supplementation, nutritional therapy and food allergy. Subsequently, the course and web lecture will be produced on the AVASUS platform, and disseminated on the websites and social networks of the Federal University of Rio Grande do Norte (UFRN), the Laboratory of Technological Innovation in Health (LAIS), the Department of Distance Education of UFRN (SEDIS), State Department of Public Health of Rio Grande do Norte (SESAP) partners in this study.

Introduction: The Brazilian Company of Hospital Services – Ebserh currently manages 41 Federal University Hospitals (HUF), which constitute the largest hospital complex in the country. Aiming at improving the management of these hospitals and considering the heterogeneity of existing practices and processes related to care regulation, a Processes and Practices Notebook was created with the objective of supporting hospitals in the qualification of care regulation management processes. Within the scope of the notebook, twelve processes were mapped, among which the bed management process stood out due to the need for greater theoretical depth due to the relevance and complexity of this topic for hospitals. Objective: to understand the construction of the Care Regulation Processes and Practices Notebook in the Ebserh Network and the strategies for the bed management process in hospitals. Method: The study was carried out in two stages. In the first stage, a study was carried out with a qualitative approach of the experience report type lived in the construction of the Processes and Practices Notebook of the assistance regulation of the Ebserh Network; In the second stage, an integrative literature review was carried out on strategies for the bed management process in hospitals. Results: With regard to the experience report, it was possible to describe how the Document of Processes and Practices of care regulation was built, which consolidates recommended practices to be followed by the entire Ebserh Network, in addition to the experience of supporting the implementation of these practices in a pilot hospital. Regarding the integrative review, it was possible to verify that the strategies for the bed management process in hospitals cover the following general themes: simulation modeling techniques; implementation of internal management of hospital beds and use of information systems. Conclusion: The study carried out made it possible to understand the management of processes related to care regulation in the HUF of the Ebserh Network. It was possible to understand how the mapping of processes, the construction of flows, the definition of best practices took place, in addition to the experience of supporting the implementation of the notebook in a hospital in the Network. Furthermore, it was possible to study in detail strategies for the bed management process which help managers in decision-making, considering that the theme encompasses a set of highly complex processes.

Hospitals are structures with high complexity and constant incorporation of new technologies, reflecting the need for management methods that adapt to different scenarios. The supply management in these organizations aims to guarantee the availability of materials and products, despite the financial limitations and obstacles inherent to the activity. The application of the Lean methodology in this segment aims at simplifying and speeding up activities, improving the understanding of processes and their results. Linked to Business Intelligence (BI), it is possible to improve processes through the use of information and knowledge management, in addition to making the results achieved by the team visible. Therefore, the development of this research aims to identify whether, through the application of agile management techniques and BI, it would be possible to achieve better indicators in the management of a federal university hospital.

In recent years, the creation of public policies, the advancement of medicine, associated with the incorporation of new technologies, the use of increasingly effective treatments, in addition to the development of various pediatric subspecialties, combined with the proliferation of pediatric and neonatal intensive care units , contributed to change the epidemiological profile of the population, with an increase in chronic diseases, a reduction in infant mortality and a decline in acute conditions. In this context, a new approach to care emerges, aimed at assisting patients with diseases that cannot be cured through a new therapeutic concept: Palliative Care. In view of this, the present work aims to develop an educational resource on Palliative Care aimed at professionals and students in the health area and also at civil society, through the Virtual Learning Environment of the Unified Health System. It is an action-research with a qualitative approach, which is characterized by identifying and solving collective problems, through investigation based on a self-reflection of the actors and researchers involved. The research was built in two stages: analysis of the knowledge of nursing professionals about Palliative Care aimed at hospitalized children with chronic conditions carried out in 2020 and the elaboration of a pedagogical design on Palliative Care for health professionals, through the creation of a free course on the AVASUS platform. It was observed that the professionals did not understand the philosophy and objectives of Palliative Care, showing a gap in the training of professionals and emotional fragility in the face of the death process. In this way, the product of this project aims to improve the practices adopted in care, in order to instruct for Palliative Care, as well as to generate improvements in the quality of care as it may bring subsidies to support the planning of its actions and the enrichment scientific.

Introduction: Peritoneal dialysis (PD) consists of the insertion of sterile dialyzer fluid, containing glucose and electrolytes, into the peritoneal cavity through a flexible catheter (Tenckhoff catheter). The peritoneum has a filter-like function, allowing the exchange of solutes. Although it is considered a very effective treatment, Peritoneal Dialysis is still underused in Brazil. Among the various factors that contribute to the low use of PD, there is the lack of training and inexperience of the health professionals responsible for the care of this patient. Objective: To develop a Standard Operating Protocol (SOP), aimed at nurses, to standardize and improve care for pediatric patients on peritoneal dialysis. Method: This is an action research study, to be carried out with nurses who work in the Pediatric Unit of the Onofre Lopes University Hospital (HUOL), and which will consist of four stages, aiming at the production of a standard and operational protocol. training of the nursing team for its use. As this is a research involving human beings and in compliance with Resolution No. 466/12, this project will be forwarded to the Teaching and Research Management of HUOL in order to obtain authorization to carry out the study in the pediatric unit of the respective hospital, be forwarded immediately to the Ethics and Research Committee of HUOL/UFRN. Expected results: With this study, we seek to improve the knowledge of nursing professionals about the care to be provided to children and adolescents undergoing peritoneal dialysis treatment, in addition to standardizing the procedure for performing peritoneal dialysis. It is expected that there will be a significant reduction in complications and harm to patients related to the procedure

The connection between the funding of teaching hospitals and the formalization of a contract instrument, through the Descriptive Document containing the qualitative-quantitative and physical-financial goals, with city and states health managers, has a key role in the sustainability of these institutions. The monitoring of this instrument, however, presents difficulties that can compromise the fulfillment of these goals. To mitigate the risks of financial loss, this paper proposes the developing of a management, monitoring and contract evaluation application. The application will be designed from the evaluation of the contract 01/2020, of Huab-UFRN with the Municipal Health Secretariat of Santa Cruz/RN and with the Government of the State of Rio Grande do Norte, as an intervener, and intends to monitoring the four axes that regulate it: Health Assistance, Management, Teaching and Researching, and Evaluation. To support the designing of the application, an integrative literature review is under production, by the evaluation of texts published in four databases of scientific works: Biblioteca Virtual em Saúde – BVS (BIREME), Scopus, Pubmed e Web of Science. Whereas this work pretends to deliver a technological product, a technological research is also being done. A prototype of the application was designed from the categorization of the Descriptive Document. From the surveys with hospital managers and health secretariat managers, an assessment of the needs presented to define the Minimum Viable Product (MVP) will be carried out. After the delivering of the MVP, the application will be in a continuous flow of feedback to promote additions and adjustments resulting from use. After implementation, there is the potential for use in the other hospitals of the Ebserh Network and the assimilation of new elements, such as the monitoring of internal management agreements. 

Introduction: Amyotrophic Lateral Sclerosis (ALS) is a degenerative, irreversible, and limiting neuromuscular disease. Due to its rare condition and little knowledge of society, it is evident the relevance that the disclosure about this disease has for the promotion of research which can directly reflect on the health promotion of individuals living with ALS. Faced with the diversified possibilities of scientific divulgation, the audiovisual language, through the format of a web series for social media, emerges as a functional alternative given its digital and accessible characteristics. Objective: The present work has the main objective to document the experiences of individuals immersed in the reality of Amyotrophic Lateral Sclerosis with the purpose of disseminating knowledge about the disease and transforming it into an audiovisual product, the web series. Method: The study applies an action research methodology integrated into the web series production processes, with a focus on different profiles related to the disease. These profiles include patients, family members, and healthcare professionals, denoted as profiles I, II, and III, respectively, representing diverse socioeconomic backgrounds and regions across Brazil. The participants were contacted, interviewed, and based on the content of these interviews, the thematic content for the eight episodes, which encompasses the challenges of coping with Amyotrophic Lateral Sclerosis and its main issues, was defined. Result: "Parallel Stories” is an educommunication product that portrays the impact of Amyotrophic Lateral Sclerosis in a humanized and transdisciplinary manner through the audiovisual language in the form of an eight-episode web series. Final considerations: The narratives of profiles II and III demonstrate that the lack of information and knowledge about the disease is one of the detrimental factors affecting the clinical condition, and educommunication strategies are essential for updating practices, introducing new forms of care, and maintaining the quality of life for individuals living with ALS.

Introduction: Effective communication was established by the World Health Organization as an international patient safety goal, aiming to promote more qualified and safe care practices in hospital institutions. Failures in communication processes between health professionals are related to care errors that result in harm to the patient and occur mainly in care transitions. Guidelines established by the Joint Commission International suggest that the use of technological tools promotes improvements in the transfer of critical information during care transitions in the hospital context. Aims: To investigate the effectiveness of the use of medical informatics applications/electronic medical records in communication between health professionals during the care transition processes of hospitalized patients and to develop a guide to good practices based on the analyzed scientific evidence. Methods: A mixed methodology, literature review and methodological study, consisting of a systematic review research, based on PRISMA guidelines and the creation of a good practice guide for the implementation of technological tools in the transition of care in an environment hospital. The search for studies was performed and adjusted for each of the following electronic databases: Embase, Latin American and Caribbean Literature in Health Sciences (LILACS), LIVIVO, PubMed/Medline, Scopus, and Web of Science. The additional literature search included Google Scholar and PROQUEST (gray literature) searches. Randomized and non-randomized clinical trials were included that addressed the population of adult individuals of both sexes with professional training in health (Doctors, Nurses, Physiotherapists, Dentists, Nutritionists, Speech Therapists) working in hospitals and who participated in any transition of care reporting the use of any medical informatics application or electronic health records or computerized medical record systems directly related to the reporting process. Outcomes related to the reduction of adverse events and improvements in communication during transitions were evaluated. The risk of study bias was evaluated using the ROBBINS-I tool for non-randomized trials and RoB 2.0 for randomized trials. For the elaboration of the guide, the evidence brought by the analysis of data from the systematic review was considered. Results: After searching the databases, a total of 2,770 studies were identified, 10 of which were selected for analysis. Most studies reported improvements in communication, including more efficient exchange of crucial information and a reduction in transition time. However, the relationship between implementing these interventions and reducing adverse events was less clear, with several studies reporting mixed outcomes in this area. The implementation of technological interventions was generally accompanied by training and improvements in clinical practice. Additionally, the included studies had a variety of limitations, including possible biases and difficulties in measuring adverse events. Studies were assessed at moderate and high risk of bias. A good practice guide, considering the available evidence, was presented. Conclusion: Electronic interventions have the potential to improve communication during care transitions. However, it is important to highlight that the positive impact cannot be attributed solely to the technologies employed, given the role of training and improvements in clinical practice addressed in most studies. The effectiveness of these interventions may vary depending on the clinical context, which implies the need for adaptation and customization according to the specific context. Future research on a robust method is needed to further explore these nuances and optimize the implementation of technologies in the care transition in the hospital environment.

In recent years there has been a significant increase in the number of syphilis cases in Brazil, seeking to reverse this epidemiological scenario, the Ministry of Health in partnership with the Federal University of Rio Grande do Norte developed the project "Sífilis Não". The project aims to promote institutional strengthening actions to reduce acquired syphilis in pregnant women and congenital syphilis in Brazil. Among the various goals of the project, we can find the restructuring of sentinel laboratories throughout Brazil. The present work aims to develop management solutions to monitor the processes of acquisition, distribution and delivery of equipment and materials necessary to assist in the restructuring of sentinel laboratories, in order to strengthen the network to combat syphilis and other STIs. For such action, it was necessary to carry out an intervention of the responsible logistics team in order to organize and systematize the entire process. The study started with a bibliographic review on the subject and the understanding of the "Sífilis Não" project, given its complexity. Meetings and workshops were held in order to define all the stages of the process, according to the needs of the "Sífilis Não" Project. As a result, there was a need to use a management tool, The Manager, so that the entire process could become as transparent and dynamic as possible, facilitating the monitoring of activities and control. In addition, it was possible to develop the entire mapping of the value stream that the process should go through, so that the actions could be more efficient. In order to better systematize the processes, two standard operating procedures were created, providing lucid, organized and standardized work.

State of art: Teaching Hospitals prove to be a fertile field for the promotion and diffusion of the innovative and researching spirit, due to their intrinsic objective of Teaching, Research and Innovation. In Brazil, the emergence of NATS in Public Teaching Hospitals occurred as part of the strategy to strengthen the Professional Training and Continuing Education Working Group of Rebrats, which aimed to promote and disseminate the area of health technology assessment (ATS) in Brazil. Problem: According to the Situational Diagnosis carried out in the Network's hospitals between 2018 and 2020, it was observed that almost half of the Ebserh branches did not have NATS in place and those that did, had limited functioning due to difficulties such as reduced staff and overlapping load- hourly with assistance services, low staff training, deficient infrastructure, among others. Objective: Thus, the objective of this study is to Elaborate a National Guideline to direct the Federal University Hospitals affiliated with Ebserh regarding the structuring, restructuring and strengthening of the Health Technology Assessment Centers, to technically assist the hospital management regarding management decisions health technologies. Decisions to include, exclude or replace health technologies in the hospital, when based on scientific evidence, lead to the rational use of these technologies, as well as providing the manager with efficient management of public resources. Methodology: For the development of this professional master's research, a bibliographic survey of articles was carried out in different search tools, based on the descriptors "Health Technology Assessment", "Health Technologies", "Technology Assessment", "Health Economics" , “Health Judicialization”, “Health Technology Assessment Center”, “ATS” and “NATS”. Federal laws, manuals, guides and regulations of Ebserh also served as a source of research. In addition, we carried out a descriptive study of 2 situational diagnoses of NATS of the Network carried out by Ebserh and Analysis of the Work Processes of NATS documents of hospitals in the Network, to obtain best practices developed and developed in the Network. Results and Discussions: The study provided for the elaboration of a National Guideline for NATS of hospitals in the Ebserh Network, with guidelines on Structuring / Restructuring / Strengthening and Service Charter for Internal and External customers, based on federal regulations, from Ebserh and on good practices developed and executed by NATS from the Network. Conclusion: Thus, the elaboration of a National Guideline with guidelines for NATS of branch hospitals of the Ebserh Network positively impacts Federal University Hospitals - HUF whereas the presence of an area responsible for ATS, well structured and active, can be considered a valuable one. management instrument, as it subsidizes the hospital administrator with studies based on scientific evidence, leading him to make assertive decisions regarding the rational use of health technologies, thus promoting efficient management of public resources.

Hospital efficiency in Brazil comes up against the incipience of care management, the excess of bureaucracy, the lack of standardization of processes and the unavailability of practices that promote the quality of care efficiency. There is an opportunity to create value for patient care during hospitalization, impacting performance indicators in healthcare, especially during hospitalization. In addition, there is a mismatch in the knowledge of the care team and a gap in tools that promote standardized and participatory care management. Therefore, a care model called the MANAGE METHOD (integrated and rapid management) will be exposed, which performs the formatting of care processes to promote the effective management of the patient's journey during a hospital stay. The GERIR METHOD was designed based on the lean six sigma DMADV (Define, Measure, Analyze, Design and Verify) methodology. Finally, the GERIR METHOD fosters the concept of Health 4.0, as it allows the design of automated care management mechanisms, generating optimization of work processes and the provision of high quality services. As a result of the implementation of the MANAGE METHOD, a reduction in errors is expected with an improvement in quality, a reduction in costs and the leverage of assistance performance.

Both in the international and national level, health is dificulties in management, one of the biggest problems faced are ESCAS s z of funds in recent years. In 2019, the health budget lost 13.6 billion. Considering the resources authorized in early 2020, almost $ 5  Million below the previous floor, the estimated loss between 2018 and 2020 is $ 22.5 billion ( Moretti & Funcia   & Ocke -real, 2020). In view of the scenario presented, it is evident the importance of research that presents strategies and tools to help the health area to improve its performance, with the use of Lean Healthcare (LH) and Lean Six Sigma (LSS) being some of these strategies. It was in this perspective that the desire to teach the application of LSS and LH in the assistance area arises , with a focus on improving the performance of Brazilian University hospitals . Lean principles are aimed at improving the quality of patient care. Its objective is to eliminate waste and ensure greater attention in the provision of care, through the system of continuous improvement. This study destin or themselves to design the course the "EDUCALEAN" offered through courseware distance learning EAD, entered in AVASUS education platform for the professionals of Ebserh network and other health workers. The course introduces the fundamental principles of Lean Six Sigma that underpin modern approaches to continuous health improvement. The product was designed by DMADV methodology (Define, Measure, Analyze, Design and Verify) Design For Lean Six Sigma  understand the problem in question used the Lean Six Sigma tools such as Ishikawa diagram, evaluation Pareto , SIPOC , Map alement of F luxuries of Value, among others. The methodological approach to be used in the construction of the course was Design Thinking, which assists us in immersion and in the understanding of essential parameters and standards to create better quality solutions through four steps: immersion (understanding), ideation (creation), prototypical (test) and development (application). A From this result, the prototype of the course was developed. People are different, and conducting a person-centered education requires that the educator put himself in the student's shoes with a single objective: to facilitate the teaching-learning process of different people, with different cultures and different realities. Thus, establishing a dialogical relationship with the other, comes to understand the cultural dimension, to understand that this person thinks and acts based on a daily life and context where he lives and works. The course proposed this look to the user: the managers who dedicate themselves uninterruptedly in the incessant search to deliver the best result to patients.

Hospitalized patients are subject to unexpected changes in their clinical condition. The vulnerability presented by inmates in wards is, even today, a major problem in health institutions. Thus, in response to this problem, in 1997 the first EWS (Early Warning Scores, in Portuguese, Early Warning Score) was created. The EWS are tools developed to assist in the early detection of the worsening clinical conditions of patients at the bedside, alerting the health team to provide the necessary immediate assistance. The National Early Warning Score (NEWS) surpassed 33 other EWS in detecting patients at risk for cardiac arrest, on unplanned admission to an Intensive Care Unit (ICU) or death within 24 hours of hospitalization. In addition, a high NEWS score (≥5) is also a good predictor of sepsis in patients. NEWS was first published in 2012 by the Royal College of Physicians (RCP) and its most recent version, NEWS 2, dates from 2017. This score therefore offers a standardized approach to assess acute diseases and uses physiological parameters that are routinely collected by the nursing team. As important as the updated concept of the score is the formation of teams for their use in clinical practice. Thus, in January 2019, the National Health Service (NHS) England in partnership with NHS Improvement, Health Education England and RCP published an English language course on NEWS 2 that provides support tools for its implementation and illustrates with practical examples how it is being implemented in England. Therefore, the aim of this study is to carry out the translation and cross-cultural adaptation, from English to Brazilian Portuguese, of the NEWS 2 e-learning program, referring to the Acute Care module, offering it as a course on the AVASUS Platform (Virtual Learning Environment of the Unified Health System). To achieve this objective, the steps of the methodological research for instrument validation were applied, which included content validation, after the translation and back-translation process, by experienced judges and nurses who work in the care of inpatients. As a result, there was agreement between judges and nurses on the validity of the content to be offered in the course. The products generated from this research were, therefore, 02 scientific articles and a course hosted on the AVASUS platform. Given the importance and urgency of standardizing EWS in the reality of hospitals in Brazil, the course offered via AVASUS aims to facilitate the implementation of NEWS 2 in the Brazilian health system, which will favor the early identification of patients at risk of clinical deterioration and early intervention for these people, reducing the incidence of unfavorable outcomes and positively impacting the health of the population, in addition to containing the occupation of intensive beds and a probable reduction in hospital costs. The relevance of the NEWS 2 score for clinical practice is highlighted, especially in the context of the COVID-19 pandemic, which alerts health services, professionals and the community to the importance of training nursing teams, in particular, in the identification of complications to inpatients.

This research aims to present a proposal to use podcasts on the Brazilian Company of Hospital Services – Ebserh to encourage the construction of an open dialogue and the commitment of all parties through participatory management. In this way, it was presented the company's Strategic Map (2018-2022) with its drivers and objectives to illustrate the results that the state company intends to achieve in order to successfully fulfill the mission and achieve the institution's vision of the future. Besides, the map justify that the actions of social communication are based on strategic objectives that encourage management with competence, agility, transparency, network activities and efficiency in the use of resources. To support the study, references were obtained from books, documents, texts, dissertations, theses and scientific articles raised by the SCOPUS databases; Scientific Eletronic Library Online - SCIELO and Directory of Open Access Journals - DOAJ, Google Academics and Academia.edu in Portuguese (Brazil and Portugal), Spanish and English. The research deals with a case study that will be developed in four stages: Literature review, mapping of the podcast production process (flowchart), elaboration of a descriptive manual and pilot podcasts production in order to prove the method. It is expected that the study encourages the communication areas of university hospitals to implement the project and, thus, contribute to foster the strengthening of internal communication as a strategy to harmonize the interests of employees and the company. It is also expected that the work improves the communication process of the organization with the internal public and contribute to consolidate the institutional image and intensify the importance of acting in networks

Objective: To develop an innovative educational resource, using technological mediation, on nutritional therapy, as a permanent education strategy, for the qualification of nurses and other professionals who provide health care at a University Hospital. Method: It is a qualitative quantitative research in the form of action-research, which aims to portray a specific situation or problem through different sources to outline the action that is decided to be taken to improve the practice of health care. This project was promoted after reports from the Multiprofessional Team of Nutritional Therapy that the rates of hospital malnutrition are considered alarming. The intervention proposal aims at documentary analysis, of the indicators observed by the EMTN; study and analysis of the perception of nursing assistants at the University Hospital of Santa Maria regarding the patient's nutritional status during the hospitalization period. Data collection will be carried out through surveys, by electronic means. Discussion: In order to develop the project, we need to register, submit and approve the SIE - Information System for Teaching at UFSM and GAP - HUSM Project Support Office and CEP - UFSM Ethics and Research Committee via Plataforma Brasil. After processing and approval, the documentation will be forwarded to the term for acceptance of the services involved, EMTN and the Nursing Division of the HU. So make it possible we will start with an analysis of the documents available to the teams: EMTN Routine Management Manual; indicators and records. For research and analysis of nurses perception, the semi-structured questionnaire will be sent to nurses at HUSM, via e-mail, in the Microsoft Forms, with simple questions and answers. To make the subsequent analysis feasible, the form is organized in a field of perception: knowledge, skills and attitudes. To elaborate the educational resource, a script will be described for the development of the units' content and the identification of the teaching methodology based on the identified needs for teaching and learning the theme. The validation of the module will take place at a NEPE meeting. Final considerations: It is perceived that superficial knowledge in health can expose patient safety and quality of care in SUS. The provision of excellent services, focusing on a culture of continuous improvement in the quality of care process is essential. Improving assistance and overcoming the obstacles identified in the health work process and which aims to qualify workers, involves using educational resources mediated by technology that enables the qualification and updating of health professionals, aiming at the transformation of care practices.

State of the art: Cancer, also known as malignant neoplasia, is a disease that is associated with disordered cell growth and can be quite aggressive and uncontrollable. The various types of cancer are associated with the variety of cells present in the human body, differentiating through the speed of cell multiplication and the ability to attack tissues and organs. Problem: Specialized professionals and high-cost equipment are essential for the diagnosis. In underdeveloped or developing countries, the complexity to perform the diagnosis increases, due to the high demand of patients and the absence of quality analysis. However, new technologies and strategies that act directly in early diagnosis are being investigated. One of them is the use of miRNAs, which are key regulators of gene expression, a fact that associates the interaction of miRNAs with the genome and the onset of diseases and can thus be used as a biomarker. Methodology: A study of cancer and miRNAs as possible biomarkers. Then, a study on some types of biosensors in use today to find a way that fits portability and low-cost parameters. From that, the development of the project took place through simulation of the circuit in a computational system and its subsequent real construction. The need for integration with the information management system and task organizer was considered in all these stages. Results and discussions: This study provided subsidies for the development of a device with an embedded system that performs the reading and quantification of miRNA residues to ensure high specificity, being controllable by an external system through serial communication, which performs the test quickly and low cost, providing greater savings to SUS. Conclusion: The miRNA-Box is hardware with an embedded system used in a biomedical device, developed by the Advanced Center for Technological Innovation (NAVI) in partnership with the Laboratory of Technological Innovation in Health (LAIS) and the Ministry of Health (MS) proposes the applicability in Primary Health Care (PHC) intending to perform the analysis and early diagnosis of breast, prostate and cervical cancer, to improve the screening process of patients and provide cost reduction in the health area with complex diseases. 

For many decades the society has had the need to monitor and assess the standard of living of the population. In the 1950s, the United Nations (UN) saw this need and proposed 12 areas that should be evaluated, being the first one of the areas listed as “Health and Demography”, focused on what is expressed as the health level of a population. Decades has passed and great results have been gained from similar initiatives such as reducing mortality by infectious diseases and even eradicating some others. In the age of the digital society, needs have grown and horizons have widened. Monitoring demands that once perished from data to become concrete now suffer from the opposite effect, the excess of data from everywhere. Healthcare systems around the world use many different information systems, collecting and generating hundreds of data at unimaginable speed. We are billions of people on the planet and most of us are connected to the virtual world, sharing information, experiences and events with the cloud. In this information age, the ability to aggregate and process this data is a major factor in raising public health to a new level. The development of tools capable of analyzing a large volume of data in seconds and producing knowledge for targeted decision making can help in the fight against specific diseases, in the process of continuing education of professionals, in the formation of new professionals, in the elaboration of new policies with the specific locoregional look, in the analysis of hidden trends in front of so much information faced in everyday life and other possibilities. The present work proposes an architecture capable of handling this large amount of data and a systematic capable of producing, from this data, predictive analyzes for risk groups.

Orthoses, prostheses and special materials are part of a broad category of materials, with an extremely diverse universe of products used in performing medical, dental and physiotherapy procedures, as well as in the diagnosis, treatment, rehabilitation or monitoring of patients.  The management of such materials permeates a large part of hospital processes, from scheduling the procedure to accounting information, through logistics, consumption and billing.  This flow contributes to its assistance and marketing characteristics to be considered complex, since it involves patients, doctors, health professionals, manufacturers, suppliers and managers.  This context raises the need to develop strategies in order to improve the management of the use of orthoses, prostheses and special materials.  That said, the development of an information system was listed as a strategy to contribute to the management of these inputs at the Onofre Lopes University Hospital, which presents difficulties that make the current management process fragile, insecure and subject to many failures that harm the institution and itself  patient.  The objective of this work is to design, develop and implement an information system to support the management of orthoses, prostheses and special materials.  The development process was based on a structure defined in three phases in an interactive and cyclical way.  In the first, called planning and conception, a literature review was carried out, familiarizing the current workflow working in the hospital;  defining a new flow and meeting requirements.  The second phase analyzed the requirements, the design and the implementation.  In the third and last, preliminary validation and delivery of the system was carried out.  The developed system has in its architecture the medical request in its own digital form and with the direction of requested materials according to the Management System of the Table of Procedures, Drugs and OPM of the Unified Health System and current legislation, the authorization for the use of the material by the manager,  control of the waiting list, scheduling of procedures, availability, reservation and dispensing of material on the day of the procedure.  According to the work carried out, we can draw some conclusions: With the familiarization of the current work process present at HUOL, it was possible to identify critical problems, in which it was tried to correct with the implementation of the system.  A workflow was developed applicable to the reality of HUOL that allows the definition of the specific performance of each professional, guiding the necessary interactions.  The Haima software was conceived, developed and implemented, being ready for implantation in the institution, proving to be viable and capable of meeting the proposed requirements, with no flaws during the use simulation process, during the preliminary validation.

State of art: The development of a massive online open course, focused on continuing education of professionals in several areas, especially in healthcare, has proved to be a promising strategy for updating the knowledge of those who aimed to develop a more critical-reflective thinking about the problems faced in their professional routines.  Problem: One of the problems in healthcare facilities is the incipience in the planning acquisition processes of highly complex equipment, as well as incidents involving the use of this equipment, exposing patients, healthcare professionals and the equipment itself at risk. Objective: Thus, the objective of this study is to propose the structuring of a pedagogical project for the development of a distance learning course, to be hosted on the AVASUS platform, to mitigate weaknesses in the acquisition planning process of highly complex equipment and in its use. The equipment choosed is nuclear magnetic resonance, justified because it has a high cost of acquisition, implantation, and operation, besides causing a high impact on care when it is unavailable. Its unavailability compromises the performance of diagnostic imaging tests for identification, prognosis, and therapy of patients, mainly suspected with cancer. Methodology: A survey of articles was carried out in 4 databases available on the CAPES platform. It searched themas on the structuring of open courses supported by information technology. In addition, consultations were made to the AVASUS platform's guidance documents. Besides, two immersion workshops occurred in order to define the pedagogical structure of educational courses mediated by information technologies. To develop the programmatic content of the course, research was carried out with secondary data, on the nuclear magnetic resonance equipment and the problem of its operation and the planning of its acquisition. The course preparation began in June 2019 and extended until June 2020. Results and Discussions: The outcome products are a pedagogical proposal of a 60-hour course, which overview the insertion of MRI equipment in healthcare systems, presenting theoretical, normative, legislative and practical concepts about this technology and its use. The instructional design and the pedagogical architecture of the course were developed based on the best recommendations found in the studied literature. Conclusion: Thus, the structuring of massive open online courses is strategically viable for the formation of a reflective critical thinking about the practices of healthcare professionals in their daily routines involving problems related to highly complex medical equipment, with a consequent minimization of the assistance, social and financial impacts on health systems and increased patient safety, the focus of modern health strategies.

The availability and appropriate use of information are raw materials for actions to control, prevent and reduce diseases in health systems. Public health data in Brazil is produced by several isolated and unintegrated tools, making it difficult to elaborate the management of this information. DATASUS, Department of Informatics of the Unified Health System (SUS), has several systems to produce information necessary for SUS management, such as the Outpatient Information System (SIA), the Hospital Information System (SIH), the Information System About Mortality (YES), among others. However, the data contained in these platforms are neither standardized nor integrated, and it is not possible, for example, to compare populations or follow up per patient. As a result, producing managerial information becomes an extremely arduous task. Studies related to health management improvement, especially public health, describe and present success stories with solutions related to the implementation of Data Warehouse (DW). Data Warehouse can be defined as a platform that contains an organization's data, centralized and organized so that users can simply extract complex analytical reports containing management information. DW projects consolidate and communicate data from different sources and formats in a process of cleaning, integrating and transforming data (Data Mining), making it available for quick access.The benefits of using DW technology are many, including quick decision making and better resource management. In relation to DATASUS, these techniques can represent a substantial advance and still contribute decisively to epidemiological and health surveillance studies through the identification and correlation of existing patterns in the data. Integrating DATASUS information systems databases is a prerequisite for a real breakthrough in utilizing the huge data contained in these systems. Initiatives such as the DW developed by the University of South Florida for community health management, and research group studies for the São Paulo State Department of Health (SES-SP) have been successful with the use of DW and encourage adoption of these tools as facilitators to increase the quality of public health. This paper proposes the creation of an environment for storing, centralizing, integrating and processing data from different SUS information systems. The information analyzed by the project will be extracted from the institutional websites of the Ministry of Health and DATASUS.

State of the art: Optimizing the waiting time for hospitalization has been a major problem for the Unified Health System (SUS), and for the quality of health services. Delay in care has significant impacts on well-being, chances of cure, the nature and extent of sequelae in the patients and family members involved. The situation is even more aggravating when, in addition to being high, deadlines are unpredictable. According to Ordinance No. 1,559 of August 1, 2008, which establishes the National Policy for Regulation of SUS, implemented in all federal units, respecting the competencies of the three management spheres, as an instrument that allows the fullness of health responsibilities assumed by the spheres of government: Health Systems Regulation; Regulation of Health Care; and Regulation of Access to Assistance, this entire management process must be guided by the institutional complexity profile, defined according to the contractual model agreed upon, following pre-established criteria between institutional management and state, municipal or federal management. Contracting is an instrumentation process with qualitative and quantitative targets, created by the Ministry of Health to guarantee assistance financing. Adapt this reality to a hospital university education becomes essential to equalize demand and productive capacity. The proposal of the system is to assist Federal University Hospitals, of the Ebserh network, to monitor in a unique way and in real time, the regulatory processes and control of patients on the list selected for hospitalization, evaluating the priority according to criticality for better time scheduling and minimization of waiting. However, it will bring benefits of optimization and agility in work processes, visibility of management indicators, improving the quality of care, ensuring user satisfaction. Problem: Hospital organizations present in their day-to-day a great challenge to reconcile the increase in demand with the installed capacity while maintaining the quality of service. Excessive hospital capacity has always been a serious problem for the world population, and it is no different in Brazil, thereby increasing mortality, causing slowness in the care of acute patients, which may even represent a threat to human rights. Adapting this reality to a university hospital is essential to equalize demand and production capacity. Given this, is it possible to create stratification strategies obeying criteria that allow the hospitalization of patients to occur in an equitable way, free from personal interests? Considering the bases developed to facilitate the understanding of the theme and the problem, the following question arises: Can the use of technologies such as the development of a system for organizing the patient waiting list promote improvements in the management of hospital beds? Objective: to develop a web software for intelligent management of the waiting list for hospitalization, in order to create stratification strategies according to criteria that allow the hospitalization of patients to occur in an equitable, effective and free of personal interests, from the time of entry into the list until admission. Methodology: Initially, this study was conducted based on a systematic review of the literature in search of concepts on management and management of waiting lists, better development strategies for organizing these lists and priority criteria for patient admission. Another point of development of the SisperaH web system, consisted of the need to carry out an applied research, whose objective is to generate knowledge for practical application, aimed at solving specific problems (KAUARK, 2010). It uses the technological method, that is, it is concerned with the creation of a new product (ANGELONI et al., 2016) - a web software, not always based on classic scientific knowledge, but rather on optimization of bed management, considering for this the organization of the waiting list of patients for hospitalization according to priority criteria, providing agility in the decision process. Results and Discussions: It is a challenge to invest in innovation and technology to guarantee the improvement of health care in our country, that is why SISPERAH - Intelligent Hospital Waiting List Management System, is of great necessity to maintain an effective evaluation, showing the growing benefits in the organization and inclusion of patients on the waiting list with homogeneous criteria of priority for hospitalization. In addition, the system will make it possible to collect information in its true magnitude, reflecting the real problem, so that it can be evaluated continuously the management flow of the waiting list, controlling data to minimize the waiting time, helping to improve the quality of hospital indicators of the patient's hospital stay, occupancy rate and bed turnover. With this system, hospital institutions will be able to evaluate the clinical criteria of greater comorbidity, the waiting time of patients for each specialty, evaluating the demand, the effects caused by waiting, levels of satisfaction, quality of life of patients, and relevant contributions to the hospital, ensuring equity based on patient-centered care. Conclusion: it is expected to be able to optimize the waiting time of patients, improve the flow and resolution for clinical hospitalization in different specialties in an equitable, effective and free of personal interests and, consequently, decrease morbidity and mortality, increasing the rate of hospital occupation and turnover. of bed, minimizing the rate of hospital stay. For this reason, SISPERAH - Intelligent Hospital Waiting List Management System, is of great need to maintain an effective evaluation, showing the growing benefits in the organization and inclusion of patients on the waiting list with homogeneous criteria of priority for hospitalization.

Patient safety represents one of the biggest challenges for health services and has mobilized the search for strategies that ensure quality health care. The Brazilian Ministry of Health establishes the involvement of patients and family members in patient safety actions and the expansion of society's access to information related to the topic. Problem: Based on the assumption that the improvement of the safety culture provides integration among professionals, patients and family members, so that effective communication leads to improvement in health care, the question arises: what tools can we develop to facilitate user improvement? international patient safety goals? Objective: To propose strategies for health institutions to involve the patient in the care process through audiovisual and teaching materials mediated by technologies. Methodology: A short video script was developed to be used in institutions that serve children (wards, waiting rooms), with the themes: patient identification, hand hygiene and prevention of hospital falls. A 30-hour modular self-instructional course for the AVASUS platform was also developed, entitled: Involving patients and caregivers in international patient safety goals. Results and Discussion: The presentation of educational materials is a relevant strategy to involve patients and families in appropriate care. The tools now presented prepare professionals to instruct them. In this way, the products developed, such as the videos and the distance education course, add new information, in a systemic way, to the materials already available on how to meet the international goals of patient safety in hospital institutions.

State of the art: Endophthalmitis is an intraocular infection with a poor prognosis in most cases, as patient's final visual acuity may remain equal or worse than before surgical treatment. In some situations, there is a need for more radical treatments, such as enucleation or evisceration, which consist, respectively, of the removal of the eyeball or its internal content. According to the Ministry of Health (2017), despite the low incidence of this type of infection, the outlook in case of outbreaks is devastating, as the number of patients undergoing surgical procedure on the same day is high, under similar risk conditions. In this context, Epidemiological Surveillance (VE) emerges as an important tool for elaboration of prevention procedures, monitoring and control of infections. As determined by the MS (BRASIL, 2017), health services that perform ophthalmological procedures must establish an Epidemiological Surveillance System for endophthalmitis, defining surveillance actions to be applied. Objective: To develop an Epidemiological Surveillance System through elaboration of a program / application to monitor, investigate, control and prevent endophthalmitis in ophthalmology services of EBSERH’s hospital network. Materials and methods: This is a methodological study with technological, descriptive divided into three stages: Stage I: review of literature Stage II: Application of semi-structured questionnaire with members of care teams of responsible sector for carrying out ophthalmologic surgeries   for raising the diagnosis of the system used in the prevention of endophthalmitis Stage III: Development of specific Epidemiological Surveillance System for endophthalmitis. Results and discussion: Development of software for endophtalmitis. The system should carry out in a practical way analysis of: endophtalmitis distribution and frequency; profile of hospital’s involved microorganisms, including community germs infections considered as contaminants. It should also identify hospital’s endophtalmitis index (hospital infection) by procedure and for a specific period. For this notification system elaboration, a specific protocol was also added for prevention and intervention at endophtalmitis cases in the Institution. A good practice for ophtalmic surgical procedures handbook was also written.

Technology has dominated the practices of medicine, so that virtually all medical specialties depend in
some way on Medical Equipment. Such dependence increases the need to implement effective technology
management methodologies to make processes and decisions more assertive. Given this, the Teaching
Hospital of Lagarto was taken as the object of study in order to evaluate its technology management and
major deficiencies. Since 2015, when it was incorporated by the EBSERH network and started to receive
incentives, mainly from the National Program for the Restructuring of Federal Teaching Hospitals (Rehuf),
there has been a significant growth and renovation of the hospital's technology park with voluminous
replacements of hospital medical equipment. equipment replacement process, process or policy has been
implemented or used. Making a replacement tool for the EBSERH Teaching Hospitals can provide more
effective management of HU equipment inventory, improving the current identification of those that need
to be replaced. This will allow you to make good decisions with minimized errors.

State of the art: Schoolchildren hearing health is fundamental for their learning process. In the School Health Program of the Ministry of Health and Education, it is recommended to identify students at risk for hearing loss, as well as actions and strategies aimed at promoting hearing health. There is a gap regarding solutions mediated by technology in the management of work involving Education and School Health that can contribute to storage, communication and integration processes between school, family, primary and specialized health care actions. Objective: To develop an information system about schoolchildren hearing. Methodology: This study is web system technological production. For system development, the following phases were carried out: (1) Definition of system’s functional, non-functional requirements and business rules based on meetings between researchers of both fields (health and technology); (2) Elaboration of an initial prototype to validate information using Balsamiq Mockups; (3) Modeling of system database, using the SQL Power Architect tool. Database used was Postgresql; (4) Coding and development. The system was developed in PHP with Laravel Framework, Javascript, HTML 5 and CSS; (5) Tests and system validation with audiologists with insertion of information in the system. An evaluation questionnaire was applied, in addition to the issuance of a descriptive report with potential, weaknesses and suggestions for system improvement; (6) Software registration and (7) System implementation. Results: The hearing information system for schoolchildren (HSS) is a web-based system, accessed by login and password. It has as users, professionals of the school unit and the school's health reference unit, as well as education and health managers with different permissions as to register, edit, delete and view the system information. Information about students' hearing involves results of individual hearing screening tests, questionnaires to teachers and parents, as well as a form for analyzing the acoustic environment of school classrooms. This information can be stored, analyzed and viewed in the HSS by the referral health unit for individual and collective decision-making. Tests performed by audiologists registered seven UBS, four schools, 40 students, 10 from each school and different school grade, a form with the result of the hearing screening test and a risk questionnaire for parents. Both questionnaires were filled with students’ individual data. Initial assessment of HSS was satisfactory in terms of usability and flexibility for registration at Basic Health Units, Schools, Students and the responses to the two questionnaires. There is a need to improve editing and deletion functions, as well as viewing reports. Conclusion: The HSS, in the preliminary version presented, has fair functionality with the potential to contribute for work processes between primary health care and public schools, contributing directly to hearing health of students. It is still necessary to improve the HSS regarding information management.

Syphilis is one of the most common sexually transmitted infections (STIs) in the world, with millions of people infected each year, although there are simple condom prevention measures and effective and considerably inexpensive treatment options. In 2016, in Brazil, syphilis became a public health problem, requiring a mapping of syphilis-specific care networks. Nowadays the use of mobile phones has become unanimous, the population is increasingly linked and dependent on this technology, according to the 30th Annual Survey on Administration and Use of Information Technology in Business, conducted by the Getúlio Vargas Foundation of São Paulo ( FGV-SP), Brazil has 230 million active cell phones. The National Program for the Improvement of Access and Quality of Primary Care (PMAQAB) aims to induce the expansion of access and the improvement of the quality of primary care by providing public data that can be used for this improvement. The proposed study aimed to develop a application that helps the Syphilis Attention Networks to map information about the infection and thus improve the fight against its proliferation. In this work was developed a Mobile platform, with the Flutter framework in Dart language, which will extract from the PMAQAB platform, data on health units that fight against Syphilis, then was integrated with Google tools able to inform the geolocation of these health facilities, provide access information, as well as supply data related to the application user demand. Based on the above, we can conclude that Brazil has failed to fight Syphilis and needs new projects capable of improving its use. proliferation of this bacterium. Therefore, this application can help in the mapping of syphilis care networks in addition to becoming a module for a case management system, and can map several other diseases besides syphilis.

One of the largest public health systems in the world, Brazilian Unified Health System, is an international reference and model for other countries that aspire to health systems with better equity. In order to take care of all this intricate health care network, large investments in infrastructure, technology and essentially in the management of intellectual capital are necessary, carried out mainly through health information systems. One of the alternatives to ensure that the population is assisted with excellence is through the process of continuous and permanent education of health professionals. In order to have an idea of the dimension of the need to improve this human capital, in just one of the university hospitals linked to the Empresa Brasileira de Serviços Hospitalares, more than 1 million procedures between medium and high complexity are performed annually. In this universe, it is well known that the weakness in the management of intellectual capital in the hospital environment, can negatively reflect not only in the behavior of health professionals but also in care and academic practices. Therefore, this study raises questions about how it would be possible to make the management of learning solutions more effective, in order to enable the continuous improvement of health professionals at Hospital Universitário Onofre Lopes (HUOL). Thus, this work aimed to develop a web system, Gestão de Soluções de Aprendizagem – Logos, aiming at improving the intellectual capital of HUOL, through a literature review on health education management and softwaredevelopment in perspective of an agile methodology; specification and modeling of software requirements and their relevant diagrams; developed and tested the software functionalities; and conducting system simulations with the hospital's development area for the purpose of obtaining software validation. To achieve the objective, the work was guided by a study of an applied nature, outlined from an exploratorydescriptive perspective and with a qualitatively structured approach, using procedurally an action research, having this meantime developed a software in three stages: Planning, Development and Evaluation within the Scrum methodology. As a result, it was inferred that organizations, regardless of their size, area of activity or segment of activity, depend, at least yet, on human knowledge and skills to be effective and, in view of that, one of the viable alternatives is the conscious and sustainable investment in the promotion of a permanent culture of professional qualification and human formation, making use of available technologies, such as software that assist in the management of these diverse learning experiences that occur simultaneously in a university environment. Therefore, it is concluded that the LOGOS! can help HUOL to better understand the institution's intellectual capital due to the possibility of managing the professional qualification of its employees in a quantitative and qualitative way, in addition to allowing all users of the system to interact autonomously, providing time savings and generation of training indicators that support an assertive decision making.

Introduction: The Syphilis is a Sexually Transmitted Disease (STD), millennial and reemerging, caused by Treponema pallidum. In Brazil, the syphilis rates have been increasing significantly due to risky sexual behavior, multiplicity of sexual partners and sexual intercourse without condoms. The Community Health Agent (CHA) can contribute significantly to fight against this epidemic, considering the establishment of a strong relationship between the community and the primary health care system, which may corroborate even in the early detection and development of strategies that point pathways to improve the health care assistance. This requires that these professionals becoming adequately qualified. In this sense, we understand that telehealth, especially tele-education has a leading role the professional qualification. Methodology: Thus, a bibliographic and documentary study was conducted about the use of technological mediation in permanent health education, as well as epidemiological data on syphilis for better understanding of formation needs. This course will be composed of three educational technology-mediated modules, in the self-instructional format, developed using an interactive approach, through the use of visual and auditory elements, with dialogued exposure and presentation of guiding questions, where the professional will be able to perform the activities on-demand by logging into the SUS Virtual Learning Environment (AVASUS) platform. Results: The present study provided subsidies for the construction of a learning pathway and pedagogical strategies using the tele-education, a telehealth tool, for the formation of CHA facing the epidemic growth of syphilis, through three educational technology-mediated modules. Module 1 available on the platform AVASUS since apr/2019; module 2 in the process of editing and module 3 in the content elaboration. Conclusion: The educational activity is positive and contributes to a more effective and effective performance of CHA in the community, consequently favoring the control, prevention and treatment of syphilis. Thus, consider that the managers and health professionals are subject to problems of this problem requiring permanent education as a strategy to improve the quality of care to users of SUS (Single Health System).

Diagnostic Imaging Centers (CDI's) generate a large volume of data. Qualified patient care requires efficient access to all relevant information. Doing so requires a framework for sharing information that meets the needs of service providers, patients, and institutions that make up health systems (IHE, 2017). The concept of data sharing is strategic for organizations with decentralized units such as the Brazilian Hospital Services Company (Ebserh). Able to reduce costs, connect professionals and provide a foundation for various innovations in information and communication technology (TIC) for health. Data sharing is increasingly present in daily life promoting rapid changes in the ways of learning and in the way people relate. In view of the above, the present study aims to answer understand: Image Units of the University Hospitals (HU's) administered by Ebserh manage their data to meet the demands of assistance, teaching and research? To answer this question, a literature review was sought to understand how Cloud Computing is contributing to the evolution of Picture Archiving and Communications System (PACS). Subsequently, the perception of the managers of the Image Units in HU’s was evaluated through a questionnaire, contextualizing the findings with the perspectives and trends in information management found in the review. The conclusion was that the Image Units of University Hospitals need to innovate their processes and adjust more dynamically to the environment where they are inserted; planning actions in a structured and scalable way, that add value to the services provided. The Cloud PACS is an important tool for Ebserh to promote this innovation in University Hospitals.

The increase in costs of hospital services coupled with the limitations of public financing and increased demand in the health sector required new management models focused on process rearrangements with the goal of eliminating waste, reducing costs, optimizing time and improving the patient's experience. The lean six sigma methodology (LSS), originally introduced in manufacturing, was introduced in many areas, including health, based on three pillars: patient focus, time and value. As a goal, a lean six sigma guide was developed for application in the different areas of the Ebserh Network hospital environment, based on the implementation of these concepts in the chemotherapy clinic of the Hospital das Clínicas of the Federal University of Goiás / Ebserh between the period from January 2018 to April 2018. A qualitative, quantitative, applied and exploratory approach was used. As a technical procedure, bibliographic research and action research were used. The work was conducted using the lean six sigma DMAIC methodology in its 5 steps: define, measure, analyze, implement and control. The current and future value stream map (VSM) was elaborated and the waste was analyzed in the process. Patient scheduling for chemotherapy was changed from manual to electronic, via network communication, based on the available chairs in the sector and infusion time of the chemotherapy protocol. The average occupancy rate of the sector was 48.75%, with an increase of 9.32% among the analyzed periods. The total lead time was decreased from 15 days 1 hour and 24 minutes to 9 days and 24 minutes (reduction of 42.8%). A takt (labor rate to meet the daily demand of the sector) was obtained with an average value of 17.8 minutes. A major advantage of lean methodology as an instrument for health management and innovation lies in the ability to make major changes, optimize processes and eliminate waste without the need for hard technology or high financial investments. Changes can be provided using simple materials, or even without the need for any material, once the redesign of the process, reallocating human resources and activities, can be the solution to the problems under analysis.

Technological innovation, through the research and development sectors, must be the result of cutting-edge scientific production and influence the productive sector of a country. The importance of health research in Brazil is widely recognized, with health research institutes being among the first and most important in the country. Health, because of its social importance, but also because it accounts for a significant portion of national investments in research and development, emerges as a productive system capable of materializing a model of competitive and inclusive development. Ebserh, a public company created in 2011, has, among its purposes, the provision of support services for teaching, research and extension and does not yet have guidelines for conducting research. It was considered the importance of proposing a flow for the processing of research projects in Ebserh, the objective of this work. In order to conduct this study, three research institutions were appointed to evaluate the flow of research projects, as well as a field study at the Planning Department of the Federal University of Rio Grande do Norte and the Norte-Rio-Grandense Research Foundation and culture. As a result, a flow proposal was drawn up and it was noted that it is imperative that a and define regulations, based on the national legal framework, and processes related to the carrying out of research and technological innovation in the network hospitals, in order to institutionalize and foster scientific production and contribute to the development of Brazil in research and technological innovation in health.

This master’s research aims to develop a content aggregator and distributor application, named WEBserh, for the 40 Federal University Hospitals (FUHs) administered by Ebserh (Empresa Brasileira de Serviços Hospitalares), called WEBserh.This research originates from the need to consolidate strategies for network organizational communication, in accordance with current legislation, which ensures the dissemination of information about the potential of health services and their use by hospital managers, patients and others. It has a larger scope by proposing its use in the dissemination of information to the health professionals of these establishments. The methodology consists of bibliographic research and interviews that demonstrate the insufficiency of the current communication channels for this purpose and the growth of Information and Communication Technologies (ICTs) in health. As a result, it is expected to improve the integration of information among these FUHs, their collaborators, users and other stakeholders. WEBserh also aims to reduce the patients' feeling of waiting time in hospitals and promote health education, contributing to the prevention and treatment of diseases. To hospital professionals, WEBserh will represent a new channel of access to corporate information and guidelines, disseminating and organizing knowledge about management, training and assistance in an agile and widespread manner.

Neonatal screening is performed to prevent possible health problems in the baby, favoring early treatments that will reduce or eliminate factors that may impair their typical development. Among the five screenings currently used, the ear and tongue tests are performed by the audiologist or the speech pathologist. Although guaranteed by law, its coverage is still lower than that recommended in Brazil and the flow for optimizing resources and monitoring of the baby's health conditions is not always established. In the context of public health, coverage failures and information management of neonatal screenings generate permanent negative impacts for the entire population, with consequences for the economic and development spheres of the country. It was therefore considered important to describe and analyze the implementation of changes in the speech-language pathology workflow in the neonatal speech-language pathology sector of an Ebserh network, the main objective of this study. By means of an analytical, descriptive and quantitative-qualitative research that was organized in three phases, namely: the analysis of the literature through an integrative review, simultaneously to the organization of the data obtained with the implementation of innovations in the workflow of speech-language pathology in neonatal screening; the creation of a software for the computerization of the whole process of speech-language pathology screening in this maternity, and in the third stage, a survey was conducted to know the reality of neonatal speech-language pathology screening in the Ebserh network, were obtained as results four products presented to the scientific community (2 articles and 1 book chapter), as well as to the National Institute of Industrial Property, for the registration of software called HERA. It is concluded that the products presented contributed to the establishment of the innovation implemented in the maternity in question, as well have the potential to promote improvements in neonatal speech-language screening services.

This article presents a methodological proposal of signaling project for a federal university hospital. The methodological contribution is divided into three fundamental stages: planning (support network construction and realization of situational diagnosis), development (elaboration of signaling project, development of bidding process, validation of content and closure of manual of signaling and setting) and implementation (signaling project implementation and proposal evaluation by the hospital community). The method is innovative by adding to the proposal the construction of a support network, which includes training of operational staff from partnerships, strategies for involving management and the hospital community in the process, and opportunities for raising funds in the public sphere, which drastically reduces project costs to institutions. The proposal is presented in detail throughout the article and comes to support managers who wish to develop signaling projects and do not have the technical knowledge, staff or financial resources to execute it.

Introduction: In the face of globalization and scientific and technological advances, improving the quality of care is a growing challenge for the management of health institutions. Currently, the scale of insecurity related to avoidable events in health services is considerable, in addition to the direct cost of treatment there are additional costs that result in loss of productivity and decrease of patient confidence in the health system. Thus, care protocols appear as an instrument to qualify hospital care and to reduce the occurrence of adverse events related to clinical management. Objective: To construct the modeling of a technological tool - a digital repository that can store, manage and standardize health care protocols in the Ebserh network. Methods: The methodological path covered several phases: observation and analysis of the professional experience in a federal university hospital branch of the Ebserh network in the South of the Country; integrative literature review; description of the specificities of the digital repository and the development of a prototype for validation of the modeling. Results: In the repository were identified 3 actors of use: users of the systems: servers / residents; local manager (subsidiary); central manager (headquarters). The revision of the protocols will take place every 2 years. After accessing the protocols, the user can comment and evaluate its structure and content. Each protocol is inserted into the repository through a standard structured form. The repository will produce statistical reports. Conclusion: The protocol provides quality improvement based on evidence and adequate to the institutional environment, reduction of adverse events and waste of time and financial resources of the hospital institution. The digital repository will allow not only the storage and management of the institutional protocols of only one hospital unit, but of 40 HUs, generating an impact in the management towards the health of excellence.