WALK: mínimo produto viável para gerenciar a mobilidade dos pacientes internados em hospitais

Abstract

Introduction: Hospital admission is a complex process, involves risks, high costs and the environment does not always favor a good patient experience. Several articles have been published about the negative impact of immobility in bed and the benefits of hospital ambulation, however patients continue to spend 83% of their time in bed. Objective: Develop a digital minimum viable product (MVP) that allows managing patients' walking. Methodology: This is a case study on technological production that adopted the Lean Startup method to build the MVP, applied in the hospitalization unit (ward) of a philanthropic hospital. Results: The results were divided into 6 stages, the first of which reports the construction of the idea focusing on the challenges faced by hospital physiotherapists, the barriers to implementing technologies and the proposal for a new method. The second and third stages exposed the development of the software and totems, including information security, software functionality and the challenges of building a totem with as few resources as possible. The fourth step was to analyze the patentability of the system, software registration and trademarks. In the fifth stage, the constructed MVP was presented, all the stages of building, measuring and learning, involving professionals and patients, errors and how they were corrected. And in the last stage, the data generated by the software was presented, with 157 participants, usage rate of 64%, distance covered by patients during hospitalization (538 meters/day), average speed during walks (0.64m/s), the preferred time to walk and the frequency, and how the professionals interacted with the application and the patients interacted with the totems. Conclusion: The methodology for building an MVP proved to be a quick and efficient strategy for developing a product with the participation of several teams and patients, validating the product from the customer's point of view. The technology proved to be effective and was able to provide relevant information in real time.