Requirements for a device for patient transport in pre-hospital care in buildings with reduced-cabin elevators

Authors

DOI:

https://doi.org/10.21527/2176-7114.2026.51.15471

Keywords:

Emergência, Tecnologia, Atendimento Pré-Hospitalar, Transporte de pacientes, Edifícios

Abstract

The aim of this study was to design efficiency requirements for the development of a technological device to be used in patient transport in conventional elevators with reduced cabin dimensions. This methodological study was conducted from October 2021 to December 2022 and comprised five phases: scoping review; mapping of influencing factors and identification of requirements; definition of requirements; content validity using the Content Validity Index (CVI) by an expert committee; and synthesis and analysis of information and data. Twenty experts, including physicians, nurses, military firefighters, and a Franco-Brazilian firefighter (Paris), from the five Brazilian macro-regions (North, Northeast, Midwest, Southeast, and South), responded to a validity instrument developed using a Likert scale. Among the results, 90% of items reached the recommended level of agreement and satisfaction, considering values above 0.8 (CVI values between 0.8 and 1). Only one item obtained a CVI of 0.55 and was therefore considered statistically inadequate and excluded. Four items were added based on experts’ suggestions. Additionally, ten technological devices for patient transport available in national and international markets were analyzed for benchmarking purposes, as they presented specifications closest to the established requirements, although none fully met all properties and characteristics. This study identified an opportunity to develop a new technological solution that is practical, applicable, accessible, and low-cost, as a health technology aimed at optimizing patient transport in pre-hospital care services in Brazil.

References

1) Almeida, P. M. V. et al. Análise dos atendimentos do SAMU 192: Componente móvel da rede de atenção às urgências e emergências. Escola Anna Nery, Botucatu, v. 20, p. 289-295, 2016.

2) Sousa, B. V. N.; Teles, J. F.; Oliveira, E. F. Perfil, dificuldades e particularidades no trabalho pré-profissional dos serviços de atendimento-hospitalar móvel: revisão integrativa. Enfermería Actual en Costa Rica, San José, n. 38, pág. 245-260, jun. 2020.

3) Brasil. Ministério da Saúde. Política Nacional de Atenção às Urgências, 3. ed. Brasília: MS, 2006.

4) Adnet, F; Lapostolle, F. International EMS Systems: France. Resuscitation, v. 63, n. 1, p. 7-9, 2004.

5) Gimenez, F. M. P. et al. Analysis of adverse events during intrahospital transportation of critically ill patients. Critical care research and practice, Paraná, 2017.

6) Liu, Yan-Sheng. et al. A novel first aid stretcher for immobilization and transportation of spine injured patients. PLoS One. China. v. 7, n. 7, p. e39544, 2012.

7) Lin, Shwu Jen. et al. Improving patient safety during intrahospital transportation of mechanically ventilated patients with critical illness. BMJ open quality, Taiwan. v. 9, n. 2, p. e000698, 2020.

8) Coster, J. E. et al. Por que as pessoas escolhem os serviços de atendimento de emergência e urgência? Uma revisão rápida utilizando uma pesquisa sistemática da literatura e síntese narrativa. Medicina de emergência acadêmica, v. 24, n. 9, pág. 1137-1149, 2017.

9) Mehta, J. P. et al. Evaluating the physical demands on firefighters using track-type stair descent devices to evacuate mobility-limited occupants from high-rise buildings.O.H., U.S.A Applied ergonomics, v. 46, p. 96-106, 2015.

10) Ministério da Saúde. Portaria GM n°. 2.048, de 05 de novembro de 2002. Dispõe sobre a organização do Atendimento Móvel de Urgência. 3. ed. Brasília: MS, 2006.

11) Humphreys, H; Book, W. J; Deetjen, G. Advanced patient transfer assist device. In: 2018 International Symposium on Medical Robotics (ISMR). IEEE, p. 1-6. 2018.

12) Silverman, R. A et al. The “vertical response time”: barriers to ambulance response in an urban area. Academic emergency medicine, New York. v. 14, n. 9, p. 772-778, 2007.

13) IBGE. Pesquisa Nacional por Amostra de Domicílios Contínua. 2019. Disponível em https://cidades.ibge.gov.br/brasil/pesquisa/10070/0?ano=2019. Acesso em 19 mar. 2022.

14) Otis. Elevador: saiba tudo sobre este equipamento. Otis, 2023. Disponivel em: https://blog.otis.com/br/elevador-saiba-tudo-sobre-este-equipamento . Acesso em: 10 de 2023.

15) Verjans, Mark et al. Postural workloads on paramedics during patient transport. Current Directions in Biomedical Engineering, Germany. v. 4, n. 1, p. 161-164, 2018.]

16) Da Silva, Raimunda Magalhães; BRASIL, Christina César Praça; DE Vasconcelos Filho, José Eurico. EHealth technologies in the context of health promotion, Fortaleza: EdUECE, 2020. Livro eletrônico. ISBN: 978-65-86445-14-5 (E-book)

17) Polit, D. F.; Beck, C. T. Fundamentos de pesquisa em enfermagem: avaliação de evidências para a prática de enfermagem – 9. ed. –Porto Alegre: Artmed, 2019.

18) Gil, A. C. Como elaborar projetos de pesquisa. 6. ed. – São Paulo: Atlas, 2017

19) Benevides, J. L. et al. Development and validation of educational technology for venous ulcer care. Revista da Escola de Enfermagem da USP [online]. 2016, 50 (02): 0309-0316. 2016. Disponível em https://doi.org/10.1590/S0080-623420160000200018. Acesso em 19 mar. 2022.

20) Aromataris E; Munn Z. JBI Manual for Evidence Synthesis, JBI, 2020. Disponível em https://synthesismanual.jbi.global Acesso em 17 mar. 2022.

21) Santos C.M.C; Pimenta C.A.M; Nobre M.R.C. The PICO strategy for the research question construction and evidence search. Rev Latino Am Enfermagem, v. 15, n. 3, p. 508- 11. 2015.

22) Menezes, Sáskia Sampaio Cipriano de et al. Razonamiento clínico en la enseñanza de licenciado en enfermería: revisión de blanco. Revista da Escola de Enfermagem da USP, São Paulo. v. 49, p. 1032-1039, 2015.

23) Prisma. Prisma: Transparent reporting of systematic reviews and meta-analyses. Flow Diagram for a new systematic review. 2021 Disponível em: https://prismastatement.org/PRISMAStatement/FlowDiagram. Acesso em 22 jun. 2022.

24) Magalhães, V. M. P. C. Construção e validação de uma escala de autoeficácia materna na alimentação do lactente. 2018. Dissertação de Mestrado. Universidade Federal de Pernambuco.

25) Lynn M. R. Determination and quantification of content validity. Nurs Res. 1986; 35 (6): 382-385.

26) Santos, Maria Solange Nogueira dos. Abordagem Baseada em Tecnologia de Apoio ao Acompanhamento da Assistência de Enfermagem Na Uti Neonatal. Dissertação de Mestrado. Programa de Mestrado Profissional em Tecnologia e Inovação em Enfermagem/Universidade de Fortaleza – UNIFOR, 146 f, 2017.

27) Alexandre, N. M. C; Coluci, M. Z. O. Validade de conteúdo nos processos de construção e adaptação de instrumentos de medidas. Ciência & Saúde Coletiva [online]. 2011; 16 (7): 3061-3068.Disponível em https://doi.org/10.1590/S1413-81232011000800006 Acesso em 19 mar. 2022.

28) Davis, L.L. Instrument review: getting the most from a panel of experts. Appl Nurs Res. v. 5, n. 4, p. 194-197. 1992.

29) Brasil, Ministério da Saúde. Conselho Nacional de Saúde (CNS). Resolução nº 466/2012, de 12 dezembro de 2012. Aprova as diretrizes e normas de pesquisas envolvendo seres humanos de pesquisas e testes em seres humanos. Brasília: MS, 2012.

30) Ligtenberg, Jack J.M. et al, Quality of interhospital transport of critically ill patients: a prospective audit. Critical Care, 2005; 9(4): 1-6.

31) Morrison, L. J. et al. Measuring the EMS patient access time interval andthe impact of responding to high-rise buildings. Prehospital Emergency Care, Toronto. 2005; 9(1): 14-18.

32) Kim, Tae. Han et al. Quality between mechanical compression on reducible stretcher versus manual compression on standard stretcher in small elevator. The American Journal of Emergency Medicine, Seoul, Korea. v. 34, n. 8, p. 1604-1609, 2016.

33) Kim, Tae Han et al. Chest compression fraction between mechanical compressions on a reducible stretcher and manual compressions on a standard stretcher during transport in out-of-hospital cardiac arrests: the Ambulance Stretcher Innovation of Asian Cardiopulmonary Resuscitation (ASIA-CPR) pilot trial. Prehospital Emergency Care, Korea. 2017; 21 (5): 636-644.

34) Takei, Y; HasegaWA, M; Adachi, T. Analysis of adverse events in the prehospital field activities: A quantitative study using secondary research methods. Journal of Japanese Society for Emergency Medicine, japan. 2021; 24(4): 569-577.

35) Lad, Uma et al. Comparing the biomechanical and psychophysical demands imposed on paramedics when using manual and powered stretchers. Applied Ergonomics, Ontario.2018; 70: 167-174.

36) Beck, B. et al. Jerry can carriage is an effective predictor of stretcher carry performance. Ergonomics, Australia 2016; 59(6): 813-820.

37) Lavender, Steven A. et al. Biomechanical analyses of paramedics simulating frequently performed strenuous work tasks. Applied ergonomics EUA, 2000; 31(2): 167-177.

38) Lateef, F; Anantharaman, V. Delays in the EMS response to and the evacuation of patients in high-rise buildings in Singapore. Prehospital emergency care, 2000; 4(4): 327-332.

39) Drinhaus, H. et al. Rescue under ongoing CPR from an upper floor: evaluation of three different evacuation routes and mechanical and manual chest compressions: a manikin trial. Scandinavian journal of trauma, resuscitation and emergency medicine, Germany. 2020; 28(1): 1-8.

40) Chi, Chien-Yu et al. Comparison of chest compression quality between transfer sheet and stretcher use for transporting out-of-hospital cardiac arrest patients in a high-rise building-a randomized and open-label cross-over design. Prehospital Emergency Care, Taiwan. 2021; 25(3): 370-376.

41) Larouche, Dominique et al. Overall risk index for patient transfers in total assistance mode executed by emergency medical technician-paramedics in real work situations. Applied Ergonomics, 2019; 74: 177-185.

42) Wang, H. E. et al. Ambulance stretcher adverse events. BMJ Quality & Safety. Pittsburgh 2009; 18 (3): 213-216.

43) Lim, S. H; NG, P. K. Synthesisation of design features for multifunctional stretcher concepts. Journal of medical engineering & technology, Malasia. 2021; 45(2): 145-157.

44) Fischer, P. E. et al. Spinal motion restriction in the trauma patient–a joint position statement. Prehospital Emergency Care, Tennessee. 2018; 22 (6): 659-661.

45) Swartz, Erik E et al. Prehospital cervical spine motion: immobilization versus spine motion restriction. Prehospital Emergency Care, E.U.A. 2018; 22 (5): 630-636.

Published

2026-04-27

How to Cite

Puccetti, V. G., de Abreu, R. N. D. C., de Vasconcelos Filho, J. E., Rolim, K. M. C., & Sampaio, L. R. L. (2026). Requirements for a device for patient transport in pre-hospital care in buildings with reduced-cabin elevators. Revista Contexto & Saúde, 26(51), e15471. https://doi.org/10.21527/2176-7114.2026.51.15471

Issue

Section

ORIGINAL ARTICLE