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Objective: We have analyzed Brazil’s initial COVID-19 combat actions by the regional innovation ecosystem actors.Methodology/approach: This is a descriptive and qualitative study using documentary research. In total, 471 reports collected via web scraping were submitted to content analysis (using a codebook and intercoder test) and correspondence analysis.Originality/relevance: From an innovation ecosystem perspective, this study fulfills an identified need to understand how different actors have proposed initial solutions to the COVID-19 pandemic, considering different geographic regions.Main results: According to the seminal literature, in the more economically and socially favored regions, the government-industry dyadic model was corroborated, while in the less favored regions, the most innovative actors were universities and society. Our results have not shown the quintuple helix’s performance, which leads us to ponder the use of this model in crises. Furthermore, although the quadruple helix model was observed in our analyses, in the Brazilian geographic regions the helices were not designed in a transversal way.Theoretical contributions: We propose that the geography of a pandemic combat occurs unevenly by the innovation ecosystem actors. Moreover, the helices ordering refers to the theoretical development process and not to the complementarity of the role between actors.Practical implications: This article highlights the need for integrated management of the innovation ecosystem’s initial actions in a pandemic, preventing regions from being neglected, especially those with lower levels of wealth or quality of life.

Objective: to describe the participatory process of building a prototype to support the development of an information management system for notification, investigation and monitoring of health incidents. Method: a methodological research study on technology development, carried out in two stages: 1) documentary analysis of primary and secondary sources related to forms and legislation on incident notification systems, from September to October 2018; 2) deliberative dialog in two sessions, with 12 managers and coordinators of the Quality and Patient Safety Center of public hospitals in the Federal District, held in November 2018. In the deliberative session there was a presentation of the prototype and discussion of its applicability and functionality for the development of an information system for risk management in the health services. Results: creation and prototyping of a tool with 4 (four) screens representing the systematic flow of data. Screen 1: Simplified notification for patients and companions. Screen 2: Notification for the health professional. Screen 3: Investigation of the event and action plan. Screen 4: Intervention and monitoring by means of indicators. Conclusion: this is a tool capable of integrating actions to reduce the occurrence of incidents based on the identification and timely intervention on the risk factors. It can be used as a facilitating basis for the development or improvement of new instruments for risk management in the health services. RESUMEN Objetivo: describir el proceso participativo de construcción de un prototipo para respaldar el desarrollo de un sistema de administración de la información para la notificación, investigación y control de incidentes en el ámbito de la salud. Método: investigación metodológica de desarrollo de tecnología, realizada en dos etapas: 1) análisis documental de fuentes primarias y secundarias relativas a formularios y legislación sobre sistemas de notificación de incidentes, durante el período de septiembre a octubre de 2018; 2) diálogo deliberativo en dos sesiones con 12 administradores y coordinadores de los Centros de Calidad y Seguridad del Paciente de hospitales públicos del Distrito Federal, realizado en noviembre de 2018. En la sesión deliberativa se presentó el prototipo y se analizó su capacidad de aplicación y sus funcionalidades para el desarrollo de un sistema de información para la administración de riesgos en los servicios de salud. Resultados: se crea y diseña el prototipo de una herramienta con 4 (cuatro) pantallas que representan el flujo sistemático de los datos. Pantalla 1: Notificación simplificada por parte de pacientes y acompañantes. Pantalla 2: Notificación por parte del profesional de la salud. Pantalla 3: Investigación del evento y plan de acción. Pantalla 4: Intervención y control por medio de indicadores. Conclusión: la herramienta puede integrar acciones para reducir la cantidad de incidentes a partir de la identificación e intervención oportuna sobre los factores de riesgo. Se podrá utilizar como base facilitadora para el desarrollo o la mejora de nuevos instrumentos para la administración de riesgos en los servicios de salud. RESUMO Objetivo: descrever o processo participativo de construção de um protótipo para subsidiar o desenvolvimento de um sistema de gestão de informação para notificação, investigação e monitoramento de incidentes em saúde. Método: pesquisa metodológica de desenvolvimento de tecnologia, realizada em duas etapas: 1) análise documental de fontes primárias e secundárias relativas a formulários e legislação sobre sistemas de notificação de incidentes, no período de setembro a outubro de 2018; 2) diálogo deliberativo em duas sessões, com 12 gestores e coordenadores de Núcleo de Qualidade e Segurança do Paciente de hospitais públicos do Distrito Federal, realizado em novembro de 2018. Na sessão deliberativa houve apresentação do protótipo e discussão sobre a sua aplicabilidade e funcionalidades para o desenvolvimento de um sistema de informação para o gerenciamento de riscos nos serviços de saúde. Resultados: criação e prototipagem de uma ferramenta com 4 (quatro) telas representando o fluxo sistemático dos dados. Tela 1: Notificação simplificada por pacientes e acompanhantes. Tela 2: Notificação por profissional de saúde. Tela 3: Investigação do evento e plano de ação. Tela 4: Intervenção e monitoramento por meio de indicadores. Conclusão: ferramenta capaz de integrar ações para reduzir a ocorrência de incidentes a partir da identificação e intervenção oportuna sobre os fatores de riscos. Poderá ser utilizada como base facilitadora para o desenvolvimento ou aprimoramento de novos instrumentos para gestão de riscos nos serviços de saúde.

With the raise of computer systems' complexity, greater number of modules, technologies involved and functionalities, monitoring and keeping up with such systems in real time has become an indispensable task, given the fact that the quality of production software impacts directly on decision making and risk management by organizations. Knowing what to observe, which metrics are being more used for runtime software monitoring is an essential part of this context. Therefore, this article presents a systematic mapping regarding the monitoring mechanisms and raises a few research questions. Listing of most used approaches and metrics for runtime legacy systems monitoring. The survey of monitoring metrics allow a better approach for runtime legacy systems comprehension, allowing more suitable strategies for the continuity of such systems.