Immediate Response Team: qualitative assessment of the organizational context, strengths and weaknesses
Keywords:
Maternal mortality, Perinatal mortality, Pregnancy complications, Pre-eclampsiaAbstract
Introduction: Maternal mortality is a global public health problem that has not been resolved, so strategies are needed to ensure emergency obstetric care, the Immediate Response Team (ERI) is a multidisciplinary care strategy which coordinates activities, care and management.
Objective: To evaluate trough the organizational context, the mode of operation, strengths and weaknesses of the rapid response team from the perspective of the actors involved.
Methods: Qualitative evaluation with 18 participants of management and operational levels selected through convenience sampling. Semi-structured interviews were audio recorded and after their informed consent were transcribed. An analysis of thematic content was conducted.
Results: Four dimensions were identified: 1) Human resources, prospects of a humanized equipment and service attitude; 2) Working conditions, factors that favor the attention of urgency; 3) Strengths, friendly side of care to users, and 4) Areas of opportunity, areas for improvement to ensure the success of care.
Conclusions: Members of the immediate response team perform their duties according to the steps of the critical path: a) Identify; b) Address; c) Transfer, and d) Provide feedbac. There are well-defined steps to follow when identifying an obstetric emergency, in addition to have well-defined human resources responsible for activating the code.
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