Produção Nacional
Revisado por pares
Critical incidents as perceived by rapid response teams in emergency services
2020; UNIVERSIDADE DE SÃO PAULO; Volume: 54; Linguagem: Inglês
10.1590/s1980-220x2018027903595
ISSN1980-220X
AutoresAlexsandro de Oliveira Dias, Andréa Bernardes, Lucieli Días Pedreschi Chaves, Helena Megumi Sonobe, Cíntia Magalhães Carvalho Grion, Maria do Carmo Fernandez Lourenço Haddad,
Tópico(s)Emergency and Acute Care Studies
ResumoAbstract Objective: To analyze two hospital emergency services, one in a public institution and another in a philanthropic one, from the perspective of rapid response team professionals in the face of positive and negative critical incidents. Method: Descriptive, exploratory, qualitative study carried with 62 health professionals. Critical Incident Technique was employed as the theoretical-methodological framework, along with Content Analysis for analyzing data. Results: Sixty-two health professionals - including 23 nurses, 20 physiotherapists and 19 doctors - took part in this study. Clusters for 89 critical incidents were obtained; 66 of them were considered positive, whereas 23 were negative. The situations associated to the provided services were discriminated in three categories: recognition of patient clinical deterioration; rapid response team activation in the unit; and time until rapid response team arrival at the ward. Conclusion: In spite of the difficulties faced by such professionals while providing care to patients who become severely ill in non-critical wards, positive reports were predominant in all categories, what legitimized this service's importance as a contribution to quality and safety of hospitalized patients.
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