Critical incidents as perceived by rapid response teams in emergency services

• Autor(a) principal: Dias,Alexsandro de Oliveira
• Data de Publicação: 2020
• Outros Autores: Bernardes,Andrea, Chaves,Lucieli Dias Pedreschi, Sonobe,Helena Megumi, Grion,Cintia Magalhães Carvalho, Haddad,Maria do Carmo Fernandez Lourenço
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista da Escola de Enfermagem da USP (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342020000100438
• topic: Hospital Rapid Response Team; Heart Arrest. Cardiopulmonary Resuscitation; Emergency Nursing; Patient Safety

Abstract 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.