Evaluación de las auditorías de calidad de muerte materna a través del protocolo de Londres en el Hospital Guasmo Sur.

Abstract

Maternal death is a public health problem, caused during pregnancy, childbirth or puerperium up to 42 days postpartum, its causes are due to complications of pregnancy, except for accidents or external incidents. The objective of this research is to analyze the application of the London protocol in the audits of maternal deaths in the General Guasmo Sur hospital of the eight zone coordination for improvements in the continuous attention of the quality of attention. The research methodology used a non-experimental design, with a qualitative approach, the investigative scopes used were the exploratory and descriptive, the type of research was classified as field and cross-sectional, the interview was used as an interview technique, with an interview guide of 10 questions as an evaluation tool. The population under study was 11 professional sentinel event auditors (maternal deaths). The results showed that 55% adequately executed the London protocol, the main barriers identified were human ones, the main active failure was the work overload to which the health collaborators are exposed. It was proposed to train staff in issues of identification of obstetric alarms and adverse events and sentinels. It is concluded that the London protocol is considered as an essential tool to proceed with the investigation of a maternal death.