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Comunicación, Trabajo en Equipo y Cultura: Creación de Equipos Ganadores para Apoyar Resultados Óptimos en el Parto
Colleen Sinnott1, Katherine H Campbell1, Christian M Pettker2
1Division of Maternal Fetal Medicine, Yale School of Medicine, New Haven, CT, USA.
Obstetrics and gynecology clinics of North America
|February 15, 2026
Resumen
Una atención eficaz del parto y el alumbramiento requiere trabajo en equipo y comunicación clara. Las herramientas estructuradas, los roles definidos y las reuniones de seguridad mejoran los resultados de los pacientes y la gestión de emergencias en obstetricia.
Área de la Ciencia:
- Obstetricia y Ginecología
- Gestión Sanitaria
- Seguridad del Paciente
Sus antecedentes:
- La atención eficaz del parto y el alumbramiento depende de equipos multidisciplinarios cohesionados.
- Una sólida cultura de seguridad es crucial para obtener resultados óptimos para los pacientes.
- La coordinación entre médicos, enfermeras, anestesiólogos y familias es esencial.
Objetivo del estudio:
- Esbozar cómo los diversos profesionales de la salud forman unidades funcionales para la atención del parto y el alumbramiento.
- Enfatizar el papel de las herramientas estructuradas y la comunicación en la mejora del rendimiento del equipo.
- Destacar las estrategias para alinear la atención, reducir los retrasos y gestionar las emergencias obstétricas.
Principales métodos:
- Definición de roles claros y estructuras de liderazgo dentro del equipo de atención.
- Implementación de herramientas y lenguaje de comunicación estandarizados.
- Utilización de reuniones de seguridad (junto a la cama y de unidad) para alinear la atención.
- Empleo de marcos como Situación, Antecedentes, Evaluación y Recomendación (SBAR) y Gravedad de la enfermedad, Paciente, Acción, Síntesis, Resumen (IPASS).
- Uso de la calificación de cesáreas basada en colores y la monitorización de la frecuencia cardíaca fetal.
Principales resultados:
- Mejora de la cohesión del equipo y un modelo mental compartido entre diversos profesionales.
- Mejora de la comunicación que conduce a una reducción de los retrasos en la atención.
- Manejo más eficaz de las emergencias obstétricas.
- Mayor vigilancia en la monitorización de pacientes a través de herramientas especializadas.
Conclusiones:
- Roles claramente definidos, liderazgo y comunicación estandarizada fomentan equipos de parto y alumbramiento eficaces.
- Las herramientas estructuradas y las reuniones de seguridad son vitales para alinear la atención y mejorar la seguridad.
- La implementación de marcos de comunicación específicos y herramientas de monitorización mejora la eficiencia de la atención obstétrica y la seguridad del paciente.
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