title: [Rapid Response obstetrics Team at Instituto Mexicano del Seguro Social,enabling factors].
abstract: BACKGROUND
  There are barriers and enablers for the implementation of Rapid Response Teams in obstetric hospitals. The enabling factors were determined at Instituto Mexicano del Seguro Social (IMSS) MATERIAL AND METHODS: An observational, retrospective study was conducted by analysing the emergency obstetric reports sent by mobile technology and e-mail to the Medical Care Unit of the IMSS in 2013. Frequency and mean was obtained using the Excel 2010 program for descriptive statistics.
  
  
  RESULTS
  A total of 164,250 emergency obstetric cases were reported, and there was a mean of 425 messages per day, of which 32.2% were true obstetric emergencies and required the Rapid Response team. By e-mail, there were 73,452 life threatening cases (a mean of 6 cases per day). A monthly simulation was performed in hospitals (480 in total). Enabling factors were messagés synchronisation among the participating personnel,the accurate record of the obstetrics, as well as the simulations performed by the operational staff. The most common emergency was pre-eclampsia-eclampsia with 3,351 reports, followed by obstetric haemorrhage with 2,982 cases.
  
  
  CONCLUSIONS
  The enabling factors for the implementation of a rapid response team at IMSS were properly timed communication between the central delegation teams, as they allowed faster medical and administrative management and participation of hospital medical teams in the process.
  
  
  CONCLUSIONS
  Mobile technology has increased the speed of medical and administrative management in emergency obstetric care. However, comparative studies are needed to determine the statistical significance.
authors.affiliation: Dirección de Prestaciones Médicas, Instituto Mexicano del Seguro Social, México DF., México.
authors.forename: Javier
authors.initials: J
authors.lastname: Dávila-Torres
authors.affiliation: Unidad de Atención Médica, Instituto Mexicano del Seguro Social, México DF., México.
authors.forename: José de Jesús
authors.initials: Jde J
authors.lastname: González-Izquierdo
authors.affiliation: Coordinación de Atención Integral en el Segundo Nivel, Instituto Mexicano del Seguro Social, México DF., México.
authors.forename: Roberto Aguli
authors.initials: RA
authors.lastname: Ruíz-Rosas
authors.affiliation: División de Atención Gineco-obstétrica y Perinatal, Instituto Mexicano del Seguro Social, México DF., México. Electronic address: polita.cruz@imss.gob.mx.
authors.forename: Polita Del Rocío
authors.initials: Pdel R
authors.lastname: Cruz-Cruz
authors.affiliation: División de Atención Gineco-obstétrica y Perinatal, Instituto Mexicano del Seguro Social, México DF., México.
authors.forename: Marcelino
authors.initials: M
authors.lastname: Hernández-Valencia
mesh_terms: D000047:Academies and Institutes / Q000458:organization & administration / Q000706:statistics & numerical data; D040421:Cell Phone / Q000706:statistics & numerical data*; D004461:Eclampsia / Q000453:epidemiology; D034742:Electronic Mail / Q000706:statistics & numerical data*; D004631:Emergency Medical Service Communication Systems / Q000706:statistics & numerical data; D004632:Emergency Medical Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D004636:Emergency Service, Hospital / Q000458:organization & administration; D005260:Female; D006801:Humans; D008800:Mexico; D008952:Mobile Health Units / Q000458:organization & administration* / Q000706:statistics & numerical data; D009775:Obstetrics and Gynecology Department, Hospital / Q000458:organization & administration; D010348:Patient Care Team; D016544:Patient Simulation; D011225:Pre-Eclampsia / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D012943:Social Security; D014592:Uterine Hemorrhage / Q000453:epidemiology
keywords: Atención médica; Medical care; Obstetric emergency; Preeclampsia; Urgencia obstétrica