Risk classification in a pediatric service: evaluation of the structure, process, and outcome

ABSTRACT Objectives: to evaluate a pediatric risk evaluation and classification service in the aspects of structure, process, outcome. Methods: cross-sectional, descriptive, exploratory study which qualitative data complement results. Data collection by non-participant observation, interview, consultation medical records. Results: we observed two hundred four visits. The works makeshift room without privacy. nurses did not use various materials/equipment available for evaluation, rarely performed physical examination, used interview most time, consult protocol. Parents/companions received no information, records showed incomplete Nurses classified 69.1% children as non-emergency. frequent outcome visits was discharge. Conclusions: weaknesses outcomes, but it presents good resolution assistance. We recommend revision protocol sensitize about work process communication with parents/companions.