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This paper analyses the factors affecting the implementation of a strategy within the hospital environment. Such strategy is the implementation of the Quick Response Team in hospitalization units, pursuing quality and safe services to the patient. The choice was based in the analysis of a strategy rendering positive results to the studied institution. A qualitative exploratory research was used, being a single case study within a private hospital located at Porto Alegre, Rio Grande do Sul, Brazil. In-Depth interviews and Causal Cognitive Maps were applied. The research results have shown that the differential factor determining the implementation success of the Quick Response Team was the human component. The studied process was also successful due to the confluence of multiple factors, which have become facilitators to assure such a success. As an academic contribution, the Cognitive Mapping brings an opportunity to better understanding the hierarchic levels when thinking about the strategy process. [ABSTRACT FROM AUTHOR]