Abstract
Health care services that show evidence of a safety culture demonstrate effective communication and good situation awareness. This article reports observational research looking at these characteristics in two delivery units, undertaken as part of a study of safety culture. Contrasting team styles evident in daily routines (calm and cohesive in one, more fragmented in the other) were associated with contrasting levels of team situation awareness, which affected the handling of unexpected or urgent events. However, the association between safety and quality in the unit was less simple, suggesting that different styles of team work may be suited to routine and urgent care.
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