Research Council (ESRC).
Conflicts of interest:None.
Abstract Purpose of reviewThe contribution of qualitative methods to evidence-based medicine is growing, with qualitative studies increasingly used to examine patient experience and unsafe organisational cultures. This review considers qualitative research recently conducted on teamwork and organisational culture in the Intensive Care Unit (ICU) and also other acute domains.
Recent findingsQualitative studies have highlighted the importance of interpersonal and social aspects of healthcare on managing and responding to patient care needs. Clear/consistent communication, compassion, and trust underpin successful patient-physician interactions, with improved patient experiences linked to patient safety and clinical effectiveness across a wide range of measures and outcomes. Across multidisciplinary teams, good communication facilitates shared understanding, decision-making and coordinated action, reducing patient risk in the process.
SummaryQualitative methods highlight the complex nature of risk management in hospital wards, which is highly contextualised to the demands and resources available, and influenced by multi-layered social contexts. In addition to augmenting quantitative research, qualitative investigations enable the investigation of questions on social behaviour that are beyond the scope of quantitative assessment alone. To develop improved patient-centred care, health professionals should therefore consider integrating qualitative procedures into their existing assessments of patient/staff satisfaction.