Effective collaboration among multi-disciplinary clinical team members has been recognized as a critical component of safe and high quality patient care. There are a variety of systems and procedures in place; however that can impede collaboration by impairing the team's ability to develop and maintain common ground. The current study was an exploratory effort that included an investigation of collaboration in the critical care environment. Direct observations in two urban Intensive Care Units and Cognitive Task Analysis (CTA) interviews with members of the critical care teams highlighted several factors that can contribute to the breakdown of common ground within the critical care team, as well as strategies that can be used to facilitate and support maintenance of common ground.
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