The problems facing many US health care organisations may prove critical for survival for many of them. The article outlines the nature of the problems: increased patient demands, tensions among personnel, technological innovation, cost‐conscious purchasers of care, the need to improve...

The pressures currently facing US health care organisations, especially hospitals, in a risk environment are analysed. An important route to maximising efficiency is identified as improved collaboration amongst personnel. Team‐building interventions are recommended and the elements essential...