Fig. 1

a The Social Network - GICU at Hadassah Medical Center-Ein Kerem Hospital. b The Social Network - MICU at Hadassah Medical Center-Ein Kerem Hospital. Key relevant for both social network maps. Each map has separate staff members excluding yellow and pink staff. The maps present all the participants involved in the research (management, researchers and staff from all sectors). Each arrow indicates a participant’s referral of another participant they recommended, or a participant identified by the researcher during the interviews and observations; sometimes the same team member was referred by several staff members. As shown by the maps, the research population was divided into three groups: (1) Red circles - the positive deviants (PDs) recommended by the staff and identified by the researchers; or identified only by the researchers, (2) Blue circles - staff not recommended and not identified as PDs., and (3) Blue diamonds – staff recommended but not identified as PDs