“…Data collection involved observing doctors and nurses while they diagnosed and treated patients with acute illnesses and injuries during shifts in the ED (over 1,000 observational hours, recorded as fieldnotes) and interviewing emergency physicians and nurses about their professional identity, values and practices (66 interviews, digitally recorded and transcribed). Previously published studies examined our ED fieldsite as the institutional coalface where profession and organization come together (Wright, Meyer, Reay and Staggs, 2020; Wright, Middleton, Hibbert and Brazil, 2020; Wright, Zammuto and Liesch, 2017; Wright, Irving and Selvan Thevatas, 2020; Wright et al ., 2016). The present paper conceptualizes the ED as a high‐reliability organizational context and focuses at the level of teams.…”