This study was granted exempt status by the institutional review board at the University of Cincinnati College of Medicine and The Christ Hospital. Since the ACE unit was newly created with the SIBR in place from the outset, a comparison study was chosen to look for changes in staff perceptions of SIBR. In order to measure those perceptions on the ACE unit, surveys were developed and administered to ACE unit staff, which included nurses, social workers, physical and occupational therapists, and PCAs. A separate survey was developed for these same staff groups on four non-intensive care hospital units (medical/surgery and telemetry units) to be used as control groups. This control survey focused on standard physician-centric rounds, in which the attending physician examines computerized laboratory and vital sign information, examines and talks to the patient, and enters a note in the electronic health record, which may or may not involve the physician discussing issues with nursing staff. In contrast to SIBR, there is no operationalized method for physicians to draw information in a multidirectional manner of communication from nursing staff.