Structured interdisciplinary bedside rounds (SIBR) provide the validated structure that operationalizes interdisciplinary communication while bringing together many care providers involved in the patients care at the bedside, including an emphasis on including the patient and family. The SIBR model was developed by Dr Jason Stein of Emory University with the goal of improving quality and patient outcomes. This interaction with the health care team provides an opportunity for anyone to raise questions and concerns in a level-playing field, one hallmark of a strong culture of safety in a hospital. This study examines staff perceptions of the SIBR process on an acute care for the elderly (ACE) unit in a 555-bed metropolitan community hospital awarded Magnet certification in 2011 for excellence in nursing innovation and practice in Cincinnati, OH.