6-step communication protocol to create a shared mental model of who says what, when, and in what sequence at the bedside.


Teamwork model with role clarity for the bedside nurse, physician, and any available allied health professionals.


Patient-centered communication to synthesize mutually supported plans of care and discharge.


Efficient: 3-5 minutes per patient, -12 patients in a mid-morning SIBR hour for 1 physician team.

Length of Stay & Throughput Outcomes

0 %
reduction in LOS
0 %
reduction in LOS
0 %
reduction in 30-day readmits
0 %
reduction in 7-day readmissions

An Innovation in Care Delivery

We can help get your physicians onboard

SIBR was developed by hospitalists to make their day more efficient, effective and patient-centered.
SIBR® rounds and their implementation have won multiple awards for quality, teamwork and patient safety.
SIBR rounds were previously included in the Center for Medicaid Services Innovation portfolio and recommended by the UK Royal College of Physicians & Royal College of Nurses as a ‘Gold Standard’ model of rounding.
“Broad spectrum anti-chaos.”

25 Different Outcomes Improved

Most PI interventions improve one or two outcomes. SIBR has shown results across 25 different outcomes.

Choose a category to learn more:

Awards are the Echoes of Excellence

The Most-Awarded Inpatient Teamwork Model

High-Performance teamwork

What do SIBR rounds bring to your teams

High Reliability

Delivering the right care to the right patient at the right time every time


Hardwiring evidence-based clinical practice to reduce unnecessary variation and improve predictability and quality ...

Shared Mental Models

A common understanding of the roles & responsibilities within a team ...

Situational Awareness

Perceiving data, comprehending its significance, and projecting potential future states

Clinical Inertia prevention

Prevent teams from failing to initiate or intensify therapy when indicated.


High comprehension of information exchange because listeners receive the same data elements in the same sequence every time

Diagnostic error & normalization of deviance mitigation

Mitigate tendencies to be swayed by initial impressions & discounting subtle declines in clinical indicators suggesting a misdiagnosis.

Common Ground

Team situational awareness where members share knowledge to coordinate interdependent tasks efficiently


A collective competence where team members actively notice team effectiveness and interact dynamically to optimize

Cognitive Empathy

Proactively supporting colleagues when needed without having to be asked ...

Collaborative Cross-Checking

Exchanging perspectives for information accuracy


The dynamic ability to recognize and respond to complications early ...

Well Begun is Half Done

How do we support you




Physician & staff engagement, unit co-leads




Training, custom tools, and Day 1




Daily data, skills certification, and leadership dashboards

Learn more

Speak 1:1 with an experienced 1Unit implementation specialist.