This study shares the concept of an intervention that brings senior executives to the bedside and uses them to engage frontline staff and learn about ongoing safety issues. The authors share the experiences of their institution in implementing this activity in nearly 50 clinical areas, how they managed the collected data, and used it to drive improvement activities. They provide a series of sample questions used by executives to foster discussion and also an example of the reports generated from the effort. A later randomized control trial demonstrated the positive impact of this intervention on safety culture.