Seeking to improve situational awareness at the unit and organizational level, a tertiary care children's hospital implemented a huddle system to boost recognition of safety threats. This study describes how daily huddles took place at the unit level (the "micro level"), at the managerial level (the "meso level"), and at the leadership level (the "macro level"). The goals were to debrief safety events, identify high-risk patients and situations, and marshal organizational resources to address high-priority safety issues. The authors used qualitative methods to explain how this approach—which is grounded in the principles of high-reliability organizations—can lead to improvement in safety culture.