Leadership DIMENSIONThe Value of Risk Rounding Transforming Nursing Intuition Into Recognition Through Identifying Foreseeable RiskDagley, Kristen MSN, MBA, RN Author Information Kristen Dagley, MSN, MBA, RN, Lenox Hill Hospital. Kristen’s clinical experience spans from ambulatory care to critical care including advanced heart failure management with a subspecialty in mechanical circulatory support. After working in Boston for 10 years, she joined the Lenox Hill Hospital critical care nursing leadership team leading staff in high reliability practices and early identification of foreseeable risks. The author has disclosed that she has no significant relationship with, or financial interest in, any commercial companies pertaining to this article. Address correspondence and reprint requests to: Kristen Dagley, MSN, MBA, RN, Lenox Hill Hospital, New York, NY ([email protected]). Dimensions of Critical Care Nursing 42(1):p 42-45, 1/2 2023. | DOI: 10.1097/DCC.0000000000000559 Buy Metrics Abstract The practice of risk rounding serves as a routine contribution to a highly reliable organization, a culture of curiosity empowering all team members to speak up in real time, and provides insight into areas of uncertainty. Highly reliable organizations protect the time and the team member who disrupts the routine service delivery when a risk is identified. In a 16-week pilot study, staff nurses in a Manhattan cardiothoracic intensive care unit participated in risk rounding wherein the staff identified foreseeable risks in a neighboring patient room. The objective of the pilot study was to foster a culture of safety and improve preparedness for urgent or emergent clinical scenarios. The postsurvey demonstrated improvement in both objectives with potential secondary benefits such as improved patient experience scores and nursing-sensitive indicators. Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.