This study describes the implementation of a reporting tool used by physicians to report safety issues during daily rounds. Investigators developed a paper-based tool that generated a 2.6-fold increase in reports compared with traditional incident reporting systems and a 4.1-fold increase in the error categories identified. While barriers to physician reporting have been described previously, the authors advocate for use of their tool (example included in the article) as a mechanism to increase physician reporting and satisfaction with the process. A recent study described the use of a similar tool to improve physician reporting in the surgical intensive care unit.