Interdisciplinary rounds (IDRs) in the intensive care unit (ICU) are increasingly recommended to support quality improvement and to reduce preventable patient harm and conflicts. However, there are no evidenced based studies available about how to perform these rounds in an optimal way. Therefore, the authors developed, validated, and applied a scoring instrument (the IDR Assessment Scale) with quality indicators to assess the quality of IDRs in ICUs. In order to improve the quality of IDRs, the authors developed a leadership training for the leading physicians during rounds. The training...