This document summarizes a quality improvement project to implement patient- and family-centered care (PFCC) rounds at a hospital. The project aims to engage patients and families as partners in care, decision-making, and discharge planning. Outcomes included improved communication and satisfaction for patients, families, and nurses. Challenges included patient advisor training and coordinating interdisciplinary teams. Strategies to overcome challenges included designating consistent patient observers, establishing a PFCC rounds schedule, and providing team building. The document describes using an observation checklist to assess communications and provide feedback to improve PFCC rounds.