A critical safety and quality problem in the United States, patient care hand-off has been described as “The Bermuda Triangle of Healthcare”. Miscommunication is so common that it’s been found that ED staff members remember less than half of the information that EMS relays during verbal reports. Occurring many thousands of times a day and each and every patient hand-off is an opportunity for either failure or success. Using the right techniques, healthcare providers can do more than just avoid an “uh-oh” moment, we can speed the delivery of critical patient care to our patients who need it most. Objectives: Students will learn: 1) The potential failure points in hand off that directly affect patient care. 2) Common communication errors that occur 3) The SBAR +Q method for verbal reports. 4) The SHARE method for implanting a hand-off improvement initiative. www.romduckworth.com