Transfer of care of patients from one physician to another—referred to as the handoff—is a period laden with vulnerabilities. Miscommunication during handoffs is one of the most common preventable sources of adverse events in the hospital. Since 2003, when resident duty-hour restrictions were implemented in the United States, handoffs have become more common. Efforts to make handoffs uniform, usually involving standardized sign-outs, have improved safety1-3 and have become widely accepted.