Dartmouth-Hitchcock is committed to standardizing shift hand-off communication to benefit our patients and care teams. Here, Chief Quality Officer Michael Calderwood, MD, MPH, and Associate Chief Quality Officer Lori Key, BSN, MBA, RN, discuss I-PASS, which includes a mnemonic for a standardized system of verbal and written hand-offs. I-PASS significantly improves the reliability of hand-off communication and it reduces preventable adverse events and medical error rates without adding time to the hand-off process.