Authors: Dr. Medha Chillal; *Dr. Richard Neal; and Dr. Adrian Plunkett

We were interested to read the recent article, "Changes in Medical Errors after Implementation of a Handoff Program," by Starmer et al. (N Engl J Med 2014; 371:1803-1812) about the benefits of I-PASS. The I-PASS system has been adapted for use as a handover tool at the Birmingham Children’s Hospital Paediatric Intensive Care Unit (PICU) over the last year and has undergone iterative modification following feedback surveys to arrive at its current format. [...]