of Health Care Organizations have reported that communication failure is the most common cause of preventable medical error.2 Communication error in clinical practice reportedly contributes up to 70% of preventable medical error resulting in death, seri- ous physical or psychological injury to patients.2,3 Several studies have reported higher observed rates of preventable error occur in operating theatres (OT) and intensive care units (ICUs), when com- pared to other health care areas.4–6 Similarly, the Joint Commission reported that approximately half of communication failures were related to the clinical handover period.2 In 2007, communication during patient handover was listed as one of the World Health