Which framework is used to convey critical information during handoffs?

• A. SOAP — Subjective, Objective, Assessment, Plan
• B. CARE — Context, Actions, Risks, Evaluation
• C. HAP — Handoff, Actions, Pause
• D. SBAR — Situation, Background, Assessment, Recommendation

Answer: (D)

Structured handoffs rely on a clear framework that communicates essential, actionable information quickly during transitions. SBAR does this by organizing the message into Situation, Background, Assessment, and Recommendation. This ensures the receiver immediately understands what is happening, why it matters, the information backing your view, and what needs to be done next. The approach minimizes miscommunication and safely guides handoff decisions. While other frameworks exist for documentation or different purposes, none are as specifically tailored to conveying critical handoff information as SBAR, which is why it’s the best choice. For example, you might say: Situation: patient with chest pain; Background: history of CAD; Assessment: possible MI; Recommendation: obtain EKG and start aspirin.