We appreciate the interest expressed in the letter by Kulhari et al.1  for our recent article2  on structured handoffs among anesthesia providers. The authors raise two salient points regarding the investigation. First, they point out the importance of education in handoff improvement initiatives and asked for further details regarding our intervention. As noted in the “Intervention” section of the Materials and Methods, we introduced the initiative to the faculty in a meeting, which included education regarding the evidence that handoffs of care were associated with adverse outcomes in our own data, as well as in the literature, that our use of a structured tool lagged those of comparison institutions in the Multicenter Perioperative Outcomes Group data, and that use of such a tool was correlated with better transfer of information between professionals. While participation was not mandated, monthly updates on use of the tool were a regular part...

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