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SBAR is another helpful tool for handoffs. The acronym SBAR stands for Situation, Background, Assessment and Recommendation. Kaiser Permanente originally adapted a United States Navy tool to enhance collaboration between nurses and physicians (Institute for Health Care Improvement, 2018c). Situation refers to a concise statement of the immediate problem. Background is a brief summary of pertinent information related to the situation. Assessment refers to analysis and consideration of action options. Recommendation addresses the actions requested.