Communication is an essential and constant exchange of information between the patient and the healthcare professional with full understanding that occurs in both fields (The Joint Commission, 2010, p. 1). It is one of the main activities carried out by healthcare personnel in different contexts (Redfern, Brown and Vincent, 2009). Research shows that communication breakdown is one, if not the leading cause of medical errors (Kohn L., 1999). For example, of 258 malpractice claims that resulted in patient harm, nearly 25% were due to communication errors (Greenberg, Regenbogen, & Studdert, 2007). 61% of the 176 incidents reported to the Australian Incident Monitoring Study in Intensive Care resulted from a communication breakdown (Beckmann, Gillies, Berenholtz, Wu, & Pronovost, 2004). According to the World Health Organization, lack of communication and coordination is the priority area of ​​global research in developed countries (Bates, Larizgoitia, Prasopa-Plaizier, & Jha, 2009). One area at high risk for communication breakdown is the Emergency Department. (ED), which can be very intense and complex due to factors such as crowding and time constraints. For example, Redfern and colleagues (2009) found that when a patient is admitted to the emergency room, 21 communication steps occur, each of which they identified as a risk for at least one failure. The nursing documentation phase proved to be the most prone to errors, which in addition to the other steps, led to loss of information and waste of time (Redfern, et al., 2009). With this in mind, there has been a growing urgency to establish a culture of patient safety. According to Sammer and colleagues (2010), a culture of patient safety is encouraged when the healthcare setting seeks... half of document......9.01.006The Joint Commission. (2010). Promoting effective communication, cultural competence, and patient- and family-centered care: A roadmap for hospitals. Retrieved March 1, 2012, from http://www.jointcommission.org/assets/1/6/ARoadmapforHospitalsfinalversion727.pdfVardaman, J.M., Cornell, P., Gondo, M.B., Amis, J.M., Townsend-Gervis, M., & Thetford , C. (2012). Beyond communication: the role of standardized protocols in an evolving healthcare environment. Health Care Management Review, 37(1), 88-97.Wagley, L., Newtown, S. (2010). Emergency nurses' use of psychosocial nursing interventions to manage ED patients' fear and anxiety. Journal of Emergency Nursing, 36(5), 415-419.Woodhall, L., Vertacnik, L., McLaughlin, M. (2008). Implementation of the SBAR communication technique in a tertiary center. Journal of Emergency Nursing, 34(4), 314-317.