Coughlin DG, et al. - Authors performed a retrospective chart review to assess bouncebacks to the neurointensive care unit (neuro-ICU). In addition, they designed and implemented a quality improvement pilot to reduce that rate. They observed that patients at high risk for bounceback after transfer from the neuro-ICU can be identified using a simple tool. Improvement in their management could be achieved with early augmented multidisciplinary communication and care for high-risk patients in the hospital.