Background: In 2011, a multidisciplinary Rapid Results team was tasked with improving institutional response to code red activations and reduce false alarms alongside these efforts. As a part of this process, the team conducted a simulated fire drill using a fire simulator and “patient” manikin. What resulted was the hospital-wide realization that we have room for significant improvement on institutional response to fire. Since then, there has been a great deal of work done to close this gap, including the establishment of local champions of fire response called “Fire Coordinators”, and the development of a Root Cause Analysis taskforce that investigates each false alarm to continually work to reduce excess noise within the hospital.There has also been improvement on how drills (which are a requirement of regulations) are conducted, and how feedback is given to the units after drills. However, there is still a clear opportunity in conducting drills (and debriefs directly following) to learn more about how staff understand and respond to fire. The current debriefs are primarily a one-way communication from the drill coordinator to the handful of participants who agree to spend five minutes to listen, once the alarm tones are shut off and the stress of participants is still palpable. If we are able to use simulation, and simulation debriefing techniques after these drills, not only would staff feel less anxious and judged, but they would learn so much more and feel more prepared for the event of a fire.