title: Implementation and evaluation of an alpha-numeric paging system on a resident inpatient teaching service.
abstract: BACKGROUND
  Numeric pagers are commonly used communication devices in healthcare, but cannot convey important information such as the reason for or urgency of the page. Alphanumeric pagers can display both numbers and text, and may address some of these communication problems.
  
  
  OBJECTIVE
  Our primary aim was to implement an alphanumeric paging system.
  
  
  METHODS
  Continuous quality improvement study using rapid-cycle change methods.
  
  
  METHODS
  General Internal Medicine (GIM) inpatient wards at 1 tertiary care academic teaching hospital.
  
  
  METHODS
  All residents, attending physicians, nurses, and allied health staff working on the general medicine (GM) wards.
  
  
  METHODS
  We measured: (1) the proportion of pages sent as text pages, (2) the source of the pages, (3) the content of the text pages, (4) the pages that disrupted scheduled education activities, and (5) satisfaction with the alphanumeric paging system.
  
  
  RESULTS
  After implementation, 52% of pages sent from physicians or the GM wards were sent as text pages (P < 0.001). 93% of pages between physicians were text pages, compared to 27% of pages from the GM wards to physicians (P < 0.001). The most common reason for text paging among physicians was to arrange work or teaching rounds (33%). The most common reason for text paging from the GM wards was to request a patient assessment or for notification of a patient's clinical status (25%). There was a 29% reduction in disruptive pages sent during scheduled educational rounds (P < 0.001).
  
  
  CONCLUSIONS
  We successfully implemented an alphanumeric paging system that reduced disruptive pages on a GM inpatient service.
authors.affiliation: Division of General Internal Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada. b.wong@utoronto.ca
authors.forename: B M
authors.initials: BM
authors.lastname: Wong
authors.forename: S
authors.initials: S
authors.lastname: Quan
authors.forename: S
authors.initials: S
authors.lastname: Shadowitz
authors.forename: E
authors.initials: E
authors.lastname: Etchells
mesh_terms: D000046:Academic Medical Centers / Q000379:methods / Q000592:standards* / Q000639:trends; D001291:Attitude of Health Personnel; D006747:Hospital Communication Systems / Q000592:standards* / Q000639:trends; D006784:Hospitals, Teaching / Q000379:methods / Q000592:standards* / Q000639:trends; D006801:Humans; D007297:Inpatients; D007396:Internship and Residency / Q000379:methods / Q000592:standards / Q000639:trends; D008505:Medical Staff, Hospital / Q000592:standards* / Q000639:trends