Background: Clinicians face an overwhelming volume of communication through various channels, including phone calls, text messages, emails, in-person interruptions, and secure messaging systems. This information overload is increasing[1] and poses significant challenges. Despite the availability of communication tools, failures in communication remain the leading cause of preventable medical errors [2]. Secure messaging systems, while essential, [...]

Background: Clinicians face an overwhelming volume of communication through various channels, including phone calls, text messages, emails, in-person interruptions, and secure messaging systems. This information overload is increasing[1] and poses significant challenges. Despite the availability of communication tools, failures in communication remain the leading cause of preventable medical errors [2]. Secure messaging systems, while essential, [...]

Background: Secure text messaging platforms are increasingly replacing traditional paging systems for in-hospital communication1,2. At our institution, the number of secure texts per month nearly doubled from 4.4 million in September 2020 to 8.1 million in September 2023. This growing burden of automated notifications from secure texts without a framework to triage message urgency contributes [...]