Background: Many electronic health record (EHRs) systems offer secure messaging which allows for asynchronous, text message-based communication. Increasingly electronic messaging is replacing more traditional methods of communication such as paging, yet there is limited research on the impact of this transition. Studies have shown that healthcare workers find text communication to be more efficient than [...]

Background: Secure text messaging systems that allow for bidirectional communication between a sender and recipient, instead of relying on unidirectional alphanumeric text or numeric-only messages, have fundamentally changed inpatient communications. At our institution, all clinical team members utilize the same secure messaging platform (Voalte). We aimed to explore physician and nurse overall satisfaction with our [...]

Background: A key factor contributing to physician burnout is what is known as “pajama time”—the time spent on clinical tasks outside of regular working hours. For inpatient physicians, responding to after hours texting may contribute significantly to pajama time. Purpose: At our large, urban academic medical center, 163 medicine residents rotate through the general medicine [...]