(TGH) are tertiary care academic teaching hospitals affiliated with the University of Toronto,
Toronto, Ontario, Canada. There are 4 dedicated general internal medicine wards with more
than 3000 total admissions at each site per year. Physicians and nurses can send numeric
or text (SHSC only) pages at our hospitals and rely on paper monthly call schedules to
determine which physician to page. We reviewed all available paging records from our …