Overall workflow and communication in the hospital could be significantly improved if the text paging system were more widely utilized.  One of the barriers to increased utilization of the text paging system may be the dual paging systems that are not well centralized - DPH employees who are on the DPH Central Paging system and UCSF residents/employees who are on the Pagerbox system.  If there is a way to better centralize this,perhaps more text paging may be used by all hospital staff to more efficiently communicate.