The current communication system between junior doctors on-call and nurses in most Irish hospitals is predominantly bleep (also known as pagers) based. Bleeps have been in use for decades and pre-date mobile-phones. Bleeps are carried by the on-call doctors who receive an audible or vibrating signal alert followed by the telephone extension of the sender. They were introduced as a means of communication to relay information between health-care providers in a timely manner. They are known to be reliable as they work in areas where cellular networks cannot reach, have long-life battery, and they offer instant message delivery [1]. Some studies, however, suggest that they may cause interruptions in patient care, disruption to workflow, inefficiency, increased burden and stress to the on-call health staff [[2], [3], [4]]. Moreover, at times, information may not be relayed to the doctor in effort to reduce bleeps. Potentially, through these all these confounding factors, medical errors may occur [5,6]. In addition, the department of health and doctor representatives state that on-call doctors spend a significant proportion of their time inefficiently performing repetitive tasks that could be delegated other healthcare staff yet this can't be audited using the bleep system [7]. A single centre prospective study took place in a University Hospital where a cost-effective and simple electronic system was introduced to eliminate bleep usage during intern on-call hours. The purpose of this study was to evaluate whether the electronic system would reduce workload, stress, frequency of bleeps, and improve communication and satisfaction rate between the on-call doctors and nursing staff with an overall-aim to use the findings to propose a way forward into a more technologically advanced definitive system.