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Copyright © 2020 Longwoods Publishing.BACKGROUND For decades, the main communication technology in hospitals has been the paging system. In the era of digital communication, smartphones have been adopted by hospitals seeking to modernize processes and offer real-time, two-way communication to increase efficiency. OBJECTIVE The aim of this study was to explore physicians' and nurses' perceptions of the impact of smartphones on communication and efficiency. METHODS Mann-Whitney U-tests were used to compare differences in item scores betwee