The peace of paper: patient lists as work tools.

Introduction: Paper-based documents are subject to problems related to storage, loss, distribution and editing. Many organizations have introduced ICT-based processes to reduce the use of paper as primary documentation. Nevertheless, paper documents are still being used in healthcare.

Purpose: To better understand this situation, we have studied the use of paper-based patient lists in two wards in a Norwegian hospital that has 'gone digital'. We seek to answer the question: "Why is it that paper-based patient lists are maintained in the ward of a hospital going digital?"

Methods: Participant observations and semi-structured interviews with stakeholders.

Results: Patient lists allow nurses to immediately record, retrieve, and share relevant patient information at the point of care in a way that is not immediately available through the EPR system. Paper-based tools continue to serve purposes beyond and outside what is currently supported by current electronic information systems.