Memory was a factor for several paper-based processes. Paper served as a reminder about old or existing information and supplemented CPRS. In the transition from paper to electronic medical records, the role of paper has changed from a long-term storage medium to an important, temporary memory aid and disposable display device [2]. In some cases, these paper processes support and enhance clinicians’ work in critical ways and should not be viewed as circumventions to using CPRS. For example, one pharmacist, when working in the inpatient wards, made hand notes on printouts from CPRS and transferred the new handwritten data back into CPRS later in the day. “The hand notes help me remember. I do this for discharges and inpatients… There can be 6-12 discharges/day. It is not possible to make these types of notes in CPRS [in real time]. I don’t know how you would do this in the computer…We need paper to do our job.”