A review of literature found that employees, physicians, and administrators are concerned with financial and time costs, complementary changes and errors associated with paperless documentation. Employee concerns are limited in scope and affect only other employees. Physician concerns, especially their motivation towards using it, affect employees as well as the viability of the paperless documentation system. Administrators concerns regarding costs, both finance and time, affect the purchasing decision of paperless documentation for their organization. A viable method of implementation is to assess attitudes within the organization and support complementary changes