Paper isn’t free. You’re paying for it in staff hours, every week.

Paper is the true incumbent: zero acquisition cost, universally understood, the hardest habit to break. But count the workflow (print, hand over, chase, scan, file, retrieve) and then count what you get at the end: a signature that proves a pen moved, not which risks were shown, in what language, or whether they were understood. Patients forget an estimated 20–60% of verbal consultation content (Misra S et al, 2013), and paper has no mechanism to detect, measure, or correct that loss.