A new report from KLAS Enterprises finds users of emergency department information systems are moving away from best-of-breed systems, but clinicians don't like the enterprise systems replacing them.

The Orem, Utah-based vendor research firm interviewed more than 500 providers and includes performance ratings for 18 ED systems in the report. Among respondents planning to replace or buy a new emergency department system, "72% are leaving a best-of-breed product in favor of an enterprise offering," according to the report. "Yet at the same time, ED customers of enterprise vendors Cerner, Eclipsys, McKesson and Meditech also have some of the highest levels of buyer's remorse."

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