To expound on my comment - we use CPSI which I believe markets to Critical Access Hospitals - it is clunky, buggy, bombs intermittently, at 2 am it shuts down for 15-45 min for updates (have had this happen when doing dictation - lost 2-3 page dictation). Has no reasonable usefulness in ER - horrible for entering scrips (turned off e scrips after 1 week - interaction and formulary checking was taking 1-5 minutes per med to do and we complained bitterly) - they are turning back on this week and I believe it will be no better. That being said I was able to learn how to use it and I can use it as effectively as I believe its design allows - works for low volume (I only have 2 or 3 inpatients per day) - we still use a transcriptionist who types our dictation - if you use the templates and dragon it is painfully slow and difficult to use.
