Cerner took the top spot among all electronic health record systems, according to Black Book Research’s 2018 EHR Loyalty Survey released this week.

The market research company surveyed almost 15,000 registered nurses in three separate surveys across forty states and received 7,409 total respondents.

Survey participants were asked to rank EHR systems on their overall usability and functionality in four areas. Those surveyed also had to have used one of these systems in the last four years.

Cerner had the highest average usability and functionality rating of 93 percent, followed by Meditech and Allscripts in second and third place. Cerner is one of the top five most popular EHR systems in hospitals today, with 25,000 customers nationwide according to Capterra.

eClinical Works, the largest EHR in the states by a total number of customers, received the lowest scores in all categories, earning an average rating of 39 percent.

Overall average scores show an increasing level of confidence nurses have in using EHR systems. In BlackBook’s 2014 survey, the average rating across all EHR  systems was 21 percent, which has jumped to 79 percent this year.

Additionally, 96 percent of this year’s respondents said they would not want to back to using paper systems.

Among different hospital roles, emergency room, oncology, labor and delivery, and operating room nurses reported the highest average satisfaction levels using EHR system. Medical-surgical, ambulatory and psych nurses reported the lowest average scores.

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