ARTICLESDocumentation of Contact Precautions in an Electronic Health RecordCohen, Bevin MPH; Clock, Sarah A. PhD; Larson, Elaine PhD, RN, FAAN, CIC; Behta, Maryam PharmD; Ross, Barbara BSN, RN, CIC; Saddul, Reonel MSN, MPA, RN; Vawdrey, David K. PhDAuthor Information Center for Interdisciplinary Research to Reduce Antimicrobial Resistance (Ms Cohen and Dr Larson), Columbia University School of Nursing; Departments of Pediatrics (Dr Clock) and Biomedical Informatics (Dr Vawdrey), Columbia University, New York; Departments of Information Systems (Dr Behta) and Department of Infection Prevention and Control (Ms Ross), New York-Presbyterian Hospital, New York; and Department of Clinical Excellence, St Joseph Health System, Orange, California (Mr Saddul). Correspondence: David K. Vawdrey, PhD, 622 W 168th St, VC-559, New York, NY 10032 ([email protected]). This work was supported by a research grant from the Association for Prevention Teaching and Research (APTR)—Centers for Disease Control and Prevention (CDC) Cooperative Agreement (5 U50 CD3000-860-21). Dr Clock was supported by a training grant from the National Institute of Nursing Research, National Institutes of Health (5T90NR010824-02) as a fellow in the Center for Interdisciplinary Research to Reduce Antimicrobial Resistance. Accepted for publication January 7, 2011 Journal of Nursing Care Quality: July/September 2011 - Volume 26 - Issue 3 - p 252-259 doi: 10.1097/NCQ.0b013e31820f1555 Buy Metrics Abstract Contact precautions are implemented to reduce transmission of multidrug-resistant organisms but may also increase hospital costs and patient complications. The goal of this study was to determine the prevalence of documentation of contact precautions (provider orders and nursing flowsheet documentation) in an electronic health record. Orders and nursing documentation were simultaneously present for only 42.3% of patient rooms with contact precaution signs, and 17.8% of rooms with signs had neither orders nor nursing documentation. © 2011 Lippincott Williams & Wilkins, Inc.