We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Research Letter |

Do Physicians Spend Less Time With Patients in Contact Isolation?  A Time-Motion Study of Internal Medicine Interns

Cody N. Dashiell-Earp, MD, MBA1; Douglas S. Bell, MD, PhD1,2; Alexis O. Ang, MD, MPH1; Daniel Z. Uslan, MD, MS1,3
[+] Author Affiliations
1Department of Internal Medicine, David Geffen School of Medicine at University of California, Los Angeles
2Biomedical Informatics Program at the Clinical and Translational Science Institute, University of California, Los Angeles
3Division of Infectious Diseases, University of California, Los Angeles
JAMA Intern Med. 2014;174(5):814-815. doi:10.1001/jamainternmed.2014.537.
Text Size: A A A
Published online


The use of contact isolation precautions for patients colonized or infected with drug-resistant or easily transmissible organisms is a widely accepted strategy for reducing transmission of hospital-associated infections. Although hospitals throughout the country have implemented these practices at great logistical and financial expense, there are few high-quality data to support their use.

Isolation precautions have unintended consequences, including a reduction in time spent with health care providers, lower patient satisfaction, and more preventable adverse events.13 Only a few small studies have measured the impact of contact isolation on time spent by health care providers with patients. Given recent advances in spatial tracking technology, we set out to measure differences in time spent by internal medicine interns with patients in contact isolation rooms compared with those in nonisolation rooms.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption
Average Time per Visit Spent by Interns to Isolation vs Nonisolation Rooms

Each data point represents 1 intern. Dashed line shows where values would be if time in isolation and nonisolation rooms were equal. Solid line shows the least-squares regression for the relationship between isolation room and nonisolation room time among interns (Pearson r = 0.65). There were 15 total observations.

Graphic Jump Location




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

Users' Guides to the Medical Literature

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis