Clinical documentation is an essential aspect of the patient-clinician encounter and serves many purposes. With the increasing use of electronic health records, computerized clinical documentation will soon become ubiquitous. It is one of the means of communication between healthcare providers. Ensuring good quality documentation is crucial to good patient care. The intensive care unit is a complex, dynamic environment and large amounts of data are generated daily for each patient. Good documentation becomes challenging in this situation. The quality of documentation in the intensive care unit has not been studied. In this project the overall quality of computerized clinical documentation in a pediatric intensive care unit was evaluated; documents were also rated based on individual components of quality. Certain factors that may affect the quality of the notes were also studied.