Thirteen methods for computing binomial confidence intervals are compa
red based on their coverage properties, widths and errors relative to
exact limits. The use of the standard textbook method, x/n +/- 1.96 sq
uare-root[(x/n) (1 - x/n)/n], or its continuity corrected version, is
strongly discouraged. A commonly cited rule of thumb stating that alte
rnatives to exact methods may be used when the estimated proportion p
is such that np and n(1 - p) both exceed 5 does not ensure adequate ac
curacy. Score limits are easily calculated from closed form solutions
to quadratic equations and can be used at all times. Based on coverage
functions, the continuity corrected score method is recommended over
exact methods. Its conservative nature should be kept in mind, as shou
ld the wider fluctuation of actual coverage that accompanies omission
of the continuity correction.