Rothman Index: Quantifying Gut Instincts

The New York Times: “The Rothman Index is a commercial product that uses data from standard electronic health records — including lab values, vital signs, cardiac rhythms and key aspects of nursing assessments — to monitor hospital patients. It tracks their status as a graph that falls into a blue, yellow or red zone, based on whether they are at low, medium or high risk of an acute event … The goal is to identify those patients who might look stable but are in fact fragile; applied correctly, it allows medical teams to intervene well before a crisis hits. This saves lives, and money.”

“The Rothman Index empirically validates nurses’ gut feelings by showing that nursing assessments — what nurses see and document when they “lay eyeballs” on patients — offer crucial information about patient stability. It validates what nurses have known all along: that well-honed clinical instincts matter.”


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