Published Data

The Rothman Index has been the subject of several publications in peer-reviewed medical journals. We have also presented at numerous scientific symposiums.


Impact of Severity-Adjusted Workload on Health Status of Patients Discharged from an ICU

Song-Hee (Hailey) Kim, Edieal Pinker, Joan Rimar, and Elizabeth Bradley Social Science Research Network August 14, 2015; doi: 10.2139/ssrn.2644600

Mortality Reduction Associated with Proactive Use of EMR-Based Acuity Score by an RN Team at an Urban Hospital

Michael Rothman, Joan Rimar, Sheila Coonan, Stephen Allegretto, Thomas Balcezak BMJ Quality and Safety 2015 24: 734-735; doi: 10.1136/bmjqs-2015-IHIabstracts.21

Evaluation of Electronic Medical Record Vital Sign Data versus a Commercially Available Acuity Score in Predicting Need for Critical Intervention at a Tertiary Children’s Hospital Model

Yong Sing da Silva, MD, Melinda Fiedor Hamilton, MD, MSc, Christopher Horvat1, MD, Ericka L. Fink, MD, MS, Fereshteh Palmer, MS, Andrew J. Nowalk, MD, PhD, Robert S. B. Clark, MD Pediatric Critical Care Medicine 2015, 16(7):644-651; PMID: 25901545 doi: 10.1097/PCC.0000000000000444

Estimating the Value Added of Attending Physicians on Patient Outcomes

Jason M. Fletcher, Leora I. Horwitz, and Elizabeth Bradley National Bureau of Economic Research, Working paper No. w20534 October 2014;

Nurse Value-Added and Patient Outcomes in Acute Care

Olga Yakusheva, Richard Lindrooth, and Marianne Weiss Health Services Research 2014 Dec;49(6):1767-86. doi: 10.1111/1475-6773.12236. Epub 2014 Sep 25. Invited submission to “Best of Academy Health Annual Research Meeting – 2014"

Economic Evaluation of the 80% Baccalaureate Nurse Workforce Recommendation – A Patient-level Analysis

Olga Yakusheva, PhD, Richard Lindrooth, PhD, and Marianne Weiss, DNSc, RN Medical Care 2014, 52(10), 864-869. PMID: 25215646 doi: 10.1097/MLR.0000000000000189

Using the Rothman Index to Prevent Early Unplanned Surgical Intensive Care Unit Readmissions

Greta L. Piper, MD, Lewis J. Kaplan, MD, FACS, FCCM, FCCP, Adrian A Maung, MD, Felix Y. Lui, MD, FACS, Kimberly Barre, RN, Kimberly A. Davis, MD, MBA, FACS, FCCM Yale University School of Medicine, J of Trauma and Acute Care Surgery 77(1) 2014, pp78-82. PMID: 24977759 doi: 10.1097/TA.0000000000000265

Measuring the Modified Early Warning Score and the Rothman Index: Advantages of Utilizing the Electronic Medical Record in an Early Warning System

G. Duncan Finlay, MD, Michael J. Rothman, PhD, Robert A. Smith, PhD Journal of Hospital Medicine 2014 Feb;9(2):116-9

Shared Decision-making at End-of-life is Aided by Graphical Trending of Illness Severity

David B. Bittleman, MD, G. Duncan Finlay, MD, Alan B. Solinger, PhD BMJ Case Reports published online 13 January 2014, doi:10.1136/bcr-2013-201522

Automated Analysis of Electronic Medical Record Data Reflects the Pathophysiology of Surgical Complications

Joseph J. Tepas, MD, U of Florida College of Medicine, Allen L. Hsiao, MD, Yale University School of Medicine and Yale New Haven Hospital, Joan M. Rimar, DNSc, RN, Yale New Haven Hospital Surgery October 2013 - Volume 154 - Issue 4; p 918–26; doi: 10.1016/j.surg.2013.07.014

Development and validation of a continuous measure of patient condition using the Electronic Medical Record

Michael J. Rothman, Steven I. Rothman, Joseph Beals IV Journal of Biomedical Informatics October 2013 - Volume 46 - Issue 5; p 837–48; doi: 10.1016/j.jbi.2013.06.011

Identifying Patients at Increased Risk for Unplanned Readmission

Elizabeth Bradley, PhD, Olga Yakusheva, PhD, Leora I. Horwitz, MD, Heather Sipsma, PhD, Jason Fletcher, PhD Medical Care September 2013 - Volume 51 - Issue 9; p 761–766; doi: 10.1097/MLR.0b013e3182a0f492

Big Data Meets the Electronic Medical Record: A Commentary on “Identifying Patients at Increased Risk for Unplanned Readmission”

Greg de Lissovoy PhD, MPH Medical Care September 2013 - Volume 51 - Issue 9; p 759–760; doi: 10.1097/MLR.0b013e3182a67209

Risks of Mortality Associated with Common Laboratory Tests: A novel, simple and meaningful way to set Decision Limits from data available in the Electronic Medical Record

Steven I. Rothman, Alan B. Solinger Clinical Chemistry and Laboratory Medicine September 2013 - Volume 51 - Issue 5; p 1803–1813; doi: 10.1515/cclm-2013-0167

Proactive Vs. Reactive Rapid Response Systems: Decreasing Unplanned ICU Transfers

Valerie Danesh, Lotricia Guerrier, Orlando Health, Edgar Jimenez, Orlando Regional Medical Center Critical Care Medicine December 2012 - Volume 40 - supplement 112; doi: 10.1097/01.ccm.0000424259.03351.7c Also accepted for oral presentation at the 42nd Critical Care Congress, San Juan, Puerto Rico, 1/19/2013.

Clinical Implications and Validity of Nursing Assessments: A Longitudinal Measure of Patient Condition from Analysis of the Electronic Medical Record

Michael J. Rothman, Alan B. Solinger, Steven I. Rothman, G. Duncan Finlay BMJ Open August 2012; doi: 10.1136/bmjopen-2012-000849

Algorithm-based proactive Rapid Response Team rounds: Developing – a safety net for patients and nurses

Valerie Danesh, Orlando Health, Edgar Jimenez, Orlando Regional Medical Critical Care Medicine December 2011 - Volue 39 - Issue 12; p 126; doi: 10.1097/01.ccm.0000408627.24229.88 Presented at the 2012 Congress of Critical Care Medicine.

Articles In Progress

Improving Patient Surveillance Reduces Mortality

Thomas Donahue Submitted to the 27th Annual National Forum on Quality Improvement in Health Care, May 2016

Development and Validation of a Continuously Age-adjusted Pediatric General Acuity Model

Joseph J. Tepas, MD, U of Florida College of Medicine, Allen L. Hsiao, MD, Yale University School of Medicine and Yale New Haven Hospital, Joan M. Rimar, DNSc, RN, Yale New Haven Hospital, Jim Levin, MD, Andrew Nowalk, MD, Children’s Hospital of Pittsburgh, Michael J. Rothman, PhD. Submitted to the Journal of Biomedical Informatics

Effective identification at admission and prediction in hospital of sepsis, severe sepsis and septic shock using an EMR-based acuity score

Michael Rothman, Mitchel Levy, Philip Dellinger, Stephen Jones, Robert Fogerty, Kirk Voelker, Barry Gross, Joseph Beals. To be submitted to the Journal of the American Medical Association

High “Normal” Potassium is Dangerous for All Patients, Not Just AMI Patients

Alan B. Solinger, Steven I. Rothman F.A.R. Institute, Sarasota Florida, USA

Laboratory Risk Ranges Can Aid Clinical Decisions: A Data-based Alternative to Reference Intervals (a retrospective cohort study of serum electrolytes)

Alan B. Solinger, Steven I. Rothman F.A.R. Institute, Sarasota, Florida, USA