Epic Deterioration Index Replacing Rothman for Early Detection of At-Risk Patients

For Inpatient Providers and Med/Surg and ICU Nurses

Effective Sunday, Oct. 24

The new Epic Deterioration Index (EDI) will be available for early detection and intervention of at-risk patients by inpatient providers and med/surg and ICU nurses. A thorough HM evaluation found the EDI statistically equivalent to the Rothman Index, while providing clear, easy-to-understand deterioration scoring.

Early detection of patient deterioration can improve accuracy of at-risk patient identification and faster decision-making, leading to improved patient outcomes. Every 15 minutes, the EDI updates a color-coded numerical score, which appears on nurses’ Overview Summary Report and through an icon on the Brain activity. Providers can view the score on the Summary Report. The score will also be available on Epic monitor display boards, or providers and nurses can add a Deterioration Index column on the Patient List.

For more information:

  • Providers: View a brief training video at houstonmethodist.org/edi-provider-video and view this tip sheet for additional information. 

  • Inpatient Nurses: Training is required and assigned in LMS (Epic CLN5000 Epic Deterioration Index (EDI), course #1600009). ​

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