Fall Prevention and Injury Reduction Utilizing Continuous Video Monitoring

Quigley, Beth; Renz, Susan; Bradway, Christine

doi:10.1097/ncq.0000000000000582

Cited by 5 publications

(13 citation statements)

References 15 publications

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“…Davis et al 22 found that a VM program had a total estimated savings of approximately $88,000 during 6 weeks of study (equivalent to $762,667 annually), based on cost avoidance from sitter expenses and the cost related to avoided falls. A recent study from Hogan et al 29 found that 1 virtual sitter monitoring up to 10 patients resulted in a savings of 2,152 patient-hours of monitoring over 3 months. Based on the average hourly rate and benefits paid to sitters, the total cost savings was equivalent to more than $97,000 in sitter expenditure (equivalent to $388,000 annually).…”

Section: Discussionmentioning

confidence: 99%

The Impact of Adding a 2-Way Video Monitoring System on Falls and Costs for High-Risk Inpatients

Sosa,

Soares,

Patel

et al. 2024

J Patient Saf

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Objectives We aimed to investigate the value of adding a video monitoring (VM) system with falls and costs for patients at high risk. Methods We conducted a retrospective, historically controlled study of adults (≥18 y old) at high risk of fall admitted at the University of Miami Hospital and Clinics from January 1 to November 30, 2020 (pre-VM) and January 1 to November 30, 2021 (post-VM); in-person sitters were available in both periods. Fall risk assessment was conducted on admission and at every nursing shift; we defined patients as high risk if their Morse Fall Scale was ≥60. We conducted a multivariable logistic regression model to evaluate the association of period (pre- versus post-VM) with falls and performed a cost analysis. Results Our primary cohort consisted of 9,034 patients at high risk of falls, 4,207 (46.6%) in the pre-VM and 4,827 (53.4%) in the post-VM period. Fall rates were higher in the pre- than the post-VM periods (3.5% versus 2.7%, P = 0.043). After adjustment, being admitted during the post-VM period was associated with a lower odds of fall (odds ratio [95% confidence interval], 0.49 [0.37–0.64], P < 0.001). The median adjusted hospital cost (in 2020 dollars) was $1,969 more for patients who fell than for patients who did not (interquartile range, $880–$2,273). Considering start-up and ongoing costs, we estimate VM implementation to partly replace in-person monitoring has potential annual cost savings of >$800,000 for a hospital similar to ours. Conclusions Video monitoring to augment in-person sitters is an effective fall prevention initiative for patients at high risk of falls, which is likely also cost-effective.

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Section: Discussionmentioning

confidence: 99%

The Impact of Adding a 2-Way Video Monitoring System on Falls and Costs for High-Risk Inpatients

Sosa,

Soares,

Patel

et al. 2024

J Patient Saf

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“…23 Although widely used, empirical evidence supporting the addition of in-person sitters to standard fall precautions is scant. 23,24 RPM, an innovative technology that incorporates CVM, has been shown to promote patient safety 9 by reducing falls and subsequent injury. 5,9 RPM allows for increased monitoring of patients per observer as 1 RPM technician monitors 12 patients.…”

Section: Available Knowledgementioning

confidence: 99%

“…23,24 RPM, an innovative technology that incorporates CVM, has been shown to promote patient safety 9 by reducing falls and subsequent injury. 5,9 RPM allows for increased monitoring of patients per observer as 1 RPM technician monitors 12 patients. Patients can be redirected when they exhibit fall-risk behaviors, such as attempting to get out of bed without assistance.…”

Section: Available Knowledgementioning

confidence: 99%

“…9 Direct communication with patients allows additional time for unit staff to enter the room and assist as needed. 9 This increased observer ratio via video monitoring has demonstrated promising results. When used in conjunction with standard fall precautions, video monitoring has shown a 14% reduction in median fall rates and a 6% reduction in fall-related injuries.…”

Section: Available Knowledgementioning

confidence: 99%

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Remote Patient Monitoring Improves Patient Falls and Reduces Harm

Zimbro,

Bridges,

Bunn

et al. 2023

Journal of Nursing Care Quality

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Background: Minimizing patient falls and fall-related injuries within organizational constraints is a high priority for nurse leaders. The Centers for Medicare & Medicaid Services do not reimburse hospitals for fall-related expenditures. In-person sitters are used to prevent falls but are resource intensive and costly. Remote patient monitoring (RPM) may offer alternatives to in-person sitters to reduce fall-related harm. Purpose: The efficacy of RPM to reduce patient falls and fall-related injuries was explored. Methods: Electronic health record data were extracted from a 13-hospital integrated health care system. Incidence rate ratios were used to analyze the impact of RPM technology on falls and fall-related injuries. Results: When used in conjunction with standard fall precautions, RPM reduced falls 33.7% and fall-related injuries 47.4%. Fall-related expenditures decreased $304 400 with a combined estimated savings systemwide of $2 089 600 annually. Conclusions: RPM technology minimized falls and associated harm and improved patient safety, positively impacting hospital expenditures.

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“…Over the past 5 years, video monitoring systems have demonstrated success in improving patient safety and reducing patient falls 9,10. EHH budgeted to implement a video monitoring system in July 2020.…”

Section: Video Monitoring Systemsmentioning

confidence: 99%