Improving Patient Safety Through Video Monitoring

Cournan, Michele; Fusco-Gessick, Benjamin; Wright, Laura

doi:10.1097/rnj.0000000000000089

Cited by 24 publications

(34 citation statements)

References 10 publications

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“…The acceptability of the intervention depended on its potential for improving patient safety by reducing the risk of falls and the removal of IV lines and catheters and by the possibility of adjusting nursing care to patient needs. A reduction in fall rates due to camera-assisted observation is supported by other research (Cournan et al, 2018;Hardin et al, 2013;Sand-Jecklin et al, 2016), although a direct connection between the camera and the nurses' mobile phones has not been tested previously. In another situation, up to 16 cameras were connected to monitors, which were watched by technicians in a separate room.…”

Section: Discussion Of Find Ing Smentioning

confidence: 68%

Camera‐assisted nursing observation of restless patients in an acute care setting, a multi‐method feasibility study

2021

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Aim To evaluate the implementation, practicality and acceptability of camera‐assisted observation of restless patients in the acute care ward. Design A multi‐method feasibility study. Methods Data consisted of nurses' written records, a brief survey among all nurses and individual interviews with eight nurses. Data analysis encompassed numerical analyses as well as descriptive content analysis. Findings Camera‐assisted observation was implemented by 44 patients from 60–95 years old, for 6 months. The practicality was enhanced by equipment that was easy to operate but the nurses were hampered by carrying the institutional mobile phone while caring for other patients. The intervention's acceptability depended on its potential for improved patient safety and the ability to adjust nursing care to meet the patients' needs as this could enhance feelings of confidence and control.

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Section: Discussion Of Find Ing Smentioning

confidence: 68%

Camera‐assisted nursing observation of restless patients in an acute care setting, a multi‐method feasibility study

2021

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“…Remote Patient Monitoring Systems began to spread all over the world even before the impact of the COVID‐19 pandemic 16–19 . However, with the COVID‐19 pandemic, these systems appear to have gained much more value.…”

Section: Discussionmentioning

confidence: 99%

Remote patient monitoring after cardiac surgery: The utility of a novel telemedicine system

Atılgan

Onuk

Coşkun

et al. 2021

Journal of Cardiac Surgery

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Objective We examined cardiac surgery patients who underwent monitoring of postoperative vital parameters using medical monitoring devices which transferred data to a mobile application and a web‐based software. Methods From November 2017 to November 2020, a total of 2340 patients were enrolled in the remote patient monitoring system after undergoing cardiac surgery. The medical devices recorded vital parameters, such as blood pressure, pulse rate, saturation, body temperature, blood glucose, and electrocardiography were measured via the Health Monitor DakikApp and Holter ECG DakikApp devices which reported data to web‐based software and a mobile application (DakikApp Mobile Systems, Remscheid, Germany). During the follow‐up period, patients were contacted daily through text and voice messages, and video conferences. Remote Medical Evaluations (RMEs) concerning patients' medical states were performed. Medication reminders, daily treatment were communicated to the patients with the DakikApp Mobile Systems Software. Results During a mean follow‐up period of 78.9 ± 107.1 (10–395) days, a total of 135,786 patient contacts were recorded (782 video conferences, 2805 voice messaging, and 132,199 text correspondence). The number of RMEs handled by the Telemedicine Team was 79,560. A total of 105,335 vital parameter measurements were performed and 5024 hospital application requests (6.3% per RME) were addressed successfully and hospitalization was avoided. A total of 144 (6.1%) potentially life‐threatening complications were found to have been diagnosed early using the Telemedicine System. Conclusion Remote Patient Monitoring Systems combined with professional medical devices are feasible, effective, and safe for the purpose of improving postoperative outcomes.

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“…In contrast, CVM decreased total fall rates by 20% to 29%. 38 , 40 , 43 Thus, nurses may use the sensitivity, lead time, and information generated by the AVMS to adaptively manage fall risk (e.g., apply and use a gait belt and assistive device) and decrease the risk of UBEs as antecedents to unassisted falls and fall-related injuries and not to limit safe mobility. This interpretation is consistent with a PPV value of nearly 60% and is in contrast to the alarm fatigue associated with bed pressure-sensor alarms.…”

Section: Discussionmentioning

confidence: 99%

“…Hospitals began using CVM in 2012 38 as a lower cost alternative to sitters. 38 – 41 Central video monitoring uses unlicensed 38 – 41 or licensed personnel 42 to continuously observe up to 16 patients 38 , 40 – 42 on video monitors from a central location. To protect privacy, CVM uses live video and does not record.…”

mentioning

confidence: 99%

“… 39 , 40 Upon observing unsafe patient behavior, a monitoring technician may communicate directly with the patient via intercom, call the assigned nurse, activate the patient call system or an alarm, or use an overhead paging system. 40 , 41 Of 6 evaluations of CVM, 3 reported decreases in total fall rates of 20% to 29% and decreases in sitter-related costs, 38 , 40 , 43 2 were underpowered because of too few patients 42 or cameras, 44 and 1 was descriptive without pre-post comparisons. 41 Limitations to CVM include:…”

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confidence: 99%

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Evaluation of Automated Video Monitoring to Decrease the Risk of Unattended Bed Exits in Small Rural Hospitals

Jones

Haynatzki

Sabalka³

2020

J Patient Saf

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Objectives This study aimed to evaluate the effectiveness of using 1 to 4 mobile or fixed automated video monitoring systems (AVMSs) to decrease the risk of unattended bed exits (UBEs) as antecedents to unassisted falls among patients at high risk for falls and fall-related injuries in 15 small rural hospitals. Methods We compared UBE rates and fall rates during baseline (5 months in which patient movement was recorded but nurses did not receive alerts) and intervention phases (2 months in which nurses received alerts). We determined lead time (seconds elapsed from the first alert because of patient movement until 3 seconds after an UBE) during baseline and positive predictive value and sensitivity during intervention. Results Age and fall risk were negatively associated with the baseline patient rate of UBEs/day. From baseline to intervention: in 9 hospitals primarily using mobile systems, UBEs/day decreased from 0.84 to 0.09 (89%); in 5 hospitals primarily using fixed systems, UBEs/day increased from 0.43 to 3.18 (649%) as patients at low risk for falls were observed safely exiting the bed; and among 13 hospitals with complete data, total falls/1000 admissions decreased from 8.83 to 5.53 (37%), and injurious falls/1000 admissions decreased from 2.52 to 0.55 (78%). The median lead time of the AVMS was 28.5 seconds, positive predictive value was nearly 60%, and sensitivity was 97.4%. Conclusions Use of relatively few AVMSs may allow nurses to adaptively manage UBEs as antecedents to unassisted falls and fall-related injuries in small rural hospitals. Additional research is needed in larger hospitals to better understand the effectiveness of AVMSs.

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Improving Patient Safety Through Video Monitoring

Abstract: Falls are a significant issue in rehabilitation settings, and current fall prevention strategies fall short of reducing fall rates. Implementation of new video monitoring technology can help reduce fall rates in inpatient rehabilitation settings.

Cited by 24 publications

References 10 publications

Camera‐assisted nursing observation of restless patients in an acute care setting, a multi‐method feasibility study

Camera‐assisted nursing observation of restless patients in an acute care setting, a multi‐method feasibility study

Remote patient monitoring after cardiac surgery: The utility of a novel telemedicine system

Evaluation of Automated Video Monitoring to Decrease the Risk of Unattended Bed Exits in Small Rural Hospitals

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