Implementation of a Continuous Video Monitoring Program to Decrease Inpatient Falls in a Long-Term Acute Care Hospital Setting: A Prospective Observational Cohort Study.
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| Title: | Implementation of a Continuous Video Monitoring Program to Decrease Inpatient Falls in a Long-Term Acute Care Hospital Setting: A Prospective Observational Cohort Study. |
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| Authors: | Kalafus L; Lisa Kalafus is the chief nursing officer at Gaylord Specialty Healthcare in Wallingford, CT, where Henry Charles Hrdlicka is the director of research, Jennifer Lombardi is the telesitting coordinator and a nurse supervisor, and June Napolitano and Nicole Morrill are nurse managers. Samantha Proctor is a graduate medical student at the Campbell University Jerry M. Wallace School of Osteopathic Medicine in Buies Creek, NC, as well as a research apprentice at Gaylord Specialty Healthcare. Leasing costs for the continuous video monitoring devices and system software used in the study were paid by the study site; the manufacturer did not sponsor the research. The authors wish to acknowledge the telesitter technicians as well as the team members from the information technology, quality and safety, and nursing departments who provided input on implementation of the program and helped to maintain the equipment. Contact co-first authors: Lisa Kalafus, lkalafus@gaylord.org, and Henry Charles Hrdlicka, hhrdlicka@gaylord.org. The authors have disclosed no potential conflicts of interest, financial or otherwise., Hrdlicka HC, Lombardi J, Proctor S, Napolitano J, Morrill N |
| Source: | The American journal of nursing [Am J Nurs] 2025 Dec 01; Vol. 125 (12), pp. 20-27. Date of Electronic Publication: 2025 Nov 20. |
| Publication Type: | Journal Article; Observational Study |
| Language: | English |
| Journal Info: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0372646 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1538-7488 (Electronic) Linking ISSN: 0002936X NLM ISO Abbreviation: Am J Nurs Subsets: MEDLINE |
| Imprint Name(s): | Publication: 1998- : New York, NY : Lippincott Williams & Wilkins Original Publication: Philadelphia, Pa. : J.B. Lippincott Co. for the American Journal of Nursing Co. |
| MeSH Terms: | Accidental Falls*/prevention & control , Accidental Falls*/statistics & numerical data , Inpatients*/statistics & numerical data , Video Recording* , Long-Term Care*, Humans ; Prospective Studies ; Female ; Male ; Aged ; Middle Aged ; Aged, 80 and over ; Monitoring, Physiologic/methods |
| Abstract: | Background: Continuous video monitoring programs have been found to reduce inpatient falls and 1:1 sitter use in the short-term acute care hospital setting. But the impact and potential benefits of such programs in the long-term acute care hospital (LTACH) setting are still unknown. Purpose: The goal of this study was to track the implementation of a continuous video monitoring program in an LTACH setting and evaluate its impact on inpatient falls and 1:1 sitter use, as well as on associated costs. Methods: A prospective observational cohort study design was used. Prospective data were collected from patients who were admitted to an LTACH in the northeastern United States and subsequently enrolled in a continuous video monitoring program during the 20-month period of February 1, 2021, through September 30, 2022. Primary outcome measures, including inpatient falls and 1:1 sitter hours, were then compared to 20 months of historical data, from June 1, 2019, through January 31, 2021, which were collected through chart review. Results: Following development and implementation of the continuous video monitoring program, the mean rate of inpatient falls decreased significantly, from 17.2 falls per month in the historical reference period to 12.9 falls per month during the study period (P = 0.02). Similarly, the mean number of 1:1 sitter hours decreased from 1,428 hours per month during the reference period to 140 hours per month during the study period (P < 0.001); when converted to full-time equivalents (FTEs), this translated to a decrease from 8.2 1:1 sitter FTEs during the reference period to 0.8 1:1 sitter FTEs in the study period. Cost analysis indicated that the reduced labor costs and fall rate during the study period led to estimated total cost savings of over $3.2 million. Conclusions: Both patients and the hospital benefited from the implementation of the continuous video monitoring program. Continuous video monitoring was found to be a cost-effective way to reduce inpatient falls, decrease 1:1 sitter use, and improve patient safety in the LTACH setting. (Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved.) |
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| Contributed Indexing: | Keywords: cost reduction; fall prevention; inpatient falls; long-term acute care hospital; patient safety; video monitoring; virtual monitoring |
| Entry Date(s): | Date Created: 20251120 Date Completed: 20251120 Latest Revision: 20251126 |
| Update Code: | 20251126 |
| PubMed Central ID: | PMC12643557 |
| DOI: | 10.1097/AJN.0000000000000197 |
| PMID: | 41261482 |
| Database: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstract: | Background: Continuous video monitoring programs have been found to reduce inpatient falls and 1:1 sitter use in the short-term acute care hospital setting. But the impact and potential benefits of such programs in the long-term acute care hospital (LTACH) setting are still unknown.<br />Purpose: The goal of this study was to track the implementation of a continuous video monitoring program in an LTACH setting and evaluate its impact on inpatient falls and 1:1 sitter use, as well as on associated costs.<br />Methods: A prospective observational cohort study design was used. Prospective data were collected from patients who were admitted to an LTACH in the northeastern United States and subsequently enrolled in a continuous video monitoring program during the 20-month period of February 1, 2021, through September 30, 2022. Primary outcome measures, including inpatient falls and 1:1 sitter hours, were then compared to 20 months of historical data, from June 1, 2019, through January 31, 2021, which were collected through chart review.<br />Results: Following development and implementation of the continuous video monitoring program, the mean rate of inpatient falls decreased significantly, from 17.2 falls per month in the historical reference period to 12.9 falls per month during the study period (P = 0.02). Similarly, the mean number of 1:1 sitter hours decreased from 1,428 hours per month during the reference period to 140 hours per month during the study period (P < 0.001); when converted to full-time equivalents (FTEs), this translated to a decrease from 8.2 1:1 sitter FTEs during the reference period to 0.8 1:1 sitter FTEs in the study period. Cost analysis indicated that the reduced labor costs and fall rate during the study period led to estimated total cost savings of over $3.2 million.<br />Conclusions: Both patients and the hospital benefited from the implementation of the continuous video monitoring program. Continuous video monitoring was found to be a cost-effective way to reduce inpatient falls, decrease 1:1 sitter use, and improve patient safety in the LTACH setting.<br /> (Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved.) |
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| ISSN: | 1538-7488 |
| DOI: | 10.1097/AJN.0000000000000197 |