Fall Prevention and Injury Reduction Utilizing Continuous Video Monitoring: A Quality Improvement Initiative

J Nurs Care Qual. 2022 Apr-Jun;37(2):123-129. doi: 10.1097/NCQ.0000000000000582.

Abstract

Background: Reduction of falls and fall-related injuries in hospital patients remains a priority. Consideration of technology via continuous video monitoring (CVM) is relevant for safe, quality care with favorable cost implications.

Local problem: Although fall rates were in the acceptable national safety standard guidelines, interventions were explored with the aim to further decrease falls using CVM.

Methods: The quality improvement project collected descriptive statistics. Run charts portrayed data trends for falls and injuries in 2-week increments over a 6-month period.

Interventions: Two-way cameras and a virtual sitter were used to observe fall risk patients.

Results: Implementation of CVM with virtual sitters depicted a 14% decline in fall rates and a 6% decrease in fall-related injury rates with positive budget implications.

Conclusion: Cost savings, fall rates, and fall injury rates all improved with the inception of video monitoring.

MeSH terms

  • Accidental Falls* / prevention & control
  • Humans
  • Inpatients
  • Quality Improvement*