Date Available
12-2-2019
Year of Publication
2019
Degree Name
Doctor of Nursing Practice
Advisor
Dr. Sheila Melander
Committee Member
Dr. Shirl Johnson-Bradford
Co-Director of Graduate Studies
Dr. Melanie Hardin-Pierce
Abstract
PURPOSE: Falls are the leading cause of injury in hospitalized patients. Patient sitter programs are proven to be an effective way to reduce falls in hospitalized patients. Innovative technologies have been examined that provide a safe and cost-effective way to reduce sitter costs and prevent falls. An innovative technology option is a remote centralized video monitoring system containing one video monitoring technician watching and verbally redirecting multiple patients at one time using mobile cameras. The purpose of this project is to evaluate the implementation of a remote centralized video monitoring system for adult patients in the acute care hospital setting.
METHODS: The study design is a comparative descriptive retrospective and prospective chart review to examine changes in sitter cost, fall rates, and fall with injury rates in the 3 months before and 3 months after implementing a remote centralized video monitoring system.
RESULTS: The study identified no statistically significant difference in the prevalence of falls or falls with injury when video monitoring was used as compared to when in-room sitters were used. There was statistically significant lower cost per patient day with video monitoring. The remote video monitoring system will pay for itself in nine months of in-room sitter cost.
CONCLUSION: Although there was no reduction in fall rates between in-room sitter and the remote centralized video monitoring, the fall rates were the same. Therefore, a remote centralized video monitoring system is equal to in-room sitters when comparing fall rate. The remote video monitoring system can dramatically reduce cost for healthcare systems and provide safe patient care.
Recommended Citation
Dougherty, April Nicole, "Change in Falls and Sitter Cost Post Implementation of Remote Centralized Video Monitoring in Hospitalized Adult Patients" (2019). DNP Projects. 276.
https://uknowledge.uky.edu/dnp_etds/276
Included in
Geriatric Nursing Commons, Nursing Administration Commons, Other Nursing Commons, Psychiatric and Mental Health Nursing Commons