The Impact of Adding a 2-Way Video Monitoring System on Falls and Costs for High-Risk Inpatients
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved..
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:20 |
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| Enthalten in: |
Journal of patient safety - 20(2024), 3 vom: 01. März, Seite 186-191 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Sosa, Marie Anne [VerfasserIn] |
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| Anmerkungen: |
Date Completed 26.03.2024 Date Revised 26.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1097/PTS.0000000000001197 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM368355489 |
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| 100 | 1 | |a Sosa, Marie Anne |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The Impact of Adding a 2-Way Video Monitoring System on Falls and Costs for High-Risk Inpatients |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. | ||
| 520 | |a OBJECTIVES: We aimed to investigate the value of adding a video monitoring (VM) system with falls and costs for patients at high risk | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Soares, Marcio |e verfasserin |4 aut | |
| 700 | 1 | |a Patel, Samira |e verfasserin |4 aut | |
| 700 | 1 | |a Trujillo, Kimberly |e verfasserin |4 aut | |
| 700 | 1 | |a Ashley, Doreen |e verfasserin |4 aut | |
| 700 | 1 | |a Smith, Elizabeth |e verfasserin |4 aut | |
| 700 | 1 | |a Shukla, Bhavarth |e verfasserin |4 aut | |
| 700 | 1 | |a Parekh, Dipen |e verfasserin |4 aut | |
| 700 | 1 | |a Ferreira, Tanira |e verfasserin |4 aut | |
| 700 | 1 | |a Gershengorn, Hayley B |e verfasserin |4 aut | |
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