Video Monitoring for Fall Prevention and Patient Safety

2019 ◽  
Vol 34 (2) ◽  
pp. 145-150 ◽  
Author(s):  
Kari Sand-Jecklin ◽  
Jennifer Johnson ◽  
Amanda Tringhese ◽  
Christine Daniels ◽  
Freda White
Keyword(s):  
Patient Safety ◽  
Fall Prevention ◽  
Video Monitoring

Abstract WP461: Stop in the Name of Falls

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Kimberly Marstrell ◽  
Jillynn Gundelfinger
Keyword(s):  
Patient Safety ◽  
Fall Prevention ◽  
Fall Risk ◽  
Multidisciplinary Approach ◽  
Activity Level ◽  
Care Team ◽  
Patient Handling ◽  
Safe Patient Handling ◽  
Prevention Interventions ◽  
The Right

Background and Purpose: One of OhioHealth’s strategic priorities includes improving patient safety by eliminating preventable patient harm. The Integrated Stroke Unit (ISU) at Riverside Methodist Hospital worked to achieve this goal by reducing falls by 20%. The ISU consistently experienced a higher fall rate compared to like units across the nation. The ISU averaged over 7 falls per month with injury falls steadily increasing. The ISU experienced inconsistencies related to fall risk assessment and fall prevention interventions. As a result, a Fall Risk Scorecard was created to streamline interdisciplinary team work, increase patient safety, and improve safe patient handling and mobility. Methods: A multidisciplinary approach was used to improve patient safety and determine the root cause for patient falls. A team of nurses, rehab therapist, and patient support assistants was established. Inconsistencies were identified related to recognition of patients at risk for falls, types of fall interventions in place, and bed alarm knowledge and utilization. A need for visual management to standardize practice was seen. A Fall Risk Scorecard was created to help identify fall risk patients, standardize fall prevention interventions, and provide knowledge to staff regarding the patient’s activity level. The PDSA cycle was used to create standard work for the care team. Educational materials were developed and one-on-one training was provided to staff. The multidisciplinary approach helped to create a standardized process for each therapist coming to the ISU. The Fall Risk Scorecard was piloted for 3 months. Results: During the pilot, the unit saw a 57% reduction in falls. Current state, the ISU has continued to utilize the Fall Risk Scorecards and has sustained a 57% reduction in falls. With the utilization of lean methodology, members of the care team were able to ensure the right patient received the right intervention at the right time. With these results, the pilot has been selected for a system-wide roll-out over 11 different care sites. Conclusion: By taking a collaborative approach, utilizing lean methodology, and real-time problem solving, the ISU has successfully reached their goal to increase patient safety and improve safe patient handling and mobility.

scholarly journals Predicting Falls Risk in Hospital; KPJ Seremban Experience

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Maygala A ◽  
Primuhasa Putra SHA ◽  
Aziz AR ◽  
Ainol MR ◽  
Zainah J ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Patient Safety ◽  
Fall Prevention ◽  
Fall Risk ◽  
Assessment Tool ◽  
Healthcare Providers ◽  
Extended Period ◽  
Risk Assessment Tool ◽  
Contributing Factors ◽  
Fall Risk Assessment

Introduction: Falls may result in injuries, prolonged hospitalization, increase in morbidity and mortality, incur cost to the individual and the healthcare system and increase potential litigation. Various hospital fall prevention programs such as Morse Fall Scale Assessment Tool have been implemented in the last decade; however most of the program had no sustained effects on falls reduction over extended period of time. Benchmarking from private hospitals showed patients fall increased by 27% in 2008 as compared to 2007 (MPC report, 2008). There were 25 cases of falls in 2008 at KPJ Seremban Specialist Hospital. The objective of this program is to comply with The Joint Commission’s National Patient Safety Goals 9, “reduce the risk of patient harm resulting from falls” and to formulate evidence based best clinical practice recommendations on assessment and prevention of falls in the hospital for all inpatients, outpatients, customers and staffs within hospital premises. Materials and Methods: Contributing factors were identified based on the retrospective analysis of falls from 1st.January 2008 to 30th September 2008. A fall risk assessment tool identified as KPJ FRAT (KPJ Fall Risk Assessment Tool) for inpatient was developed and various other strategies to reduce the risk of falls throughout the hospital premises were identified. Points of engagement for inpatient assessment using KPJ FRAT were on admission, transfer in or when there is a change in patients’ condition. A prospective descriptive study was done and data was collected from 1st January 2009 till 31st December 2009 through interview with patients, healthcare providers and review of adverse event reports and medical records. Results: No of inpatients during this study were 37058 and there were 13 falls. The post implementation data reflects for every 1000 inpatient days the fall rate decreased to 4.3 falls. Conclusion: The use of KPJ FRAT and Fall Prevention program implemented throughout KPJ SSH has reduced the incidence of falls significantly by 48%. This might be due to increase awareness among the staff, hospital wide policy to report all cases and the formation of patient safety committee to formulate policy and reinforce the implementation processes. Limitation of the study include under reporting and heavy workload.

scholarly journals Nurses’ Knowledge, Attitude, and Fall Prevention Practices at South Korean Hospitals: A Cross-Sectional Survey

2020 ◽  
Author(s):  
Mi-young Cho ◽  
Sun Joo Jang
Keyword(s):  
Patient Safety ◽  
Fall Prevention ◽  
Improve Patient Safety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevention Education ◽  
Patient Falls ◽  
Prevention Activities ◽  
Nurses Knowledge ◽  
Fall Prevention Education

Abstract Background: Fall-prevention activities are nursing interventions which are designed to improve patient safety. The introduction of evaluations of medical institutions and an increase in medical litigation has led institutions to emphasize the importance of fall-prevention activities. The current situation regarding falls among patients in small and medium-sized hospitals is poorly understood. This study assessed knowledge and attitudes regarding falls, and fall-prevention activities of nurses working in small- and medium-sized hospitals. Methods: Nurses (N= 162) from seven small- and medium-sized hospitals participated in the study. Data on participants’ characteristics, education regarding patient falls, knowledge of stretcher cart use, attitudes regarding patient falls, and fall-prevention activities were collected from August 1 to September 1, 2016. Results: Nurses’ knowledge of patient falls was positively correlated with their experience with inpatient falls. Furthermore, nurses’ attitudes regarding falls were influenced by their nursing experience and fall prevention education. Attitudes positively correlated with fall-prevention activities, but knowledge did not. Nurses’ attitudes regarding patient falls were correlated with fall-prevention activities. Conclusion: Hospitals should develop incentive programs to improve nurses’ attitudes which are based on their subjective norms and tailored to each hospital’s specific circumstances to ensure engagement in fall prevention activities. In short, we recommend that consistent, repeated, and custom fall-prevention education should be implemented in small- and medium-sized hospitals to promote engagement in fall-prevention activities. Patient safety activities in small- and medium-sized hospitals can be enhanced by creating an environment that encourages active and self-directed participation in developing fall-prevention strategies using motivation and rewards.

scholarly journals Nurses’ knowledge, attitude, and fall prevention practices at south Korean hospitals: a cross-sectional survey

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Mi-young Cho ◽  
Sun Joo Jang
Keyword(s):  
Patient Safety ◽  
Fall Prevention ◽  
Improve Patient Safety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevention Education ◽  
Patient Falls ◽  
Prevention Activities ◽  
Nurses Knowledge ◽  
Fall Prevention Education

Abstract Background Fall-prevention activities are nursing interventions which are designed to improve patient safety. The introduction of evaluations of medical institutions and an increase in medical litigation has led institutions to emphasize the importance of fall-prevention activities. The current situation regarding falls among patients in small and medium-sized hospitals is poorly understood. This study assessed knowledge and attitudes regarding falls, and fall-prevention activities of nurses working in small- and medium-sized hospitals. Methods Nurses (N = 162) from seven small- and medium-sized hospitals participated in the study. Data on participants’ characteristics, education regarding patient falls, knowledge of stretcher cart use, attitudes regarding patient falls, and fall-prevention activities were collected from August 1 to September 1, 2016. Results Nurses’ knowledge of patient falls was positively correlated with their experience with inpatient falls. Furthermore, nurses’ attitudes regarding falls were influenced by their nursing experience and fall prevention education. Attitudes positively correlated with fall-prevention activities, but knowledge did not. Nurses’ attitudes regarding patient falls were correlated with fall-prevention activities. Conclusion Hospitals should develop incentive programs to improve nurses’ attitudes which are based on their subjective norms and tailored to each hospital’s specific circumstances to ensure engagement in fall prevention activities. In short, we recommend that consistent, repeated, and custom fall-prevention education should be implemented in small- and medium-sized hospitals to promote engagement in fall-prevention activities. Patient safety activities in small- and medium-sized hospitals can be enhanced by creating an environment that encourages active and self-directed participation in developing fall-prevention strategies using motivation and rewards.

Improving Patient Safety Through Video Monitoring

2018 ◽  
Vol 43 (2) ◽  
pp. 111-115 ◽  
Author(s):  
Michele Cournan ◽  
Benjamin Fusco-Gessick ◽  
Laura Wright
Keyword(s):  
Patient Safety ◽  
Video Monitoring

scholarly journals Nurses’ Knowledge, Attitude, and Fall Prevention Practices at South Korean Hospitals: A Cross-Sectional Survey

2020 ◽  
Author(s):  
Mi-young Cho ◽  
Sun Joo Jang
Keyword(s):  
Patient Safety ◽  
Fall Prevention ◽  
Improve Patient Safety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevention Education ◽  
Patient Falls ◽  
Prevention Activities ◽  
Nurses Knowledge ◽  
Fall Prevention Education

Abstract Background: Fall-prevention activities are nursing interventions which are designed to improve patient safety. The introduction of evaluations of medical institutions and an increase in medical litigation has led institutions to emphasize the importance of fall-prevention activities. The current situation regarding falls among patients in small and medium-sized hospitals is poorly understood. This study assessed knowledge and attitudes regarding falls, and fall-prevention activities of nurses working in small- and medium-sized hospitals. Methods: Participants were 162 nurses from seven small- and medium-sized hospitals. Data on participants’ characteristics, education regarding patient falls, knowledge of stretcher cart use, attitudes regarding patient falls, and fall-prevention activities were collected from August 1 to September 1, 2016. Results: Nurses’ knowledge of patient falls was positively correlated with their experience with inpatient falls. Furthermore, nurses’ attitudes regarding falls were influenced by their nursing experience and fall prevention education. Attitudes positively correlated with fall-prevention activities, but knowledge did not. Nurses’ attitudes regarding patient falls were correlated with fall-prevention activities. Conclusion: Hospitals should develop incentive programs to improve nurses’ attitudes which are based on their subjective norms and tailored to each hospital’s specific circumstances to ensure engagement in fall prevention activities. In short, we recommend that consistent, repeated, and custom fall-prevention education should be implemented in small- and medium-sized hospitals to promote engagement in fall-prevention activities. Patient safety activities in small- and medium-sized hospitals can be enhanced by creating an environment that encourages active and self-directed participation in developing fall-prevention strategies using motivation and rewards.

Fall Prevention and Injury Reduction Utilizing Continuous Video Monitoring

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Beth Hogan Quigley ◽  
Susan M. Renz ◽  
Christine Bradway
Keyword(s):  
Fall Prevention ◽  
Video Monitoring ◽  
Injury Reduction

scholarly journals Prevenção de queda em paciente hospitalizado e a segurança do paciente: revisão integrativa

2019 ◽  
Vol 78 (16) ◽  
Author(s):  
Beatrice de Barros Lima ◽  
Ana Karine Ramos Brum
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Quality Indicators ◽  
Fall Prevention ◽  
Accidental Falls ◽  
Quality Indicator ◽  
Study Data ◽  
Hospitalized Patients ◽  
Integrative Review ◽  
The Subject

Objetivo: Levantar as produções científicas sobre prevenção de queda em paciente hospitalizado e a segurança dopaciente. Método: revisão integrativa realizada em 2014, na Biblioteca Virtual de Saúde, utilizando os descritores“Segurança do Paciente”, “Acidentes por Quedas” e “Indicadores de Qualidade em Assistência à Saúde”, cruzando-oscom o descritor “Gestão de qualidade em Saúde”. Buscou-se artigos publicados entre 2009 e 2014 que vertessemsobre o tema do estudo. Os dados foram coletados por meio de instrumento previamente elaborado. Os artigosselecionados foram analisados, gerando a síntese do conhecimento sobre o assunto. Resultados: Foram selecionados12 artigos, organizados em duas categorias para análise: 1) A segurança do paciente, em que se abordam conceitosrelacionados; 2) Prevenção de queda em pacientes hospitalizados. Conclusão: Na busca da melhor evidência emrelação à prevenção de queda em paciente hospitalizado e à segurança do paciente, ficou evidenciada a grandeimportância da vigilância aos pacientes, da identificação dos riscos aos quais estão submetidos e do ambiente emque estão, já que contribuem para a ocorrência do evento queda.Palavras-chave: Segurança do Paciente; Acidentes por Quedas; Indicadores de Qualidade em Assistência à Saúde. ABSTRACTObjective: To identify the scientific productions on the prevention of falls in patients hospitalized as a qualityindicator. Method: integrative review conducted in 2014, in the Virtual Health Library, using the descriptors:“Patient Safety”, “Accidental Falls” and “Quality Indicators, Health Care”, crossing them with the descriptor “QualityManagement”. It sought to articles published between 2009 and 2014 that address on the need to study. Data werecollected through a previously designed instrument. Selected articles were analyzed, generating the synthesis ofknowledge on the subject. Results: 12 articles were selected, organized in two categories for analysis: 1) Patientsafety, which discusses related concepts; 2) Fall prevention in hospitalized patients. Conclusion: In search of thebest evidence in relation to the fall in hospitalized patients as a quality indicator, it was evidenced the importanceof surveillance of patients, identifying the risks they face and the environment they are in, that contribute to theoccurrence fall event.Keywords: Patient Safety; Accidental Falls; Quality Indicators, Health Care.

Sign in / Sign up

Export Citation Format

Share Document