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Augmenting an Inpatient Fall Program With Video Observation
James E Davis1, Heather Carter-Templeton
1CarolinaEast Medical Center, New Bern, North Carolina (Dr Davis); and Capstone College of Nursing, The University of Alabama, Tuscaloosa (Dr Carter-Templeton).
Background:
Keeping patients safe is a goal for all health care facilities. Facilities should look at technology as a way to help improve outcomes. Patient falls are a dangerous, costly, and preventable health care-associated event.
Local Problem:
The fall rate on the host facility's orthopedic unit was 2.6 per 1000 patient-days.
Methods:
Patients on an inpatient orthopedic unit who had a fall risk score greater than 13, based on the Johns Hopkins Fall Risk Assessment Tool, were provided with an added intervention, video observation.
Intervention:
Video observation units with 2-way communication were introduced to help prevent patient falls.
Results:
The fall rate per 1000 patient-days after implementing this intervention for 6 weeks was 0 falls per 1000 patient-days.
Conclusions:
There was a 100% decrease in patient falls on the inpatient unit where video observation was implemented.
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