Pat Quigley Shares New Research Studies on Video Monitoring and Patient Falls
Pat Quigley, Ph.D and nationally recognized falls expert recently contributed to the AvaSure Blog her recent findings in fall prevention and patient video monitoring.
She highlights the latest version of the American Hospital Association Health Research & Educational Trust’s Falls With Injury Change Package which introduces video surveillance as a change idea to increase the intensity and frequency of patient observation. HRET recommends video surveillance using a remote monitor tech who can speak with the patient and alert staff directly to intervene with the patient (p. 6 and p. 21).
The other study she refers to is a new research study published in the September issue of the Journal of Nursing Care Quality, Lauraine Spano-Szekely, the Chief Nursing Officer of 245-bed Northern Westchester Hospital in Mt. Kisco, N.Y., and colleagues conducted an evidence-based improvement model for fall prevention that included:
- Organizational support for a fall prevention program
- Injury assessment
- Mobility assessment
- Assessment of medications that increase fall risk
- Consistent communication of risk factors
- Purposeful hourly rounding
Through small tests of change, program evaluation revealed a decreasing fall rate, except in the geriatric cluster of patients with confusion and impulsivity. Seeking evidence of cost effective-safety promotion technology for confused and impulsive patients to replace patient sitters, this research team implemented AvaSys, a patient-engaged video monitoring system. Through it, the team realized a 54% reduction in falls and a 72% reduction in sitter usage.
Their article, “Individualized Fall Prevention Program in an Acute Care Setting: An Evidence-Based Practice Improvement,” presents a population-based approach to fall prevention that also captures the “good catch” – when a fall was actually prevented because staff intervened. Interventions to protect geriatric, confused and impulsive patients from falls ultimately prevent injuries and save lives.