Doctor of Nursing Practice
Date of Defense
Nancy Magnuson, DSN, APRN, PCNS, FNP-BC, College of Nursing
Susan Dean-Baar, PhD, RN, CENP, FAAN
Amber Bailor, MSN, MBA, BSN
Problem: Falls are one of the most frequently occurring safety events in hospitalized patients, resulting injuries that can be devastating and burdensome. Patients in neuro-telemetry unit are at greater risks for falls due to their conditions. The continuous video monitoring (CVM) program was implemented to reduce fall rates in the neuro-telemetry unit. This project was to examine the effectiveness of CVM program in reducing fall rates.
Method: A pre- and post-implementation observational evaluation was conducted. By reviewing retrospective data from January 1, 2020 to January 31, 2021 for pre-implementation period and from March 1, 2021 to October 31, 2021 for post-implementation period, fall rates were compared and common risk factors of falls were identified.
Results: A one tailed t-test was performed to determine the effectiveness of CVM. The result was not significant (t(14)=0.59, p=0.33), but there was 12.7% reduction of fall rates during the post-implementation period. No injury from falls occurred in patients who were on monitor and injury rates of both pre-and post-implementation periods were much lower than the national average. Confusion was the most common risk factor of falls and having 2 or more risk factors was a good indicator of falls.
Conclusion: Despite the statistical insignificance, CVM is safe and effective in preventing falls as evidenced by clinically significant reduction of falls by 12.7%. CVM may be useful in reducing costs and preventing other safety events. Hospital should refine of CVM protocol and provide education, and training on an ongoing basis.
Cruse, Yunhee, "The Effectiveness of Continuous Video Monitoring In Reducing Inpatient Fall Rates" (2022). Dissertations. 1187.