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Staffing Utilization and Fall Prevention With an Electronic Surveillance Video System

2020; Lippincott Williams & Wilkins; Volume: 36; Issue: 1 Linguagem: Inglês

10.1097/ncq.0000000000000472

1550-5065

Brittney Daley, Brandee Fetherman, Joanne Turner,

Ergonomics and Musculoskeletal Disorders

Background: There is limited research addressing how to optimize both staffing and patient outcomes with the use of technology to reduce falls during hospitalization. Purpose: We compared the effects of 2 staffing patterns in conjunction with the use of an electronic surveillance system on patient falls on an inpatient medical unit. Methods: Study participants were randomized to receive electronic surveillance system monitoring with a dedicated rounder or electronic surveillance system without a dedicated rounder. Falls during the study period were analyzed. Results: Of 1032 patients, there were 8 falls during the 3-month study. Six falls occurred in the intervention group, with no rounder, and 2 occurred in the group with a dedicated rounder. The data showed no statistical significance but had clinical implications. Conclusion: In response to our findings, the dedicated rounder will function as a mobility technician, providing support to our nursing staff and a resource for fall risk patients.