Evidence map›Paper›PMID 41261482›Full record

Observational studyThe American journal of nursing2025

Implementation of a Continuous Video Monitoring Program to Decrease Inpatient Falls in a Long-Term Acute Care Hospital Setting: A Prospective Observational Cohort Study.

Lisa Kalafus, Henry Charles Hrdlicka, Jennifer Lombardi, Samantha Proctor, June Napolitano, Nicole Morrill

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in The American journal of nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lisa KalafusLisa Kalafus is the chief nursing officer at Gaylord Specialty Healthcare in Wallingford, CT, where Henry Charles Hrdlicka is the director of research, Jennifer Lombardi is the telesitting coordinator and a nurse supervisor, and June Napolitano and Nicole Morrill are nurse managers. Samantha Proctor is a graduate medical student at the Campbell University Jerry M. Wallace School of Osteopathic Medicine in Buies Creek, NC, as well as a research apprentice at Gaylord Specialty Healthcare. Leasing costs for the continuous video monitoring devices and system software used in the study were paid by the study site; the manufacturer did not sponsor the research. The authors wish to acknowledge the telesitter technicians as well as the team members from the information technology, quality and safety, and nursing departments who provided input on implementation of the program and helped to maintain the equipment. Contact co-first authors: Lisa Kalafus, lkalafus@gaylord.org, and Henry Charles Hrdlicka, hhrdlicka@gaylord.org. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Henry Charles Hrdlicka
Jennifer Lombardi
Samantha Proctor
June Napolitano
Nicole Morrill

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContinuous video monitoring programs have been found to reduce inpatient falls and 1:1 sitter use in the short-term acute care hospital setting. But the impact and potential benefits of such programs in the long-term acute care hospital (LTACH) setting are still unknown. PURPOSE: The goal of this study was to track the implementation of a continuous video monitoring program in an LTACH setting and evaluate its impact on inpatient falls and 1:1 sitter use, as well as on associated costs.

methodsA prospective observational cohort study design was used. Prospective data were collected from patients who were admitted to an LTACH in the northeastern United States and subsequently enrolled in a continuous video monitoring program during the 20-month period of February 1, 2021, through September 30, 2022. Primary outcome measures, including inpatient falls and 1:1 sitter hours, were then compared to 20 months of historical data, from June 1, 2019, through January 31, 2021, which were collected through chart review.

resultsFollowing development and implementation of the continuous video monitoring program, the mean rate of inpatient falls decreased significantly, from 17.2 falls per month in the historical reference period to 12.9 falls per month during the study period (P = 0.02). Similarly, the mean number of 1:1 sitter hours decreased from 1,428 hours per month during the reference period to 140 hours per month during the study period (P < 0.001); when converted to full-time equivalents (FTEs), this translated to a decrease from 8.2 1:1 sitter FTEs during the reference period to 0.8 1:1 sitter FTEs in the study period. Cost analysis indicated that the reduced labor costs and fall rate during the study period led to estimated total cost savings of over $3.2 million.

conclusionsBoth patients and the hospital benefited from the implementation of the continuous video monitoring program. Continuous video monitoring was found to be a cost-effective way to reduce inpatient falls, decrease 1:1 sitter use, and improve patient safety in the LTACH setting.

Indexed as

Accidental FallsInpatientsLong-Term CareVideo RecordingAgedAged, 80 and overFemaleHumansMaleMiddle AgedMonitoring, PhysiologicProspective Studiescost reductionfall preventioninpatient fallslong-term acute care hospitalpatient safetyvideo monitoringvirtual monitoring

Identifiers

PMID41261482
PMCPMC12643557

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.