School of Nursing
Doctor of Nursing Practice (DNP)
Camera, Fall, Prevention, Monitoring, Hospital, Adults Patients, Integrative Review
Oriaifo, Pamela, "Camera Assisted Monitoring Device as a Tool to Reduce Falls in Inpatient Adults: An Integrative Review" (2023). Doctoral Dissertations and Projects. 4902.
Background: Adult inpatient falls remain a significant challenge in many hospitals, resulting in poor quality of life and severe financial burden. There have been tremendous efforts to curb the number of falls ranging from environmental modification, clinician education, review of medications, and use of assistive devices. One such assistive device is the use of camera monitoring systems. This systemic review scopes camera/video-assisted fall prevention programs in hospitals. It was hypothesized that camera/video-assisted fall prevention programs would reduce adult inpatient fall and costs significantly. The outcomes of camera or video-assisted fall prevention programs were considered in some hospital settings. Method: The Iowa Model of Evidence-based Framework and Preferred Reporting Items for Meta-Analysis (PRISMA) were used. Five databases, including PubMed, Cochrane, Google Scholar, Scopus, and Web of Science, were searched from 2017-2023 utilizing the Jerry Farwell Library. The articles were appraised using the critical appraisal worksheet for systemic review. Results: Eight articles met the predefined inclusion criteria, covering 2017-2022. One common theme identified in these studies was visual assistance to minimize inpatient falls. The appellation varied from patient-engaged video surveillance, video cameras, and video monitoring to video assistive devices. Some devices were fixed, while others were portable. All randomized control trials reported that video-assisted devices effectively prevented hospital falls. Nursing staff and patient/family engagement in surveillance significantly reduced inpatient falls. Conclusion: There is evidence that video or camera-assisted fall prevention programs can significantly reduce adult inpatient falls. The falls may even be more reduced for adults if nursing staff and patients/family engage in overall surveillance.