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Video Monitoring for Fall Prevention and Patient Safety

Process Evaluation and Improvement

Sand-Jecklin, Kari, EdD, RN, AHN-BC; Johnson, Jennifer, BSN, RN, CNRN; Tringhese, Amanda, BSN, RN-BC; Daniels, Christine, MBA, MSN, RN, NE-BC; White, Freda, MSN, MBA, RN

doi: 10.1097/NCQ.0000000000000355

Background: Although video monitoring has been shown to reduce falls among at-risk hospitalized patients, there are no identified best practices for the monitoring process.

Purpose: The purpose of this study was to evaluate the monitoring process at a large teaching hospital, with the goal of making improvements and standardizing monitoring practices.

Methods: Patients and nursing staff perceptions about the video monitoring process were elicited via survey, and perceptions of monitor technicians were obtained through structured interview.

Results: Video monitoring was perceived by all groups as effective in promoting patient safety. Nursing staff and monitor technicians also indicated that monitoring protects patient safety in other high-risk situations. Suggestions for improvement and standardization in the monitoring process were made by study participants.

Conclusions: Suggested changes and standardization of the monitoring process have been implemented in the study facility. Insights are provided for other facilities considering video monitoring for patient safety.

School of Nursing, West Virginia University, Morgantown (Dr Sand-Jecklin); and Division of nursing, WVU Medicine, Morgantown (Mss Johnson, Tringhese, Daniels, and White).

Correspondence: Kari Sand-Jecklin, EdD, RN, AHN-BC, School of Nursing, West Virginia University, PO Box 9640, HSS, Morgantown, WV 26506 (

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: July 16, 2018

Published ahead of print: September 6, 2018

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