Original ArticlesInpatient Fall Prevention Use of In-room WebcamsHardin, Sonya R. RN, PhD, CCRN, ACNS-BC NP-C*; Dienemann, Jacqueline RN, PhD, FAAN, NEA-C*; Rudisill, Pamela RN, DNP, FAAN†; Mills, Kathy K. RN, MSN, CCRN‡Author Information From the *University of NC at Charlotte School of Nursing, Charlotte, North Carolina; †Nursing Patient Safety and Quality Health Management Associates, Naples, Florida; and ‡Graduate Nursing Student University of NC at Charlotte, Charlotte, North Carolina. Correspondence: Sonya R. Hardin, RN, PhD, CCRN, ACNS-BC NP-C, School of Nursing, UNC Charlotte, 9201 University City Blvd., Charlotte, NC 28223-001 (e-mail: [email protected]). The authors declare no conflict of interest. CareView installed, trained staff, and maintained the equipment in the 5 intervention hospitals at no cost and with no editorial control for the study. Journal of Patient Safety: March 2013 - Volume 9 - Issue 1 - p 29-35 doi: 10.1097/PTS.0b013e3182753e4f Buy Metrics Abstract Objectives Patient falls are a challenging safety and quality issue in acute care settings. This study compared inpatient falls on medical-surgical units with and without Webcams and assessed the Morse Risk Assessment (MRA) for effectiveness in identifying fall risk. Methods Ten hospitals in one health system that exceeded the benchmark for falls were chosen for a 6-month study. One medical-surgical unit in each of the 10 hospitals was randomly assigned to an intervention or control group. The intervention group used Webcams that viewed the bed with a central monitoring system. A “virtual bed rail” function was used for those patients with a Morse Risk Assessment (MRA) of greater than 25. Results Consent rate was 20.7% for the intervention group. A significant difference (P ≤ 0.05) between groups was found in fall rate per 1000 admissions, but no significant difference was found in fall rate per 1000 patient days. The Morse Risk Assessment was a significant predictor of risk. Conclusions Webcams are one option to increase surveillance for high-risk patients. The use of the MRA with a 50+ score for high risk is recommended. More research is needed on patient acceptance of this form of intervention and effectiveness in preventing falls on various inpatient units or with specific age groups. © 2013 Lippincott Williams & Wilkins, Inc.