Patient Safety and the Benefits of Real-Time Video Observations

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Presentation transcript:

Patient Safety and the Benefits of Real-Time Video Observations   Krystle Gandhi BSN, RN Director, Clinical Informatics and Operations JPS Health Network

Conflict of Interest Disclosure Krystle Gandhi BSN, RN Director, Clinical Informatics and Operations has no real or apparent conflicts of interest to report.

Session Objectives By attending this session, the attendee will be able to: Describe patient safety benefits of real-time video observation. Distinguish appropriate instances to choose a physical sitter or a real-time video monitor.

JPS Health Network Licensed for 573 beds with more than 50 clinics in Tarrant County Behavioral Health Service Line – more than 50,000 patient encounters per year Correctional Health - more than 60,000 patient encounters per year Teaching Hospital – Residency and Undergraduate programs Level I Trauma Center Level I Stroke Center (Comprehensive) Acute Myocardial Infarction (AMI) Certification Sepsis Certification

Previous State

Previous State Physical Sitter Hours = 87,359 Falls = 2.75 falls/1000 patient days Falls with injury = 4

Goal– To Explore Alternative Patient Observation Systems Objectives: To increase the capacity of constant patient observation Decrease patient sitter hours Decrease inpatient falls

Next Steps “Sitter Rounds” by Nursing Leadership M-W-F Patient Safety Assistant Documentation Tool Real-Time Video Monitoring

Implementation of Video Monitoring Staff Selection Coordination Training I.T. Requirements Logistics

JPS Real Time Video Live

JPS Real Time Video Live

JPS Real Time Video Live

JPS Real Time Video Live

JPS Real Time Video Live

JPS Real Time Video Live

Physical Sitter Hours vs Fall Rate & Real-Time Video Hours

Comparisons: Before & After Real-Time Video Monitoring 13 Month with Real-Time Video Monitoring 13 Months Before Real-Time Video Monitoring Physical Sitter Hours = 87,359 Video Monitoring Hours = 0 Falls = 2.75 falls/1000 patient days Falls with injury = 4 Physical Sitter Hours = 68,844 Decrease = 21% Cost Savings = $259,210 Video Monitoring Hours = 25,633 Increased Patient Observation Hours = 8% Falls = 2.37 falls/1000 patient days Decrease = 14% Falls with injury = 0

Lessons Learned Identifying Key Players Nursing Involvement and Education I.T. Issues and Reporting

Extra Wins Good Catches PSA Team Satisfaction Nurse Support and Satisfaction Stewardship

What’s next? Do we need more? Data Driven Decision Making Expand criteria and measurement tools Early intervention

Contact Information Krystle Gandhi, BSN, RN Director Clinical Informatics and Operations JPS Health Network Kgandhi@JPShealth.org Trudy Sanders, PhD, RN, NEA-BC Vice President Patient Care Services JPS Health Network Tsanders@JPShealth.org

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