Improving Bedside Shift Report and Hourly Rounding Using Remote Surveillance

Increased nursing time with patients has been linked with improved patient and nurse satisfaction, reduced risk of adverse events such as falls, pressure ulcer injuries, hospital acquired infections, and decreased cost (Aiken et al., 2002). [...]many healthcare guidelines recommend bedside shift report (BSR) - such as nurses giving report at the bedside with the patient and/or family present - and hourly rounding (HR) - such as having the nurse check on the patient hourly - as evidence suggests they improve patient outcomes by increasing nurse time with patients. Because falls often occur in settings where privacy is paramount (e.g. the bathroom), the ability to integrate a similar model in a real environment could potentially transform health care through reducing the burden of healthcare workers involved in surveilling patients, increasing surveillance, and reducing falls or time to intervention post-fall. The wall-mounted device utilizes obfuscated computer vision, deep learning, and natural body movement recognition to detect nurse activity in the patient room and assess the presence and position of the patient, as well as the integrated features of the call bell and mobile app. [...]the aims of this study were to: 1) Assess the feasibility of a technologyassisted intervention to improve nurse surveillance as measured by an increase in BSR and HR. 2) Assess subsequent effects on call bell responsiveness and patient falls and satisfaction. [...]outcomes referred to the effect of these processes on patients which, in this study, were measured by patient falls (see Figure 1) (Montalvo, 2007).