Delirium of Mixed Origin
Conditions
Brief summary
Falls are one of the most common NHS adverse events. With an increasing number of frail elderly patients being admitted this risk is likely to increase. In order to be able to assist patients with bed exit in a timely manner monitoring might be of help. In ZeroFall we will test the reliability of monitoring devices to notify care givers if a patient is attempting to exit the bed.
Detailed description
In ZeroFall we intend to observe patients on risk of fall with two different devices during their hospital stay: The information from a no-touch optical sensing device that analyses movement and an under the mattress sensor that has already been used in a previous study at Bangor. Both are compatible with an existing monitoring system by Philips Healthcare and CE marked.
Interventions
bed exit detection to avoid patients fall
Sponsors
Study design
Intervention model description
The study has several distinct phases: * Silent Phase: The devices run in the background, activity is blinded for clinicians, settings are optimized by the research team. * Run-In Phase: Bed exit notifications are turned on, notifications will be configurable for acceptability by clinical teams. Data extraction and data evaluation will be tested. * Phase I: Data collection of bed exit data of sensors as well as data related to falls * Phase II: Data collection of bed exit data with optimization of predictive algorithms * Phase III: Data collection for validation using predictive data for early notification
Eligibility
Inclusion criteria
Adult patients with risk of fall more than 24 hours on the ward
Exclusion criteria
Patients with predominantly palliative needs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of true bed exit detections vs number of false bed exit detections | 12-15 months | A reference device and two observers will classify if a bed exit was true |
Countries
United Kingdom