Disclosures: Ashley T. Kakkanatt, MD: Nothing to disclose

Objective: To reduce the number of patient falls on an acute inpatient brain injury (BI) rehabilitation unit in a stand-alone rehabilitation unit.

Design: A retrospective chart review

Setting: An acute inpatient BI rehabilitation unit with 30 private rooms in a stand-alone rehabilitation hospital.

Participants: Adults greater than 18 years old with moderate to severe non-traumatic or traumatic brain injury admitted to the inpatient brain injury unit between April 2017 and December 2018.

Interventions: Install room monitoring cameras to each patient room in April 2018 which transmits live feed to a centralized monitoring center at the nursing station. The center was overseen 24 hours a day by a staff member whose sole role was to remotely monitor the thirty camera feeds.

Main Outcome Measures: Number of patients discharged from the unit and number of patient falls were tracked quarterly through erehabdata.com.

Results: Between April 2017 and December 2017 there were 331 discharges from the inpatient brain injury unit. During that time there were 20 reported falls, or an average quarterly fall rate of 0.061 falls per discharge. Between April 2018 and December 2018 there were 379 discharges from the inpatient brain injury unit. During that time there were 18 reported falls, or an average quarterly fall rate of 0.048 falls per discharge. The decrease in average quarterly fall rate from 2017 compared to 2018 is 0.012 falls per discharge.

Conclusions: On this acute inpatient BI rehabilitation unit number of falls per discharge decreased after installation of live transmission cameras and remote patient monitoring.

Level of Evidence: Level I

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PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/reducing-patient-falls-on-an-acute-inpatient-brain-injury-rehabilitation-unit-through-improved-patient-monitoring/