Improved Patient Safety for Acute Restless Medical Patients With Supplemental Observation
Study Details
Study Description
Brief Summary
The aim of the study is to investigate whether supplemental camera observation directly linked to the nurse's phone will improve patient safety for acute medical care patients', who are restless, confused or in risk of development of acute delirium. The setting is an acute medical care ward.
The expected result is a reduced incidence of patients with delirious condition, patients who fall or unintentionally remove intravenous access or catheters. Thus, higher patient safety and more efficient patient trajectories are expected, as well as a reduced need for treatment, care and rehabilitation after discharge.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Camera observation Camera observation |
Device: Camera observation
Supplemental camera observation directly linked to the nurse's phone
|
No Intervention: No camera observation No intervention |
Outcome Measures
Primary Outcome Measures
- Change in Confusion Assessment Score [First measurement at admission and second measurement within 24 hours.]
Assessed by Confusion Assessment Method (CAM) screening tool. Minimum value is 0, Maximum value is 4. Higher score means higher risk of developing Delirium.
Secondary Outcome Measures
- Number of patient falls [The time the patient is assessed during the observation period.]
Incidence of patient falls observed by the nurse during the observation period.
- Discontinuation of accesses [The time the patient is assessed during the observation period.]
Number of patient discontinuation of e.g. oxygen mask, peripheral venous catheter, bladder catheters
- Number of administrations of sedatives [The time the patient is assessed during the observation period.]
Number of OR administrations and number of IV administrations (specific sedatives e.g. Methylphenidate, Haloperidol, Midazolam).
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patients over 65 years of age with a CAM score of 2 or higher.
Exclusion Criteria:
-
paranoia
-
severe dementia
-
suicidal
-
need for permanent guard
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Aalborg Universityhospital | Aalborg | Denmark | 9000 |
Sponsors and Collaborators
- Aalborg University Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- N-20200079