@Article{info:doi/10.2196/jmir.8095,
author="Bayen, Eleonore
and Jacquemot, Julien
and Netscher, George
and Agrawal, Pulkit
and Tabb Noyce, Lynn
and Bayen, Alexandre",
title="Reduction in Fall Rate in Dementia Managed Care Through Video Incident Review: Pilot Study",
journal="J Med Internet Res",
year="2017",
month="Oct",
day="17",
volume="19",
number="10",
pages="e339",
keywords="video monitoring; video review; mobile app; deep learning; fall; Alzheimer disease; dementia",
abstract="Background: Falls of individuals with dementia are frequent, dangerous, and costly. Early detection and access to the history of a fall is crucial for efficient care and secondary prevention in cognitively impaired individuals. However, most falls remain unwitnessed events. Furthermore, understanding why and how a fall occurred is a challenge. Video capture and secure transmission of real-world falls thus stands as a promising assistive tool. Objective: The objective of this study was to analyze how continuous video monitoring and review of falls of individuals with dementia can support better quality of care. Methods: A pilot observational study (July-September 2016) was carried out in a Californian memory care facility. Falls were video-captured (24{\texttimes}7), thanks to 43 wall-mounted cameras (deployed in all common areas and in 10 out of 40 private bedrooms of consenting residents and families). Video review was provided to facility staff, thanks to a customized mobile device app. The outcome measures were the count of residents' falls happening in the video-covered areas, the acceptability of video recording, the analysis of video review, and video replay possibilities for care practice. Results: Over 3 months, 16 falls were video-captured. A drop in fall rate was observed in the last month of the study. Acceptability was good. Video review enabled screening for the severity of falls and fall-related injuries. Video replay enabled identifying cognitive-behavioral deficiencies and environmental circumstances contributing to the fall. This allowed for secondary prevention in high-risk multi-faller individuals and for updated facility care policies regarding a safer living environment for all residents. Conclusions: Video monitoring offers high potential to support conventional care in memory care facilities. ",
issn="1438-8871",
doi="10.2196/jmir.8095",
url="http://www.jmir.org/2017/10/e339/",
url="https://doi.org/10.2196/jmir.8095",
url="http://www.ncbi.nlm.nih.gov/pubmed/29042342"
}