%0 Journal Article
%@ 1438-8871
%I JMIR Publications
%V 19
%N 10
%P e339
%T Reduction in Fall Rate in Dementia Managed Care Through Video Incident Review: Pilot Study
%A Bayen,Eleonore
%A Jacquemot,Julien
%A Netscher,George
%A Agrawal,Pulkit
%A Tabb Noyce,Lynn
%A Bayen,Alexandre
%+ Pitie-Salpetriere Hospital - Assistance Publique Hôpitaux de Paris (APHP) & University Pierre et Marie Curie, Department of Neuro-Rehabilitation, Global Brain Health Institute, Memory and Aging Center, University of California, San Francisco, 47 Bd de l'Hôpital, Paris, 75013, France, 33 142160319, eleonore.bayen@gbhi.org
%K video monitoring
%K video review
%K mobile app
%K deep learning
%K fall
%K Alzheimer disease
%K dementia
%D 2017
%7 17.10.2017
%9 Original Paper
%J J Med Internet Res
%G English
%X 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 (24×7), 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. 
%M 29042342
%R 10.2196/jmir.8095
%U http://www.jmir.org/2017/10/e339/
%U https://doi.org/10.2196/jmir.8095
%U http://www.ncbi.nlm.nih.gov/pubmed/29042342