| 1 |
Teh RC, et al. 2017. Australia(1212. Teh RC, Wilson A, Ranasinghe D, Visvanathan R. Use and clinical efficacy of standard and health information technology fall risk assessment tools. Australas J Ageing. 2017;36(4):327–31.) |
Assess health information technology (HIT) compared to the Fall Risk for Older Persons (FROP) tool in screening for risk of falls. |
Program/information technology tools |
The HIT system presented the same acceptability and score compared to the FROP. |
| 2 |
Wickramasinghe A, et al. 2017. Australia(1313. Wickramasinghe A, Ranasinghe DC, Fumeaux C, Hill KD, Visvanathan R. sequence learning with passive RFID Sensors for Real-Time Bed-Egress Recognition in Older People. IEEE J Biomed Health Inform. 2017;21(4):917–29.) |
Analyze radio frequency identification label (RFID) responses without battery through bed exit movements. |
Wearable device |
Using battery-free identification label indicated effectiveness of the bed-out monitoring structure. |
| 3 |
Razjouyan J, et al. 2017. USA(1414. Razjouyan J, Grewal GS, Rishel C, Parthasarathy S, Mohler J, Najafi B. Activity Monitoring and Heart Rate Variability as Indicators of Fall Risk: Proof-of-Concept for Application of Wearable Sensors in the Acute Care Setting. J Gerontol Nurs. 2017;43(7):53–62.) |
Assess the feasibility of using a chest sensor during hospitalization to determine the risk of fall. |
Wearable device |
The sensor demonstrated the feasibility of wearable technology to monitor physical activity, sleep, postures and heart rate variation as potential fall risk markers. |
| 4 |
Balaguera HU, et al. 2017.USA(1515. Balaguera HU, Wise D, Ng CY, Tso HW, Chiang WL, Hutchinson AM, et al. Using a medical intranet of things system to prevent bed falls in an acute care Hospital: a pilot study. J Med Internet Res. 2017;19(5):e150.) |
Conduct a technology assessment, including feasibility, usability, and user experience, of a medical sensor-based Intranet of Things (IoT) system to facilitate nursing response to bedside exits in an intensive care hospital. |
Environmental devices |
The IoT system integrated into nursing workflow reduced risk of fall in patients’ bed. |
| 5 |
Yokota S, et al. 2017. Japan(1616. Yokota S, Endo M, Ohe K. Establishing a Classification System for High Fall-Risk Among Inpatients Using Support Vector Machines. Comput Inform Nurs. 2017;35(8):408–16.) |
Assess the risk of inpatient falls using a support vector machine. |
Program/information technology tools |
The adoption of the method based on daily data recorded in electronic medical record was able to assess risk of falls without overloading the nursing staff. |
| 6 |
Opsahl AG, et al. 2017. USA(1717. Opsahl AG, Ebright P, Cangany M, Lowder M, Scott D, Shaner T. Outcomes of adding patient and family engagement education to fall prevention bundled interventions. J Nurs Care Qual. 2017;32(3):252–8.) |
Assess the use of clustered falls prevention interventions highlighted by a patient/family engagement educational video. |
Educational process |
Fall prevention program including educational video for patients and their families resulted in positive trends for a decrease in fall rates in the care scenario, in addition to providing the family with the opportunity to participate in the discussion and educational process. |
| 7 |
Potter P, et al. 2017. USA(1818. Potter P, Allen K, Costantinou E, Klinkenberg WD, Malen J, Norris T, et al. Evaluation of sensor technology to detect fall risk and prevent falls in acute care. Jt Comm J Qual Patient Saf. 2017;43(8):414–21.) |
Report the first application of the complete fall detection sensor system for use in fall prevention in an acute care setting. |
Environmental devices |
The fall detection sensor system gave the team a better awareness of fall prevention and offered a level of vigilance that standard fall alert systems do not. |
| 8 |
Cournan M, et al. 2018. USA(1919. Cournan M, Fusco-Gessick B, Wright L. Improving patient safety through video monitoring. Rehabil Nurs. 2018;43(2):111–5.) |
Compare fall rates before and after implementing a video surveillance system, in addition to quantifying the costs saved by reducing falls. |
Environmental devices |
The implementation of video surveillance resulted in all and cost drop by reducing the need for companions (sitters), in addition to improving patient, family and team satisfaction. |
| 9 |
Yokota S, et al. 2018. Japan(2020. Yokota S, Tomotaki A, Mohri O, Endo M, Ohe K. Evaluating the effectiveness of a fall risk screening tool implemented in an electronic medical record system. J Nurs Care Qual. 2018;33(4):E1–6.) |
Investigate the effect of using a fall risk screening tool on an electronic medical record system. |
Program/information technology tools |
The probability of occurrence of falls decreased after implementing the tool, but its use did not reduce the actual occurrence of falls, reinforcing the need to maintain the preventive measures adopted. |
| 10 |
Sakano LMN, et al. 2018. Brazil(2121. Niwa LM, Radovich NM, Ciosak SI. Safe Embrace: technological innovation for elderly safety in the use of toilets. Rev Bras Enferm. 2018;71(Suppl 6):2833-6. Erratum in: Rev Bras Enferm. 2021;74(3):e2021n3e07.) |
Describe the development of a fall prevention device for older adults while using the toilet. |
Environmental devices |
The “Safe Embrace” device was positively assessed by the health team, patients and caregivers. Through the benefit obtained, the device has been patented so that other institutions can take advantage of the resource. |
| 11 |
Nuñez Filha MCA, et al. 2018. Brazil(2222. Nuñez Filha MC, Pinto EB, Leite HJ. Desenvolvimento de um aplicativo para identificação do risco de quedas em idosos. Rev Pesq Fisio. 2018;8(3):354-60.) |
Develop a mobile web electronic tool that helps health professionals in assessing risk of falls in older adults using instruments adapted to Brazilian Portuguese, validated for older adults and widely used in the literature. |
Program/information technology tools |
The developed application was fast, easy to operate and had the main instruments to identify risk of falls in older adults. |
| 12 |
Baker PA, et al. 2021. USA(2323. Baker PA, Roderick MW, Baker CJ. PUP® (Patient Is Up) Smart Sock Technology Prevents Falls Among Hospital Patients With High Fall Risk in a Clinical Trial and Observational Study. J Gerontol Nurs. 2021;47(10):37-43.) |
Assess whether PUP® socks (Patient Is Up) Smart Socks prevent falls of patients at high risk of falls in hospital environments. |
Wireless wearable device |
The technology resulted in a significant reduction in drop rates among patients at high risk of fall. |
| 13 |
Sun R, et al. 2019. USA(2424. Sun R, Aldunate RG, Paramathayalan VR, Ratnam R, Jain S, Morrow DG, et al. Preliminary evaluation of a self-guided fall risk assessment tool for older adults. Arch Gerontol Geriatr. 2019;82:94–9.) |
Assess the primary validity and usability of a Kinect camera-based fall risk assessment system in a hospital environment. |
Program/information technology tools |
The system offers an objective, low-cost, self-guided fall risk assessment, in addition to being accepted by older adults. |
| 14 |
Hebb A, et al. 2021. USA(2525. Hebb A, Kistler M, George E, Zamboni B. Satisfaction and technology acceptance of staff regarding use of continuous video monitoring in comparison with sitters. J Nurs Adm. 2021;51(2):60–2.) |
Determine team satisfaction and acceptance of continuous video monitoring (CVM) technology compared to assistants. |
Environmental devices |
Understanding staff satisfaction and acceptance of technology is imperative for nursing and management leaders when implementing new technologies. |
| 15 |
Duckworth M, et al. 2019. USA(2626. Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008.) |
Examine whether the Fall TIPS modality affects patient engagement in the 3-step falls prevention process and its effectiveness. |
Educational process |
The 3 Fall TIPS modalities effectively facilitated patient involvement in the fall prevention process and proved to be an effective strategy for dissemination, allowing institutions to choose the modality that best fits their reality. |
| 16 |
Jähne-Raden N, et al. 2019. Germany(2727. Jähne-Raden N, Kulau U, Marschollek M, Wolf KH. INBED: a Highly Specialized System for Bed-Exit-Detection and Fall Prevention on a Geriatric Ward. Sensors (Basel). 2019;19(5):1017.) |
Introduce The Inexpensive Node for Bed-Exit Detection (INBED), a signaling system for bed exit detection and loss prevention. |
Wireless wearable device |
Wearable device that detects patient movement and their data are forwarded to a central connected to the nursing staff through a wireless infrastructure. |
| 17 |
Jähne-Raden N, eta al. 2019. Germany(2828. Jähne-Raden N, Gütschleg H, Wolf MC, Kulau U, Wolf KH. Wireless sensor network for fall prevention on geriatric wards: a report. stud health Technol Inform. 2019;264:620–4.) |
Introduce INBED, a comprehensive beacon system for bed exit detection. |
Wearable device |
INBED, a comprehensive fall prevention signaling system, can detect various types of movement that are relayed to nursing staff over the network. The system can help relieve care staff and provide greater freedom of movement and privacy to patients. |
| 18 |
Timmons S, et al. 2019. United Kingdom(2929. Timmons S, Vezyridis P, Sahota O. Trialling technologies to reduce hospital in-patient falls: an agential realist analysis. Sociol Health Illn. 2019;41(6):1104–19.) |
Analyze the weaknesses of bed and chair pressure sensors to prevent falls at the bedside in hospitalized elderly. |
Environmental devices |
Bed and chair pressure sensors are not profitable as they have not reduced falls. |
| 19 |
Seow JP, et al. 2022. Singapore(3030. Seow JP, Chua TL, Aloweni F, Lim SH, Ang SY. Effectiveness of an integrated three-mode bed exit alarm system in reducing inpatient falls within an acute care setting. Jpn J Nurs Sci. 2022;19(1):e12446.) |
Examine the effectiveness of an integrated three-mode bed exit alarm system in reducing inpatient falls in an acute care hospital setting in Singapore. |
Environmental devices |
Using a bed exit alarm system is associated with a reduction in incidence of falls. |
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