Behavioral health providers, who have augmented their clinical practice with Oxevision, have reported:
Reduction in bedroom self-harm incidents and in ligatures specifically
12-month pre-post study (with control group) in a psychiatric acute care unit1,2
44%
Relative reduction in bedroom self-harm3
(p < 0.002)
52%
Relative reduction in bedroom ligatures3
(p < 0.001)
68%
Relative reduction in bathroom ligatures
(p < 0.001)
1 Two wards (22-bed female and 20-bed male) with Oxevision were compared to two control wards (20-bed female and 20-bed male). 2 Reductions denote the relative percentage change, which was calculated to compare the rate of change from the pre to the post go-live period on intervention and control wards. 3 Bedroom incidents include those occurring in ensuite bathrooms.
Ndebele, F., et al. (2022). Non-contact health monitoring to support acute care in mental health. Manuscript submitted for publication.
Reductions in 1:1 observations, time taken to complete night-time safety checks and incidents, and associated cost savings
Economic evaluation4,5
Geriatric
Acute psychiatric unit
High intensity unit
Reduction in 1:1 observations
71%
20%
7%
Associated annual savings
$194,843
(based on a 16-bed unit)
$48,552
(based on a 16-bed unit)
$79,471
(based on a 12-bed unit)
Reduction in safety check time at night
41%
Associated annual savings
[Dependent on facility size and observation protocol]
Reduction in incidents
48%
bedroom falls
44%
bedroom self-harm
37%
assaults
40%
emergency treatment orders related to assaults
Associated annual savings
$17,489
(based on a 16-bed unit)
$8,974
(based on a 16-bed unit)
$26,102
(based on a 12-bed unit)
4 Five intervention units: two geriatric units (12-bed female and 12-bed male), two acute psychiatric units (22-bed female and 20-bed male), one high intensity unit (12-bed male). 5 Annual savings are based on an hourly salary of $35.84. GBP/USD 1.2
Reductions in falls, transfers to acute and 1:1 observations related to falls
22-month pre-post study in a geriatric unit
195 falls were recorded in the pre go-live period. 101 falls were were recorded in the post go-live period. Accumulated projected falls pre go-live were calculated using the monthly average bedroom falls at night during this period.
68%
Reduction in transfers to acute general care
(p = 0.002)
82%
Reduction in moderately severe falls in bedrooms at night9
71%
Reduction in 1:1 observations10
8 Two intervention units (12-bed male and 12-bed female). Oxevision was installed in 6 bedrooms per unit. i.e. half of all bedrooms across the two units. 9 Moderate severity falls are those that resulted in a moderate increase in treatment, possible surgical intervention, cancelling of treatment, or transfer to another area, and which caused significant but not permanent harm to one or more patients. p value could not be calculated due to low sample size (7 falls pre go-live; 1 fall post go-live). 10 This reduction is equivalent to saving 7,810 clinical hours per year for the two units. p value could not be calculated because patient identifiers were not available.
Using digitally assisted nursing observations to keep patients safe and improve patient and staff experience
4-month qualitative study in acute psychiatric care12
Background All patients admitted to an acute inpatient mental health unit must have nursing observations carried out at night either hourly or every 15 minutes, to ascertain that they are safe and breathing. However, while this practice ensures patient safety, it can also disturb patients’ sleep, which in turn can impact negatively on their recovery. Objective This article describes the process of introducing artificial intelligence (’digitally assisted nursing observations’) in an acute mental health inpatient ward, to enable staff to carry out the hourly and the 15 minutes observations, minimising disruption of patients’ sleep while maintaining their safety. Findings The preliminary data obtained indicate that the digitally assisted nursing observations agreed with the observations without sensors when both were carried out in parallel and that over an estimated 755 patient nights, the new system has not been associated with any untoward incidents. Preliminary qualitative data suggest that the new technology improves patients’ and staff’s experience at night. Discussion This project suggests that the digitally assisted nursing observations could maintain patients’ safety while potentially improving patients’ and staff’s experience in an acute psychiatric ward. The limitations of this study, namely, its narrative character and the fact that patients were not randomised to the new technology, suggest taking the reported findings as qualitative and preliminary. Clinical implications These results suggest that the care provided at night in acute inpatient psychiatric units could be substantially improved with this technology. This warrants a more thorough and stringent evaluation.
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