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Study was terminated after 6 months due to recruitment and data collection challenges.
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Camera observation | Active Comparator | Camera observation |
|
| No camera observation | No Intervention | No intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Camera observation | Device | Supplemental camera observation directly linked to the nurse's phone |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Confusion Assessment Score | Assessed by Confusion Assessment Method (CAM) screening tool. Minimum value is 0, Maximum value is 4. Higher score means higher risk of developing Delirium. | First measurement at admission and second measurement within 24 hours. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patient falls | Incidence of patient falls observed by the nurse during the observation period. | The time the patient is assessed during the observation period. |
| Discontinuation of accesses |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aalborg Universityhospital | Aalborg | 9000 | Denmark |
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| ID | Term |
|---|---|
| D003693 | Delirium |
| ID | Term |
|---|---|
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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Number of patient discontinuation of e.g. oxygen mask, peripheral venous catheter, bladder catheters
| The time the patient is assessed during the observation period. |
| Number of administrations of sedatives | Number of OR administrations and number of IV administrations (specific sedatives e.g. Methylphenidate, Haloperidol, Midazolam). | The time the patient is assessed during the observation period. |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |