title: Centralized video monitoring for patient safety: a Denver Health Lean journey.
abstract: The demand for certified nursing assistant (CNA) staff used as 1:1 sitters for safety enhancement and fall prevention can be costly. Through Lean thinking and tools and brainstorming, leaders at Denver Health conceptualized the centralized video monitoring (CVM) program for patient safety. The CVM program reallocated the underutilized talents of CNA sitters as video monitoring technicians (VMT) to meet the challenge of delivering high-quality, cost-effective patient care. Implementing the CVM program required tight connections and collaboration with a multidisciplinary team of individuals. Actual program performance exceeded the initial projected benefits. The CVM program supports the high level of vigilance required by nursing staff to ensure patient safety and quality.
authors.affiliation: eHealth Services/Information Technology, Denver Health and Hospital Authority, Denver, CO, USA.
authors.forename: Sharon
authors.initials: S
authors.lastname: Jeffers
authors.affiliation: Nursing Support Services, Denver Health and Hospital Authority, Denver, CO, USA.
authors.forename: Phebe
authors.initials: P
authors.lastname: Searcey
authors.affiliation: Denver Health Administration, Denver Health and Hospital Authority, Denver, CO, USA.
authors.forename: Kathy
authors.initials: K
authors.lastname: Boyle
authors.affiliation: Nursing Management, Denver Health and Hospital Authority, Denver, CO, USA.
authors.forename: Carol
authors.initials: C
authors.lastname: Herring
authors.affiliation: Denver Health and Hospital Authority, Denver, CO, USA.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Lester
authors.affiliation: Denver Health and Hospital Authority, Denver, CO, USA.
authors.forename: Hillarie
authors.initials: H
authors.lastname: Goetz-Smith
authors.affiliation: Nursing Support Services, Denver Health and Hospital Authority, Denver, CO, USA.
authors.forename: Polly
authors.initials: P
authors.lastname: Nelson
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D000369:Aged, 80 and over; D003120:Colorado; D016288:Computer Terminals / Q000706:statistics & numerical data*; D006707:Homes for the Aged / Q000191:economics*; D006801:Humans; D008991:Monitoring, Physiologic / Q000191:economics* / Q000295:instrumentation*; D009735:Nursing Homes / Q000191:economics*; D061214:Patient Safety / Q000191:economics*; D015397:Program Evaluation