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Shekelle PG, Greeley AM, Tanner EP, et al. One-to-One Observation: A Systematic Review [Internet]. Washington (DC): Department of Veterans Affairs (US); 2019 Aug.

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One-to-One Observation: A Systematic Review [Internet].

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Table 4Cost Savings

Interventions that Include Video Monitoring of Patients

Author, YearCost Savings
Burtson, 201519Estimated savings $772,000 year 1, $1,720,000 year 2
Cournan, 201820

Net $40,000 savings in 21-month period for Falls and fall-related injuries.

$186,120 saved on one-to-one sitters in 12 months

Jeffers, 201322

$2.02 million in deferred cost savings in 1.5 years

$24,225 in first 3 months from 57 prevented falls

First quarter deferred staff savings of $392,000 exceeded original technology investment of $305,000

Spano-Szekely, 201827$84,000 annual savings
Votruba, 201629

Projected fall cost avoidance of $52,000–$87,500/year (using the CDC’s 2013 estimate of $17,500 per fall, not internal data)

Projected decrease in sitter cost of $25,200/year (extrapolated from CDC data rather than internal institution costs)

24/7 telesitter cost ($120,000) almost completely offset by combined fall cost avoidance and sitter reduction savings ($77,200–$112,700)

Nurse Assessment and Decision Tools

Author, YearCost Savings
Spiva, 20129Decreased from $536,955 to $215,132, total cost savings of $321,822. (t=4.76, p=.001).
Wray, 20143241.3% ($533,917) decrease in CO expenditures ($1,292,228 to $758,311)

Miscellaneous Sitter Reduction Interventions

Author, YearCost Savings
Adams, 201317

$1.2 million annual savings; $400,000 sitter agency savings

($477, 561.86 FY09 to $491,991.27 FY10)

From: Results

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This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be acknowledged.

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