Evaluation of the Effectiveness of Vision Care in Preventing Falls in Hospitalized Patients

Participants will receive usual clinical care and monitoring using the Vision Care system during hospitalization. The system continuously monitors patient movements and posture and generates alerts for healthcare staff when predefined movements or postures associated with a potential risk of falling are detected.

Device: Vision Care

Participants will receive usual clinical care and standard fall prevention measures according to the hospital's usual practice.

Vision Care is an automated patient monitoring system designed to support the prevention of falls in hospitalized patients. The system uses an optical sensor installed in the patient's hospital room to continuously monitor patient movements and posture. When predefined movements or postures associated with a potential risk of falling are detected, the system generates an alert that is transmitted to the nursing staff through a mobile device (PDA), allowing them to assess the patient and take appropriate preventive measures. The system is used in addition to usual clinical care and standard fall prevention measures.

Plazo: Through all the length of stay in the inpatient unit for each participant. From admission until discharge from the inpatient unit. Unit stay average of 11 days.

Number of falls occurring during hospitalization, according to the study definition of a fall. A fall is defined as an event resulting from an incident that causes a person to unintentionally come to rest on the ground or another lower level, including slips, trips, and loss of balance.

Plazo: Through all the length of stay in the inpatient unit for each participant. From admission until discharge from the inpatient unit. Unit stay average of 11 days.

Occurrence of pressure ulcers of any stage during hospitalization, according to the classification system used by the hospital.

Plazo: From admission until discharge from the inpatient unit. Unit stay average of 11 days.

Number of days from hospital admission to discharge from the inpatient unit.

Plazo: At study completion, estimated at 6 months after recruitment initiation

Healthcare professionals' perceived usability, acceptability, and satisfaction with the use of the Vision Care device, assessed using an ad hoc brief questionnaire with 8 questions and a likert scale from 1 to 5 where higher scores mean better.

Plazo: Through all the length of stay in the inpatient unit for each participant. From admission until discharge from the inpatient unit. Unit stay average of 11 days.

Time in days from hospital admission to the first fall during hospitalization.

Plazo: Through all the length of stay in the inpatient unit for each participant. From admission until discharge from the inpatient unit. Unit stay average of 11 days.

Assessment of the performance of the Vision Care device, including the number and type of alerts generated by the system, and response time to alerts.

Plazo: Through all the length of stay in the inpatient unit for each participant. From admission until discharge from the inpatient unit. Unit stay average of 11 days.

Assessment of the safety of the Vision Care device, including true positive alerts, false positive alerts and false negative alerts.

Randomized Controlled Trial to Evaluate the Effectiveness of the Vision Care System in Preventing Falls in Hospitalized Patients