Abstract:This retrospective cohort study used continuous AI monitoring to estimate fall rates by exposure time rather than occupied bed-days. From August 2024 to December 2025, 3,980 eligible monitoring units contributed 292,914 hourly rows, yielding probability-weighted rates of 17.8 falls per 1,000 chair exposure-hours and 4.3 per 1,000 bed exposure-hours. Within the study window, 43 adjudicated falls matched the monitoring pipeline, and 40 linked to eligible exposure hours for the primary Poisson model, producing an adjusted chair-versus-bed rate ratio of 2.35 (95% confidence interval 0.87 to 6.33; p=0.0907). In a separate broader observation cohort (n=32 deduplicated events), 6 of 7 direct chair falls involved footrest-positioning failures. Because this was an observational study in a single health system, these findings remain hypothesis-generating and support testing safer chair setups rather than using chairs less.
Abstract:This study introduces an AI-driven platform for continuous and passive patient monitoring in hospital settings, developed by LookDeep Health. Leveraging advanced computer vision, the platform provides real-time insights into patient behavior and interactions through video analysis, securely storing inference results in the cloud for retrospective evaluation. The dataset, compiled in collaboration with 11 hospital partners, encompasses over 300 high-risk fall patients and over 1,000 days of inference, enabling applications such as fall detection and safety monitoring for vulnerable patient populations. To foster innovation and reproducibility, an anonymized subset of this dataset is publicly available. The AI system detects key components in hospital rooms, including individual presence and role, furniture location, motion magnitude, and boundary crossings. Performance evaluation demonstrates strong accuracy in object detection (macro F1-score = 0.92) and patient-role classification (F1-score = 0.98), as well as reliable trend analysis for the "patient alone" metric (mean logistic regression accuracy = 0.82 \pm 0.15). These capabilities enable automated detection of patient isolation, wandering, or unsupervised movement-key indicators for fall risk and other adverse events. This work establishes benchmarks for validating AI-driven patient monitoring systems, highlighting the platform's potential to enhance patient safety and care by providing continuous, data-driven insights into patient behavior and interactions.