Beyond the Bedside: Decoding Patient Profiles for Smarter Virtual Patient Observation

J Nurs Care Qual. 2025 Jan-Mar;40(1):84-89. doi: 10.1097/NCQ.0000000000000807. Epub 2024 Aug 22.

Abstract

Background: Emerging evidence suggests that virtual patient observation (VPO) may help promote patient safety.

Purpose: The purpose of this study was to examine and describe the demographic and clinical characteristics of patients who incurred VPO.

Methods: A retrospective analysis was conducted. Differences in total VPO hours between groups were examined, followed by a hierarchical regression to investigate the effect of predictor variables on VPO utilization variance.

Results: A total of 286 patient charts were reviewed. Mean VPO hours were higher in patients with an intensive care unit admission history. Adjusted for gender and history of dementia/Alzheimer's/memory impairment, the prediction of total VPO hours increased with the patient's intensive care unit admission history and overall hospital length of stay.

Conclusions: Examining the prevalence and variability in the pattern of VPO utilization by specific patient characteristics is essential for identifying what patients could best benefit from this technology.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Intensive Care Units / statistics & numerical data
  • Length of Stay / statistics & numerical data
  • Male
  • Middle Aged
  • Patient Safety* / standards
  • Retrospective Studies