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All Journal JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Suwannaphant, Kritkantorn
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Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health

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The Effectiveness of An Internet of Things (IoT)-Based Smart Safety Band in Reducing Fall Risk Among Hospitalized Patients Wulandari, Riyani; Nurhayati, Asti; Muhlizardy, Muhlizardy; Suwannaphant, Kritkantorn
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 15 No. 2 (2026): August 2026
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v15i2.751

Abstract

This study aims to evaluate the effectiveness of an Internet of Things (IoT)-based Smart Safety Band in reducing fall risk among hospitalized patients, using a validated fall risk assessment tool rather than Early Warning Score (EWS) as the primary outcome measure, as EWS is an indicator of physiological deterioration and not a direct measure of fall risk. A quasi-experimental pretest-posttest control group design was employed over one month. Fifty hospitalized patients with hypertension were assigned to either an intervention group (n=25) that used the Smart Safety Band or a control group (n=25) that received standard care. Fall risk was measured using a validated fall risk scale, while EWS was used solely for routine physiological monitoring. Data were analyzed using Mann-Whitney and Wilcoxon signed-rank tests. The results showed that the Smart Safety Band intervention significantly reduced fall risk scores compared to the control group (p < 0.000), with the intervention group demonstrating a considerably lower mean rank and a 44% reduction in fall rates among high-risk patients. The IoT-based Smart Safety Band is effective at reducing fall risk among hospitalized patients. In contrast, EWS remains an indicator of physiological deterioration and should not be misinterpreted as a direct measure of fall risk. Further research is recommended to validate these findings across broader populations. Ethical approval was granted by the Health Research Ethics Committee of Universitas Aisyiyah Yogyakarta (No. 3786/KEP-UNISA/X/2024).
Co-Authors Asti Nurhayati Muhlizardy Muhlizardy Riyani Wulandari