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Camera alerts bring help sooner to residents with dementia who fall

In six California memory care facilities, real-time alerts from SafelyYou Guardian's AI video fall detection cut residents' time on the ground after a fall by 29.6 minutes.

32
Benefit status
Reported
Evidence
Independently studied
Observed
Sources
2 publications

Benefits

Benefit

Time on the ground fell by 29.6 minutes (95% CI 20.3 to 38.9)

Awaiting review

Outcome identifiers

Unresolved

Not reviewedUnresolved

Category

Reduced Risk

Awaiting review

Status

Reported benefit

Awaiting review

Beneficiary groups

People. Organizations.

Awaiting review

Beneficiaries

Unresolved

Not reviewedUnresolved

Reach

Unresolved

Not reviewedUnresolved

Distribution and access

Unresolved

Not reviewedUnresolved

Duration

Unresolved

Not reviewedUnresolved

Expected?

Yes

Awaiting review

Costs and harms

Unresolved

Not reviewedUnresolved

AI system

System

SafelyYou Guardian (SYG): continuous bedroom video monitoring with computer vision fall detection and real-time notification

Awaiting review

Model

This is an explicit unresolved assignment: the sources on record do not settle this question.

Not reviewedUnresolved

Release

Unresolved

Not reviewedUnresolved

Provider

Unresolved

Not reviewedUnresolved

Role

Unresolved

Not reviewedUnresolved

Configuration

Unresolved

Not reviewedUnresolved

Inputs and outputs

Unresolved

Not reviewedUnresolved

Autonomy

Unresolved

Not reviewedUnresolved

Workflow

Cameras covered the bedrooms of consenting residents, where over 80% of falls happened. Staff received a notification with video access as soon as the system detected a fall.

Awaiting review

Human oversight

Unresolved

Not reviewedUnresolved

Relation to AI

The study compares periods with and without real-time AI notification in the same facilities, with no concurrent control group.

Awaiting review

AI contribution

Unresolved

Not reviewedUnresolved

Measurement

Studies

Before/after. [2]

Fully reviewed: supporting details for Studies

Review date: 29 October 2026.

Sources: [2]

Study design

Before/after. [2]

Fully reviewed: supporting details for Study design

Review date: 29 October 2026.

Sources: [2]

Measurement

Time until staff assistance and time on the ground measured automatically from video of each fall. [2]

Fully reviewed: supporting details for Measurement

Review date: 29 October 2026.

Sources: [2]

Setting and sample

66 residents with dementia, 436 falls, six California memory care facilities, November 2017 to August 2018. [2]

Fully reviewed: supporting details for Setting and sample

Review date: 29 October 2026.

Sources: [2]

Measures

Time on the ground and time until staff assistance. [2]

Fully reviewed: supporting details for Measures

Review date: 29 October 2026.

Sources: [2]

Comparison

Baseline period without real-time notification. [2]

Fully reviewed: supporting details for Comparison

Review date: 29 October 2026.

Sources: [2]

Results

29.6 minutes less on the ground; 28.3 minutes less until assistance; lies over one hour fell from 31% to zero. [2]

Fully reviewed: supporting details for Results

Review date: 29 October 2026.

Sources: [2]

Additional value from AI

About 30 minutes less time on the ground per fall. [2]

Fully reviewed: supporting details for Additional value from AI

Review date: 29 October 2026.

Sources: [2]

Limitations

No concurrent control; period effects possible; authors employed by or holding stock in SafelyYou. [2]

Fully reviewed: supporting details for Limitations

Review date: 29 October 2026.

Sources: [2]

Denominators

Real-time AI fall notifications with video access. [2]

Fully reviewed: supporting details for Denominators

Review date: 29 October 2026.

Sources: [2]

Materials for replication

Not public. [2]

Fully reviewed: supporting details for Materials for replication

Review date: 29 October 2026.

Sources: [2]

Money

Kind of value

The kind of monetary value is unclear.

Not reviewedUnresolved

Amount

The monetary value is not established.

Not reviewedUnresolved

Currency and prices

The currency and price basis are unclear.

Not reviewedUnresolved

Period and unit

The period and unit of the monetary estimate are unclear.

Not reviewedUnresolved

Realization

Whether the monetary value was realized is unclear.

Not reviewedUnresolved

Recipients and payers

The recipients and payers are unclear.

Not reviewedUnresolved

Gross or net

Whether the monetary figure includes costs is unclear.

Not reviewedUnresolved

Included costs

The costs included in the estimate are unclear.

Not reviewedUnresolved

Comparison

The financial comparison is not established.

Not reviewedUnresolved

Method

The method used to calculate monetary value is unclear.

Not reviewedUnresolved

Return and payback

The return on investment or payback period is not established.

Not reviewedUnresolved

People and places

Participants

Developer: SafelyYou, Inc. Operator: Six memory care facilities in California (not named in the paper).

Awaiting review

Jurisdictions

Benefit: Six memory care facilities, California, United States. Developer: United States. Operator: United States.

Awaiting review

Ownership and control

Unresolved

Not reviewedUnresolved

Dependencies

Unresolved

Not reviewedUnresolved

Cross-border connections

Unresolved

Not reviewedUnresolved

Geopolitical implications

The geopolitical implications are unclear.

Not reviewedUnresolved

Follow-up

Conditions for replication

Staff must be available to respond to alerts at night, when two thirds of falls occurred. Residents and families must consent to bedroom video.

Awaiting review

Replication attempts

1 follow-up entry. Benefit recurred: 1.

Awaiting review

Later findings

Unresolved

Not reviewedUnresolved

Availability

Unresolved

Not reviewedUnresolved

Institutional decision

A relevant institutional decision has not been established.

Not reviewedUnresolved

Grounds

The grounds for an institutional decision are unclear.

Not reviewedUnresolved

Action and result

The result of an institutional decision is not established.

Not reviewedUnresolved

Success criterion

The criterion for a successful institutional decision is unclear.

Not reviewedUnresolved

Evidence

Source numbers

AIBD-0605-source-0001–0002

Awaiting review

Citations

Numbered references below.

Awaiting review

Language

Unresolved

Not reviewedUnresolved

Source relationships

Independent, Developer

Awaiting review

Original evidence

Unresolved

Not reviewedUnresolved

Access and versions

Unresolved

Not reviewedUnresolved

Supported findings

Unresolved

Not reviewedUnresolved

Evidence strength

Independently studied. Sources: one independent peer-reviewed study and the makers' peer-reviewed study. The cited evidence includes no finding by a regulator or court. [1] [2]

Fully reviewed: supporting details for Evidence strength

Review date: 29 October 2026.

Sources: [1] [2]

Missing evidence

Unresolved

Not reviewedUnresolved

Grades

Assessed benefits

People. Organizations.

Awaiting review

Depth

People: 3. Organizations: 2.

Awaiting review

Reasons

People: Residents spent 29.6 fewer minutes on the ground after falls, and lies of more than an hour fell from 31% of fallers to none. Organizations: Time until staff assistance fell by 28.3 minutes between the baseline and real-time notification periods.

Awaiting review

Observed or intended

Unresolved

Not reviewedUnresolved

Rubric

Unresolved

Not reviewedUnresolved

Assessor and date

Unresolved

Not reviewedUnresolved

Alternative assessments

Unresolved

Not reviewedUnresolved

Fill

Independently studied

Awaiting review

Entry details

Kind

The case describes an evaluation or a study. A before and after observational study across six facilities. [1]

Fully reviewed: supporting details for Kind

Review date: 29 October 2026.

Sources: [1]

Field

Elder care.

Awaiting review

Purpose

SafelyYou Guardian was built to detect falls in real time and notify caregivers. Shorter time on the ground after falls was that purpose.

Awaiting review

Dates

Observed: 31 August 2018. Updated: 29 October 2026.

Awaiting review

Stage

The system was used in a pilot. The system ran in six facilities in a staged observational study. [1]

Fully reviewed: supporting details for Stage

Review date: 29 October 2026.

Sources: [1]

Version

SHA-256: 4a4126b06b0a…

Awaiting review: supporting details for Version

SHA-256 of the public case, its assessments, and its displayed answers and notes, excluding its own identifier and the derived coverage summary.

References

Other identifiers

AI Incident Database: 1109.

Awaiting review

Category mappings

Unresolved

Not reviewedUnresolved

Citable summary

Unresolved

Not reviewedUnresolved

Revisions

2 revisions. Latest: 29 October 2026.

Awaiting review

Sources

  1. Peer-reviewed study Independent author

    Lear R, Ellis S, Ollivierre-Harris T, Long S, Mayer EK. Video Recording Patients for Direct Care Purposes: Systematic Review and Narrative Synthesis of International Empirical Studies and UK Professional Guidance. J Med Internet Res. 2023;25:e46478. doi:10.2196/46478

  2. Peer-reviewed study Developer

    Bayen E, Nickels S, Xiong G, et al. Reduction of Time on the Ground Related to Real-Time Video Detection of Falls in Memory Care Facilities: Observational Study. J Med Internet Res. 2021;23(6):e17551. doi:10.2196/17551

Cite this case

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Version 4a4126b06b0a, archived in the edition of 29 October 2026

Benefit marks

Depth

The number and color show the depth of a benefit.

  1. Depth 1. A convenience, or time or money saved.
  2. Depth 2. A measurable improvement in a result or ability.
  3. Depth 3. A lasting change, an ability restored, or a risk removed.
  4. Depth 4. A serious harm averted or a serious condition resolved in time.
  5. Depth 5. A life or livelihood preserved, or a change documented across a population.

Beneficiary

  • Circle: a person
  • Square: an organization
  • Triangle: society

Evidence

  • Solid. A court or regulator found a benefit, or researchers independently studied it.

  • Hatched. Independent reporting.

  • Outline. Claimed by the parties. Only the people or organizations involved, or sources whose independence has not been assessed, support the benefit.

The fill changes with the evidence. The depth color stays the same.

How benefits are assessed