{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T08:55:41Z","timestamp":1791363341672,"version":"4.3.1"},"reference-count":47,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100012151","name":"Sanming Project of Medicine in Shenzen Municipality","doi-asserted-by":"publisher","award":["SZSM202411012"],"award-info":[{"award-number":["SZSM202411012"]}],"id":[{"id":"10.13039\/501100012151","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To synthesize evidence on the effectiveness of hospital sensor\u2010based fall prevention systems and examine whether technology type, patient risk, and implementation strategy modify their impact.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We searched MEDLINE, Embase, CINAHL, CENTRAL, Web of Science, and trial registries through April 30, 2025. Interventional studies evaluating hospital sensor\u2010based fall prevention systems were eligible, including randomized controlled trials and quasi\u2010experimental designs. Two reviewers independently extracted data and assessed risk of bias using the Cochrane Risk of Bias tools. Random\u2010effects meta\u2010analyses applied the Paule\u2013Mandel estimator with Hartung\u2013Knapp\u2013Sidik\u2013Jonkman adjustment. Incidence rate ratios (IRR) were pooled for fall rates and fall\u2010related injuries, and odds ratios (OR) for patients with at least one fall. Subgroup analyses examined technology generation and risk profile, with restricted analyses for mandated implementation. Certainty of evidence was rated with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixteen studies were included, seven in meta\u2010analysis. No significant impact was found for fall rates (IRR 0.77, 95% CI 0.38\u20131.58;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200992%), fallers (OR 1.24, 95% CI 0.76\u20132.02;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200973%), or fall\u2010related injuries (IRR 0.98, 95% CI 0.81\u20131.18;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090%). Machine learning\u2013based systems reduced fall rates (IRR 0.50, 95% CI 0.32\u20130.79), while rule\u2010based systems did not. Mandatory implementation was associated with lower fall rates (IRR 0.51, 95% CI 0.37\u20130.70) but not fewer fallers. Certainty of evidence ranged from very low to low.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sensor\u2010based systems showed no consistent benefit for preventing hospital falls or injuries, though machine learning and mandated use appeared more promising. Given the limited number of trials, heterogeneity, and low certainty, further research should focus on rigorous evaluation, workflow integration, and cost\u2010effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Register<\/jats:title>\n                    <jats:p>This review was registered with PROSPERO (CRD420251123960; registered on 11 August 2025). Clinical trial number: not applicable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/wvn.70184","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T08:46:26Z","timestamp":1791362786000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Sensor\u2010Based Fall Prevention Systems in Hospitals: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9131-5418","authenticated-orcid":false,"given":"Mingliang","family":"Zheng","sequence":"first","affiliation":[{"name":"Nursing Department Shenzhen Children's Hospital  Shenzhen Guangdong China"},{"name":"School of Nursing China Medical University  Shenyang Liaoning China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Yan","sequence":"additional","affiliation":[{"name":"Nursing Department Shenzhen Children's Hospital  Shenzhen Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7882-9906","authenticated-orcid":false,"given":"Xingyanan","family":"Wang","sequence":"additional","affiliation":[{"name":"Nursing Department Shenzhen Children's Hospital  Shenzhen Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Hematology and Oncology Shenzhen Children's Hospital  Shenzhen Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology Shenzhen Children's Hospital  Shenzhen Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiliang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Shenzhen Children's Hospital  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