AI-Based Fall Prevention and Monitoring Systems for Aged Adults in Residential Care Facilities


Authors : Alistair J Stephen; Omolara Oluseun Juba; Adaeze Ojinika Ezeogu; Fifo Oluwafunmise

Volume/Issue : Volume 10 - 2025, Issue 5 - May


Google Scholar : https://tinyurl.com/yckd8af3

DOI : https://doi.org/10.38124/ijisrt/25may1548

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Purpose: This study explores the application of artificial intelligence (AI) in fall prevention and monitoring systems designed for aged adults in residential care facilities. It aims to assess how AI-driven technologies can enhance safety, reduce fall-related injuries, and improve the quality of life among elderly residents.  Methodology: A comprehensive literature review was conducted, drawing from academic databases such as PubMed, IEEE Xplore, and Scopus. The review focused on studies published in English that examined AI algorithms, sensor technologies, and data analytics for fall prediction and monitoring among individuals aged 65 and older. Studies involving diagnostic or rehabilitative AI applications were excluded. Key metrics such as sensor types, algorithm performance, and system accuracy were analyzed.  Findings: The review reveals a growing adoption of AI-based systems employing machine learning algorithms, including decision trees, support vector machines, and neural networks, for fall risk prediction and detection. Wearable sensors, computer vision, and data analytics have shown promise in reducing false alarms and enhancing fall detection reliability. Despite the demonstrated potential for improving safety and reducing healthcare costs, challenges persist in ensuring data privacy, user acceptance, and system robustness.  Unique Contribution: This research uniquely consolidates current knowledge on AI applications for fall prevention in elderly care, highlighting practical implementations, limitations, and future directions. It underscores the transformative role of AI in proactive elderly care, offering a foundation for developing more adaptive, personalized, and ethical AI-based interventions in residential care environments.

Keywords : AI-based Fall Prevention, Elderly Fall Detection, Wearable Fall Sensors, Machine Learning For Fall Prediction.

References :

  1. Abreu, J., Oliveira, R., García-Crespo, Á., & Rodriguez-Goncalves, R. (2021). TV Interaction as a Non-Invasive Sensor for Monitoring Elderly Well-Being at Home. Sensors, 21(20), 6897. https://doi.org/10.3390/s21206897
  2. Abukhadijah, H. J., & Nashwan, A. J. (2024). Transforming Hospital Quality Improvement Through Harnessing the Power of Artificial Intelligence. Global Journal on Quality and Safety in Healthcare, 7(3), 132. https://doi.org/10.36401/jqsh-24-4
  3. Alowais, S. A., Alghamdi, S. S., Alsuhebany, N., Alqahtani, T., Alshaya, A., Almohareb, S. N., Aldairem, A., Alrashed, M., Saleh, K. B., Badreldin, H. A., Yami, M. S. A., Harbi, S. A., & Albekairy, A. (2023). Revolutionizing healthcare: the role of artificial intelligence in clinical practice [Review of Revolutionizing healthcare: the role of artificial intelligence in clinical practice]. BMC Medical Education, 23(1). BioMed Central. https://doi.org/10.1186/s12909-023-04698-z
  4. Bates, D. W., Levine, D. M., Syrowatka, A., Kuznetsova, M., Craig, K. J. T., Rui, A., Jackson, G. P., & Rhee, K. (2021). The potential of artificial intelligence to improve patient safety: a scoping review [Review of The potential of artificial intelligence to improve patient safety: a scoping review]. Npj Digital Medicine, 4(1). Nature Portfolio. https://doi.org/10.1038/s41746-021-00423-6
  5. Capodici, A., Fanconi, C., Curtin, C., Shapiro, A. D., Noci, F., Giannoni, A., & Hernandez‐Boussard, T. (2025). A scoping review of machine learning models to predict risk of falls in elders, without using sensor data [Review of A scoping review of machine learning models to predict risk of falls in elders, without using sensor data]. Diagnostic and Prognostic Research, 9(1). BioMed Central. https://doi.org/10.1186/s41512-025-00190-y
  6. Cheng, P., Tan, L., Ning, P., Li, L., Gao, Y., Wu, Y., Schwebel, D. C., Chu, H., Yin, H., & Hu, G. (2018). Comparative Effectiveness of Published Interventions for Elderly Fall Prevention: A Systematic Review and Network Meta-Analysis [Review of Comparative Effectiveness of Published Interventions for Elderly Fall Prevention: A Systematic Review and Network Meta-Analysis]. International Journal of Environmental Research and Public Health, 15(3), 498. Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/ijerph15030498
  7. Choudhury, A., & Asan, O. (2020). Role of Artificial Intelligence in Patient Safety Outcomes: Systematic Literature Review [Review of Role of Artificial Intelligence in Patient Safety Outcomes: Systematic Literature Review]. JMIR Medical Informatics, 8(7). JMIR Publications. https://doi.org/10.2196/18599
  8. Cornelissen, L., Egher, C., Beek, V. van, Williamson, L., & Hommes, D. (2022). The Drivers of Acceptance of Artificial Intelligence–Powered Care Pathways Among Medical Professionals: Web-Based Survey Study. JMIR Formative Research, 6(6). https://doi.org/10.2196/33368
  9. Farhud, D. D., & Zokaei, S. (2021). Ethical Issues of Artificial Intelligence in Medicine and Healthcare. Iranian Journal of Public Health. https://doi.org/10.18502/ijph.v50i11.7600
  10. Florence, C., Bergen, G., Atherly, A., Burns, E. R., Stevens, J. A., & Drake, C. (2018). Medical Costs of Fatal and Nonfatal Falls in Older Adults. Journal of the American Geriatrics Society, 66(4), 693. https://doi.org/10.1111/jgs.1530
  11. Gala, D., Behl, H., Shah, M., & Makaryus, A. N. (2024). The Role of Artificial Intelligence in Improving Patient Outcomes and Future of Healthcare Delivery in Cardiology: A Narrative Review of the Literature [Review of The Role of Artificial Intelligence in Improving Patient Outcomes and Future of Healthcare Delivery in Cardiology: A Narrative Review of the Literature]. Healthcare, 12(4), 481. Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/healthcare12040481
  12. Jeyaraman, M., Balaji, S., Jeyaraman, N., & Yadav, S. (2023). Unraveling the Ethical Enigma: Artificial Intelligence in Healthcare [Review of Unraveling the Ethical Enigma: Artificial Intelligence in Healthcare]. Cureus. Cureus, Inc. https://doi.org/10.7759/cureus.43262
  13. Jha, D., Rauniyar, A., Srivastava, A., Hagos, D. H., Tomar, N. K., Sharma, V., Keleş, E., Zhang, Z., Demir, U., Topcu, A. E., Yazidi, A., Håakegård, J. E., & Bağcı, U. (2023). Ensuring Trustworthy Medical Artificial Intelligence through Ethical and Philosophical Principles. arXiv (Cornell University). https://doi.org/10.48550/arxiv.2304.11530
  14. Lambert, S. I., Madi, M., Sopka, S., Lenes, A., Stange, H., Buszello, C. P., & Stephan, A. (2023). An integrative review on the acceptance of artificial intelligence among healthcare professionals in hospitals [Review of An integrative review on the acceptance of artificial intelligence among healthcare professionals in hospitals]. Npj Digital Medicine, 6(1). Nature Portfolio. https://doi.org/10.1038/s41746-023-00852-5
  15. Li, Y.-H., Li, Y., Wei, M.-Y., & Li, G. (2024). Innovation and challenges of artificial intelligence technology in personalized healthcare [Review of Innovation and challenges of artificial intelligence technology in personalized healthcare]. Scientific Reports, 14(1). Nature Portfolio. https://doi.org/10.1038/s41598-024-70073-7
  16. Mahajan, A., Heydari, K., & Powell, D. (2025). Wearable AI to enhance patient safety and clinical decision-making. Npj Digital Medicine, 8(1). https://doi.org/10.1038/s41746-025-01554-w
  17. Martinez‐Ortigosa, A., Martinez-Granados, A., Gil-Hernández, E., Rodriguez‐Arrastia, M., Ropero‐Padilla, C., & Román, P. (2023). Applications of Artificial Intelligence in Nursing Care: A Systematic Review [Review of Applications of Artificial Intelligence in Nursing Care: A Systematic Review]. Journal of Nursing Management, 2023, 1. Wiley. https://doi.org/10.1155/2023/3219127
  18. Martins, A. C., Santos, C. M. do V., Silva, C., Baltazar, D., Moreira, J., & Tavares, N. (2018). Does the modified Otago Exercise Program improve balance in older people? A systematic review [Review of Does modified Otago Exercise Program improve balance in older people? A systematic review. Preventive Medicine Reports, 11, 231. Elsevier BV. https://doi.org/10.1016/j.pmedr.2018.06.015
  19. Mei, Y., Marquard, J. L., Jacelon, C. S., & DeFeo, A. L. (2011). Designing and evaluating an electronic patient falls reporting system: Perspectives for implementing health information technology in long-term residential care facilities. International Journal of Medical Informatics, 82(11). https://doi.org/10.1016/j.ijmedinf.2011.03.008
  20. Mennella, C., Maniscalco, U., Pietro, G. D., & Esposito, M. (2024). Ethical and regulatory challenges of AI technologies in healthcare: A narrative review [Review of Ethical and regulatory challenges of AI technologies in healthcare: A narrative review]. Heliyon, 10(4). Elsevier BV. https://doi.org/10.1016/j.heliyon.2024.e26297
  21. Ng, Z. Q. P., Ling, L. Y. J., Chew, H. S. J., & Lau, Y. (2021). The role of artificial intelligence in enhancing clinical nursing care: A scoping review [Review of The role of artificial intelligence in enhancing clinical nursing care: A scoping review]. Journal of Nursing Management, 30(8), 3654. Wiley. https://doi.org/10.1111/jonm.13425
  22. OMOTOSHO, L. O., Sotonwa, K. A., Adegoke, B. O., OYENIRAN, O. A., & OYENIYI, J. O. (2022). AN AUTOMATED SKIN DISEASE DIAGNOSTIC SYSTEM BASED ON DEEP LEARNING MODEL. Journal of Engineering Studies and Research, 27(3), 43. https://doi.org/10.29081/jesr.v27i3.287
  23. Pailaha, A. D. (2023). The Impact and Issues of Artificial Intelligence in Nursing Science and Healthcare Settings. SAGE Open Nursing, 9. https://doi.org/10.1177/23779608231196847
  24. Piñeiro-Martín, A., Mateo, C. G., Docío-Fernández, L., & López-Pérez, M. del C. (2023). Ethical Challenges in the Development of Virtual Assistants Powered by Large Language Models. Electronics, 12(14), 3170. https://doi.org/10.3390/electronics12143170
  25. Secara, I.-A., & Hordiiuk, D. (2024). Personalized Health Monitoring Systems: Integrating Wearable and AI. Journal of Intelligent Learning Systems and Applications, 16(2), 44. https://doi.org/10.4236/jilsa.2024.162004
  26. Seibert, K., Domhoff, D., Bruch, D., Schulte‐Althoff, M., Fürstenau, D., Bießmann, F., & Wolf‐Ostermann, K. (2021). Application Scenarios for Artificial Intelligence in Nursing Care: Rapid Review [Review of Application Scenarios for Artificial Intelligence in Nursing Care: Rapid Review]. Journal of Medical Internet Research, 23(11). JMIR Publications. https://doi.org/10.2196/26522
  27. Serag, A., Ion‐Mărgineanu, A., Qureshi, H., McMillan, R. B., Martin, M.-J. S., Diamond, J., O’Reilly, P. G., & Hamilton, P. (2019). Translational AI and Deep Learning in Diagnostic Pathology [Review of Translational AI and Deep Learning in Diagnostic Pathology]. Frontiers in Medicine, 6. Frontiers Media. https://doi.org/10.3389/fmed.2019.00185
  28. Shang, Z., Chauhan, V., Devi, K., & Patil, S. (2024). Artificial Intelligence, the Digital Surgeon: Unravelling Its Emerging Footprint in Healthcare – The Narrative Review [Review of Artificial Intelligence, the Digital Surgeon: Unravelling Its Emerging Footprint in Healthcare – The Narrative Review]. Journal of Multidisciplinary Healthcare, 4011. Dove Medical Press. https://doi.org/10.2147/jmdh.s482757
  29. Smith, M. L. (2017). Reported Systems Changes and Sustainability Perceptions of Three State Departments of Health Implementing Multifaceted Evidence-Based Fall Prevention Efforts. Frontiers in Public Health, 5. https://doi.org/10.3389/fpubh.2017.00120
  30. Umapathy, V. R., B. S. R., Rajkumar, D. S. R., Yadav, S., M., S. A., A., P. A., M., A. V., P., K., & Rangesh, A. (2023). Perspective of Artificial Intelligence in Disease Diagnosis: A Review of Current and Future Endeavours in the Medical Field [Review of Perspective of Artificial Intelligence in Disease Diagnosis: A Review of Current and Future Endeavours in the Medical Field]. Cureus. Cureus, Inc. https://doi.org/10.7759/cureus.45684

Purpose: This study explores the application of artificial intelligence (AI) in fall prevention and monitoring systems designed for aged adults in residential care facilities. It aims to assess how AI-driven technologies can enhance safety, reduce fall-related injuries, and improve the quality of life among elderly residents.  Methodology: A comprehensive literature review was conducted, drawing from academic databases such as PubMed, IEEE Xplore, and Scopus. The review focused on studies published in English that examined AI algorithms, sensor technologies, and data analytics for fall prediction and monitoring among individuals aged 65 and older. Studies involving diagnostic or rehabilitative AI applications were excluded. Key metrics such as sensor types, algorithm performance, and system accuracy were analyzed.  Findings: The review reveals a growing adoption of AI-based systems employing machine learning algorithms, including decision trees, support vector machines, and neural networks, for fall risk prediction and detection. Wearable sensors, computer vision, and data analytics have shown promise in reducing false alarms and enhancing fall detection reliability. Despite the demonstrated potential for improving safety and reducing healthcare costs, challenges persist in ensuring data privacy, user acceptance, and system robustness.  Unique Contribution: This research uniquely consolidates current knowledge on AI applications for fall prevention in elderly care, highlighting practical implementations, limitations, and future directions. It underscores the transformative role of AI in proactive elderly care, offering a foundation for developing more adaptive, personalized, and ethical AI-based interventions in residential care environments.

Keywords : AI-based Fall Prevention, Elderly Fall Detection, Wearable Fall Sensors, Machine Learning For Fall Prediction.

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe