Infection preventionists’ challenges in psychiatric clinical settings

Li, Pei-Hsuan; Wang, Shou Yu; Tan, Jung-Ying; Lee, Li-Hung; Yang, Cheng-I

doi:10.1016/j.ajic.2018.08.010

Cited by 14 publications

(13 citation statements)

References 15 publications

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“…Patients are frequently admitted to psychiatric facilities directly from areas at high risk for COVID-19 dissemination, such as hospitals, correctional facilities, nursing homes, emergency rooms and homeless shelters. Due to cognitive limitations and severe mental illness, many patients also struggle with attending to activities of daily living, such as bathing and hand hygiene [ 11 , 12 ]. Agitated patients and those experiencing psychosis are often unable to comply with infection prevention measures, reducing their efficacy.…”

mentioning

confidence: 99%

“…Agitated patients and those experiencing psychosis are often unable to comply with infection prevention measures, reducing their efficacy. Due to limited resources and fewer infection prevention personnel, infection prevention is often undervalued and consequently less of a priority within psychiatric facilities than in general hospitals [ 12 ]. Hand washing is also likely to be less frequent among staff in psychiatric facilities, since they have fewer physical interactions with patients than staff in general hospitals [ 11 ].…”

mentioning

confidence: 99%

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Keeping the wolf at bay: Infection prevention and control measures for inpatient psychiatric facilities in the time of COVID-19

Barnett

Esper

Foster

2020

General Hospital Psychiatry

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confidence: 99%

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confidence: 99%

Keeping the wolf at bay: Infection prevention and control measures for inpatient psychiatric facilities in the time of COVID-19

Barnett

Esper

Foster

2020

General Hospital Psychiatry

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“…One paper (<1%) focused on staff experiences of infection prevention and control in psychiatric clinical settings 383…”

Section: Resultsmentioning

confidence: 99%

Patient safety in inpatient mental health settings: a systematic review

et al. 2019

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ObjectivesPatients in inpatient mental health settings face similar risks (eg, medication errors) to those in other areas of healthcare. In addition, some unsafe behaviours associated with serious mental health problems (eg, self-harm), and the measures taken to address these (eg, restraint), may result in further risks to patient safety. The objective of this review is to identify and synthesise the literature on patient safety within inpatient mental health settings using robust systematic methodology.DesignSystematic review and meta-synthesis. Embase, Cumulative Index to Nursing and Allied Health Literature, Health Management Information Consortium, MEDLINE, PsycINFO and Web of Science were systematically searched from 1999 to 2019. Search terms were related to ‘mental health’, ‘patient safety’, ‘inpatient setting’ and ‘research’. Study quality was assessed using the Hawker checklist. Data were extracted and grouped based on study focus and outcome. Safety incidents were meta-analysed where possible using a random-effects model.ResultsOf the 57 637 article titles and abstracts, 364 met inclusion criteria. Included publications came from 31 countries and included data from over 150 000 participants. Study quality varied and statistical heterogeneity was high. Ten research categories were identified: interpersonal violence, coercive interventions, safety culture, harm to self, safety of the physical environment, medication safety, unauthorised leave, clinical decision making, falls and infection prevention and control.ConclusionsPatient safety in inpatient mental health settings is under-researched in comparison to other non-mental health inpatient settings. Findings demonstrate that inpatient mental health settings pose unique challenges for patient safety, which require investment in research, policy development, and translation into clinical practice.PROSPERO registration numberCRD42016034057.

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“…However, the cost of treatment increased due to the use of antibiotics and other supportive treatments (Almeida and Pedroso, 1999). Healthcare-related infections also increase the burden and care load of staff (Li et al, 2019). Below, implementation strategies will be discussed according to three levels of psychiatric hospital, mainly administrative level, staff level, and patient level.…”

Section: Implementation Of Infection Prevention and Control In Psychimentioning

confidence: 99%

Challenge and strategies of infection control in psychiatric hospitals during biological disasters—From SARS to COVID-19 in Taiwan

Hsu

Chou

et al. 2020

Asian Journal of Psychiatry

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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Infection preventionists’ challenges in psychiatric clinical settings

Cited by 14 publications

References 15 publications

Keeping the wolf at bay: Infection prevention and control measures for inpatient psychiatric facilities in the time of COVID-19

Keeping the wolf at bay: Infection prevention and control measures for inpatient psychiatric facilities in the time of COVID-19

Patient safety in inpatient mental health settings: a systematic review

Challenge and strategies of infection control in psychiatric hospitals during biological disasters—From SARS to COVID-19 in Taiwan

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