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Table 5 Staff and user safety on General Hospital Psychiatric Wards during the Covid-19 epidemic in Italy

From: Psychiatry during the Covid-19 pandemic: a survey on mental health departments in Italy

Items N (%) of respondents Yes Statistically significantdifferences accordingto geographical areaa Differences according to classesbased upon rates of Covid + cases per 1000 inhabitants on aregional basisb
“Filter” area for access to Hospital 86 (80.4) None None
Pts remaining in the filter areabefore swab outcomes are known 79 (73.8) None None
Access limitations to wards forfamily members/carers 106 (99.1) None None
Swabs for patients Overall = 54 (50.5)
admission+discharge = 21 (19.6)
Only on admission = 28 (26.2)
Only on discharge = 3 (2.8) 		None
None
None
None 		None
None
None
None
Routes dedicated to patients withsuspected infection 93 (86.9) None None
Voluntary Admission ofCovid+Cases to General Covid Unitsc = 68 (63,6)
Special GHPWsd = 23 (21.5)
Othere = 16 (14.9) 		None
None
None 		None
None
None
Compulsory admission of Covid+cases (managed in) General Covid Unitsc = 67 (62,6)
Special GHPWsd = 21 (19.6)
Othere = 19 (17.7) 		N = 35 (60.3) C = 6 (37.5) S = 26 (78.8) p<.05
N = 11 (18.9) C = 5 (21.2) S = 6 (18.2)
N = 12 (20.6) C = 6 (37.5) S = 1 (3.0)* 		None
None
None
Management of agitated Covid+ pts. Locked doors 33 (30.8)
Sedation 90 (84.0)
Physical restraint 42 (39.2)
CCTV monitoring 31 (28.9) 		None
None
N = 25 (43.1) C = 11 (68.7) S = 6 (18.1) p<.01
None 		None
None
High rate regb = 30 (48.3)
low rate regib = 12 (26.6) p<.01
None
Routine Swabs for staff membersexposed to suspected cases 48 (44.9) None None
Covid+ cases reported among staffmembers 30 (28.0) N = 24 (41.4) C = 3 (18.7); S = 5 (15.1) p<.01 High rate regionsb = 24 (38.7)
low rate regionsb = 6 (13.3) p<.01
PPD Evaluationf Adequate = 17.8
Partially adequate = 52.5
Inadequate = 27.7 		None
None
None 		None
None
None
Staff concerns about personal safety 90 (84.1) None None
  1. aItaly’s Geographical areas are: N North, C Centre, S South and Islands
  2. bgroup 1 ≥ 2 cases × 1000 inhabitants; group 2 < 2 cases × 1000 inhabitants;high rate regions are those included in group 1, as above; Low rate regions are those included in class 2 as above
  3. cGeneral Covid Units = General Hospitals’ Intensive and Non Intensive Care Units
  4. dSpecial GHPWs = General Hospital Psychiatric Wards specifically devoted to Covid+ patients
  5. eOther = psychiatric pts. managed in isolated rooms or sections within GHPWs
  6. fPPE Personal Protective Equipment
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BMC Psychiatry

ISSN: 1471-244X

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