OBJECTIVES: Medical students represent a group of undergraduate students who are exposed to specific risk factors that may lead to the onset of depression and the occurrence of suicidal ideation. The aim of the article is to present information about the prevalence of symptoms of depression in medical students of different faculties at Charles University, Prague, compared to other students of this university. METHODS: We used a standardized Beck's Inventory scale II (BDI-II) with added specific questions electronically distributed to undergraduate students of the full-time forms of study of all faculties of Charles University. The data collection was anonymous and took place in December 2020. The data were statistically assessed in relation to the occurrence of moderate and severe depression using univariate and multivariable analysis. RESULTS: Moderate and severe depression rate (MSDR) was recorded in 19.6% of medical school students, who returned the questionnaire, compared to 23.4% of students of other faculties (p = 0.001) of Charles University in Prague. Differences in MSDR among students of different faculties of medicine of Charles University were not statistically significant. The total number of previous suicide attempts among respondents was 542, of which 115 were medical students, with the lifetime prevalence of suicide attempts among all students participating in the study 6.96% and in medical students of Charles University 5.73%. CONCLUSIONS: The findings of our study highlight the need for systematic, accessible and timely assistance to university students, both in terms of prevention and early intervention, which can take place at the university level and within the mental healthcare system.
- MeSH
- deprese MeSH
- lidé MeSH
- prevalence MeSH
- sebevražda * MeSH
- sebevražedné myšlenky MeSH
- školy lékařské MeSH
- studenti lékařství * MeSH
- univerzity MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Objectives: The COVID-19 pandemic exposed the inadequacy of pandemic preparedness mechanisms worldwide. This study gathered comprehensive data from Czech hospitals, identified possible weaknesses in important areas of crisis preparedness, and quantified changes performed to enhance crisis resilience of healthcare facilities. Methods: Drawing on literature review on pandemic preparedness and hospital crisis management and detailed interviews with hospital representatives, a questionnaire was designed and distributed by email among quality managers of all Czech hospitals. Statistical analysis of their responses was conducted using EZR software. Fisher's exact test and Kruskal-Wallis test, with post hoc testing, were used to assess statistical significance. Results: Achieving response rate of 31.9%, responses from 65 hospitals were analysed. New crisis management policies were necessary in 72.3% of responding hospitals. Furthermore, a majority of the respondents changes indicated the need for changes in policies on general pandemic, human resources and infrastructure and material preparedness. Conclusion: The COVID-19 crisis required significant alterations to previously established hospital crisis management protocols and establishment of new ones. The absence of a unified system for crisis preparedness was noted at hospital and national levels.
- MeSH
- COVID-19 * epidemiologie MeSH
- lidé MeSH
- nemocnice MeSH
- pandemie prevence a kontrola MeSH
- připravenost na pandemii MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
Objectives: Medical students in the Czech Republic were mandated by the law to take part in the COVID-19 pandemic response in order to expand healthcare capacity. Our study aimed to analyze student's competencies defined in the legislation and compare them with competencies assigned to them in clinical settings during their deployment. Methods: Online survey with statistical analysis of collected data. Results: The survey was completed by 997 respondents. A major convergence between the system of credentials defined in the legal framework and the competencies that students performed were identified. Conclusion: Medical students represented a valuable resource for addressing shortages of qualified healthcare staff in critical situation. However, the system of competencies and credentials must be aligned with the educational framework to clearly define acquisition of competencies during the course of medical studies and the legal framework regulating students' deployment must ensure consistency of actual and formal competencies in order to guarantee high standards of care and safety of the patients.
- MeSH
- COVID-19 * epidemiologie MeSH
- lidé MeSH
- pandemie MeSH
- průzkumy a dotazníky MeSH
- studenti lékařství * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
- MeSH
- telemedicína * MeSH
- využití lékařské informatiky MeSH
- zabezpečení počítačových systémů MeSH
- Publikační typ
- rozhovory MeSH
OBJECTIVES: Suicides of hospitalized patients present rare but very serious adverse events in healthcare settings. The aim of this article is to describe and analyse the facilities and material equipment of acute psychiatric settings in the Czech Republic and contrast these with recommendations for effective prevention of suicidal behaviour. Since there are currently no universally accepted protocols for risk assessment and prevention of suicides in hospital settings in the Czech Republic, these recommendations draw on international guidelines. Based on the outcomes of our study we provide recommendations for risk management and effective prevention of suicidal behaviour of patients hospitalized in acute care settings. METHODS: In order to describe and analyse the environment of acute psychiatric wards in the Czech Republic we have developed a questionnaire based on international recommendations for risk management and prevention of suicidal behaviour. We also collected data on the prevalence of attempted and completed suicides and their respective methods in these hospitals. RESULTS: We have established that acute psychiatric wards in the Czech Republic operate within insufficient safety regimes, especially with respect to the prevention of suicide by hanging and the accessibility of objects for cutting. Our findings demonstrate that only 75% of the wards are equipped with safety glass, and only 50% of the wards with safety mirrors. Only just over 40% of hospitals have safety door handles and shower heads. CONCLUSION: While it is impossible to entirely eliminate the risk of suicidal behaviour it is possible to manage it. The risk reduction is attainable by providing a safe-proofed environment and minimizing opportunities of suicide attempts by hanging and cutting. In order to effectively prevent suicides, it is essential to increase the awareness of the possibilities of safe proofing of the environment as well as standardization of risk assessment of potential suicidal behaviour of patients.
- MeSH
- lidé MeSH
- nemocnice MeSH
- pokus o sebevraždu * MeSH
- psychiatrické oddělení nemocnice * MeSH
- zachování přírodních zdrojů MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
Péče o dětské pacienty se sebevražedným chováním vyžaduje mezioborovou spolupráci, a to nejčastěji mezi pediatrem a psychiatrem. I přes jejich nedostatek je právě činnost psychiatrů často ta stěžejní. Cílem článku je přiblížit čtenáři problematiku časné identifikace sebevražedného chování a aspekty spolupráce mezi pediatrem a psychiatrem u dětských pacientů.
The care of children with suicidal behaviour needs interdisciplinary cooperation, most often this includes paediatricians and psychiatrists. Psychiatry is ranked among the most crucial ones. The aim of this article is to present the aspects of early identification of suicidal behaviour in children and cooperation between paediatricians and psychiatrics.
- MeSH
- chování sebezraňující diagnóza prevence a kontrola psychologie MeSH
- dítě MeSH
- hodnocení rizik MeSH
- lidé MeSH
- mezioborová komunikace MeSH
- mladiství MeSH
- pokus o sebevraždu * prevence a kontrola psychologie MeSH
- prevence sebevražd MeSH
- průzkumy a dotazníky MeSH
- sebevražda * psychologie MeSH
- sebevražedné myšlenky MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
Péče o dětské pacienty se sebevražedným chováním vyžaduje mezioborovou spolupráci, a to nejčastěji mezi pediatrem a psychiatrem. I přes jejich nedostatek je právě činnost psychiatrů často ta stěžejní. Cílem článku je přiblížit čtenáři problematiku časné identifikace sebevražedného chování a aspekty spolupráce mezi pediatrem a psychiatrem u dětských pacientů.
The care of children with suicidal behaviour needs interdisciplinary cooperation, most often this includes paediatricians and psychiatrists. Psychiatry is ranked among the most crucial ones. The aim of this article is to present the aspects of early identification of suicidal behaviour in children and cooperation between paediatricians and psychiatrics.
- MeSH
- chování sebezraňující diagnóza prevence a kontrola psychologie MeSH
- dítě MeSH
- hodnocení rizik MeSH
- lidé MeSH
- mezioborová komunikace MeSH
- mladiství MeSH
- pokus o sebevraždu * prevence a kontrola psychologie MeSH
- prevence sebevražd MeSH
- průzkumy a dotazníky MeSH
- sebevražda * psychologie MeSH
- sebevražedné myšlenky MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
Introduction: During the last few years the role of non-technical skills including communication and cognitive aids is becoming more important and also influences pre-hospital care. This narrative review aims to summarize published articles on the information handover from pre-hospital to in-hospital care which is dominantly used in critically ill patients who need centre care (acute coronary syndromes, post resuscitation etc.).Literature search strategy: We undertook a literature search in the Scopus, Cinahl, Ovid and Medline data-bases, with inclusion and exclusion criteria, to find all articles about clinical handover from pre-hospital to in-hospital care. We found 27 articles which match the inclusion criteria.Results: We identified 12 different acronyms for information handover. The results were grouped into four main themes – the acronym used for handover, the shape of handover, complications during handover and training in handover.Conclusion: The shape of handover varies but all these articles support the need for structured handover which might improve the safety of provided care by reducing the information loss. A few authors even encourage having a national guideline or standard for both givers and receivers of the handover. None of the articles tested the pre-notification phase of information handover which is also important in the cases of pre-hospital cardiac arrests or patients with acute coronary syndrome. Fig. 1, Annex 1, Tab. 2, Ref. 36, on-line full text (Free, PDF) www.cardiologyletters.sk
