Safety of Alcohol-Based Hand Sanitizers in Behavioral Health Facilities

Jorge, Vinicius; Curet, Karla; Aly, Ragia; Gupta, Sachin; Gupta, Sorab; Hares, Horacio

doi:10.1177/1062860620956381

Cited by 2 publications

(2 citation statements)

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“…22 In response to patients drinking hand sanitizer to become intoxicated, staff members have restricted access to or removed hand sanitizer in psychiatric units to prevent further ingestion of these products. 23,24 After investigating a psychiatric facility in Colorado for assaults on staff, among other unsafe work conditions, the Occupational Safety and Health Administration cited several workplace hazards in 2019 and suggested abatement methods, including redesigning nursing stations so that patients cannot access these workstations or items for weapons, such as "hole punchers, staplers, telephones, cords, pens, computers, computer peripherals, and other items." 20,25 Due to security and legal concerns, psychiatric units around the world have installed video surveillance to monitor or record patients and staff on these units.…”

Section: Frequency Of Adverse Eventsmentioning

confidence: 99%

How Inpatient Psychiatric Units Can Be Both Safe and Therapeutic

2024

AMA Journal of Ethics

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Inpatient psychiatric units should be therapeutic environments that support dignity and recovery. When adverse outcomes (eg, self-harm, violence) happen in these settings, clinicians and administrators can face litigation and other pressures to prioritize risk management over supporting patients' access to personal belongings, exercise equipment, and private spaces. This article describes these downward pressures toward sparser, controlling environments in inpatient psychiatric settings as a safety funnel and suggests strategies for balancing safety, humanity, and recovery in these contexts.The American Medical Association designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™ available through the AMA Ed Hub TM . Physicians should claim only the credit commensurate with the extent of their participation in the activity. Evolution of Inpatient Psychiatric UnitsInpatient psychiatric units are supposed to offer therapeutic environments for patients to recover from severe psychiatric symptoms. As far back as 1847, Thomas Story Kirkbride, a US physician, published "Remarks on the Construction and Arrangements of Hospitals for the Insane." 1,2 This treatise focused on all aspects of the design and organization of hospitals for people with mental illness, 2,3 such that, as Tomes argues, "every detail, from the design of the window frames to the table settings in the ward dining rooms, had to be arranged to sustain the impression that here was an institution where patients received kind and competent care." 1,3 Long-term psychiatric hospitals in the United States and elsewhere, often referred to as asylums, occasionally had sprawling facilities with acres of land, gardens, chapels, or other amenities for engendering tranquility among the inhabitants. 4,5,6 Although large, often state-run, facilities played a considerable role in the care of people with mental illness into the 20th century, by mid-century, increased public awareness of the conditions inside certain facilities, growing emphasis on patients' rights, and other developments led to a shift away from these types of facilities toward community-based care. 7,8 In parallel, the goal of psychiatric hospitalization shifted from long-term psychiatric and custodial care to short-term stabilization. 7,9 The evolution of inpatient psychiatric settings toward brief stays has coincided with increased clinical and legal emphasis on promoting safety and preventing adverse events. This article describes the Citation

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Section: Frequency Of Adverse Eventsmentioning

confidence: 99%

How Inpatient Psychiatric Units Can Be Both Safe and Therapeutic

2024

AMA Journal of Ethics

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“…The toxicity of ABHSs consumption can be aggravated in patients on anti-depressant prescription (Richards 2020). Surprisingly, suicidal or accidental ingestion of ABHSs has also been reported in hospital settings for patients undergoing treatment for different medical conditions (Jorge et al 2020;Lim 2020;Stevens and Hix 2020). Caution must be exercised with ABHSs usage in patients on disul ram getting treated for their "alcohol use disorders".…”

Section: Hand Sanitizer Associated Toxicity and Health Hazardsmentioning

confidence: 99%

Unravelling the Enigma of Hand Sanitizer In COVID-19 – A Bibliometric Analysis of Related Publications Over the Year

Samuel

Babu

Arjunan

et al. 2021

Preprint

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Alcohol-based sand sanitizers (ABHSs) are effective in controlling the spread of COVID-19 and has been integrated to our daily life since the onset of the outbreak. However, the sudden and unprecedented global induction of ABHSs has not been smooth, as conflicting reports continued to pour into the public domain, not all for good reason. This review, therefore, attempts to identify the emerging aspects of ABHSs in the era of COVID-19. Articles indexed in Scopus and PubMed on “hand sanitizer” published between January 2020 and February 2021, were screened based on PRISMA guidelines, and classified into different thematic groups. Selected articles on hand sanitizers (101) primarily echo “health hazard” (40, 39.6%) associated with accidental/intentional exposure, methanol toxicity, or occupational irritant contact dermatitis. Articles on “formulations” (23, 22.8%) and “efficacy” (18, 17.8%) mainly refer to alcoholic preparations, though a small subset of formulations has been actually been tested against SARS-Cov-2. Articles on semi-alcoholic, non-alcoholic, or even ayurvedic preparations have been implicated without a standardized efficacy report. Quality concern (12, 11.9%), and shortage (8, 7.9%) have also been reflected in publications during the pandemic. However, this representation is somewhat overinflated given that 28% of total articles are of review, editorial, letters, and not actual case studies. Many potential studies designed in the pandemic might not have reached to publication stage. However, the implication from existing studies on the use of ABHSs can still be useful to build better public awareness, and prioritize interventional strategies among stakeholders.

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Safety of Alcohol-Based Hand Sanitizers in Behavioral Health Facilities

Cited by 2 publications

References 0 publications

How Inpatient Psychiatric Units Can Be Both Safe and Therapeutic

How Inpatient Psychiatric Units Can Be Both Safe and Therapeutic

Unravelling the Enigma of Hand Sanitizer In COVID-19 – A Bibliometric Analysis of Related Publications Over the Year

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