Hospitals and psychiatric institutions XX  The highest level of protection and guarding the intimate and private space of the patients shall be taken into consideration in the structural design of patient rooms and sanitary facilities. XX  In child psychiatry departments, attention shall be given, amongst others, to space concepts that provide the opportunity to get exercise, which is adapted to the different age groups. 2.2.3 Staff shortages endanger the quality of care Insufficient personnel Personnel surveys clearly indicate that those working in the care professions are often under an inordinate amount of stress. This frequently causes exhaustion, depression or physical complaints. If additional factors (such as unfilled vacancies or staff shortages due to long-term sick leave) are added to an already existing stress level, an overload with a high potential for risk occurs. In the period under review, a shocking lack of personnel was once again evident in several visited institutions, which had alarming effects on the quality of patient care. Klagenfurt Regional Hospital For example, Commission 3 observed a lack of medical and nursing staff on a monitoring visit of the Department of Psychiatry and Psychotherapy at Klagenfurt Regional Hospital in October 2018. The negative effects were evident in many ways. Patients were found in situations that were in violation of their dignity in terms of human rights (in beds in hallways, with visible fixation straps, partly undressed). The psychotherapeutic care of the patients was inadequate in the opinion of the commission. Individual therapies with clinical psychologists were rarely offered due to the lack of time resources. There were three suicides in the department in 2018. In response to the criticism by the NPM, the Carinthian Hospitals Operating Company stated that the staffing levels in the departments had been documented and analysed during the course of 2018. Based on the findings, three additional permanent medical positions were filled in the 2019 staffing plan; a further increase in staffing levels was announced. The NPM welcomes this development as an important step towards guaranteeing adequate medical care for the patients. Unfilled permanent position in the drug outpatient clinic 49 Commission 3 ascertained a lack of medical staff in the drug out-patient clinic in Klagenfurt in October 2018. The permanent position for a general practitioner could not be filled for a long time despite an intensive search. On the recommendation of the NPM, the remuneration scheme was adapted. In order to bridge the gap in staffing levels, the number of working hours for doctors with contracts was temporarily increased. Finally, the head of the facility took the training course as teaching practice instructor in autumn