How Can Personal Protective Equipment Be Best Used and Reused: A Closer Look at Donning and Doffing Procedures

Author:

Hughes Ashley M.ORCID,Doos Devin,Ahmed Rami A.,Pham Trang N.D.,Barach Paul

Abstract

Abstract Objective: The aim of this study was to examine safety-related contamination threats and risks to health-care workers (HCWs) due to the reuse of personal protective equipment (PPE) among emergency department (ED) personnel. Methods: We used a Participatory Design (PD) approach to conduct task analysis (TA) of PPE use and reuse. TA identified the steps, risks, and protective behaviors involved in PPE reuse. We used the Centers for Disease Control and Prevention (CDC) guidance for PPE donning and doffing specifying the recommended task order. Then, we convened subject matter experts (SMEs) with relevant backgrounds in Patient Safety, Human Factors and Emergency Medicine to iteratively identify and map the tasks, risks, and protective behaviors involved in the PPE use and reuse. Results: Two emerging threats were associated with behaviors in donning, doffing, and re-using PPE: (i) direct exposure to contaminant, and (ii) transmission/spread of contaminant. Protective behaviors included: hand hygiene, not touching the patient-facing surface of PPE, and ensuring a proper fit and closure of all PPE ties and materials. Conclusions: TA was helpful revealed that the procedure for donning and doffing of re-used PPE does not protect ED personnel from contaminant spread and risk of exposure, even with protective behaviors present (e.g., hand hygiene, respirator use, etc.). Future work should make more apparent the underlying risks associated with PPE use and reuse.

Publisher

Cambridge University Press (CUP)

Subject

Public Health, Environmental and Occupational Health

Reference82 articles.

1. COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals;Capolongo;Acta Biomed.,2020

2. Contamination of Health Care Personnel During Removal of Personal Protective Equipment

3. An interdisciplinary framework for participatory modeling design and evaluation—What makes models effective participatory decision tools?

4. 41. Centers for Disease Control. Personal protective equipment sequence. Accessed October 3, 2021. https://www.cdc.gov/hai/pdfs/ppe/PPE-Sequence.pdf

5. 72. Ariadne Labs and Mass Design Group. Redesigning hospital spaces on the fly to protect healthcare workers. Published online April 2020. Accessed November 5, 2021. https://massdesigngroup.org/sites/default/files/multiple-file/2020-04/Redesigning%20Hospital%20Spaces%20on%20the%20Fly%20to%20Protect%20Healthcare%20Workers_4.pdf

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3