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Factors Associated with Correction of Personal Protective Equipment Nonadherence in a Multidisciplinary Emergency Department Setting: A Retrospective Video Review
Journal article   Peer reviewed

Factors Associated with Correction of Personal Protective Equipment Nonadherence in a Multidisciplinary Emergency Department Setting: A Retrospective Video Review

Mary S. Kim, Aleksandra Sarcevic, Genevieve J. Sippel, Kathleen H. McCarthy, Eleanor A. Wood, Carmen Riley, Aaron H. Mun, Karen J. O’Connell, Peter T. LaPuma and Randall S. Burd
American journal of infection control, v 53(1)
06 Aug 2024
DOI: https://doi.org/10.1016/j.ajic.2024.08.001
PMID: 39116999
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://pmc.ncbi.nlm.nih.gov/articles/PMC11693478/pdf/nihms-2016541.pdfView
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Abstract

emergency treatment infection control infection transmission Personal protective equipment public health
Despite local and national recommendations, healthcare provider adherence to personal protective equipment (PPE) varied during the COVID-19 pandemic. Previous studies have identified factors influencing initial PPE adherence but did not address factors influencing behaviors leading to correction after initial nonadherence. We conducted a retrospective video review of 18 pediatric resuscitations involving aerosol-generating procedures (AGPs) from March 2020 to December 2022 to identify factors associated with nonadherence correction. We quantified adherent and nonadherent providers, instances of PPE nonadherence, and time to correction. We also analyzed correction behaviors, including provider actions and correction locations. Among 434 providers, 362 (83%) were nonadherent with at least one PPE. Only 186 of 1,832 instances of nonadherence were corrected, primarily upon room entry and during patient care. Correction time varied by PPE type and nonadherence level (incomplete versus absent). Most corrections were self-initiated, with few reminders from other providers. Potential barriers to correction include a lack of social pressure and external reminders. Solutions include optimizing PPE availability, providing real-time feedback, and educating on double-gloving. Most providers were nonadherent to PPE requirements during high-risk infection transmission events. The low correction rate suggests challenges in promoting collective responsibility and maintaining protective behaviors during medical emergencies. •Aretrospective video review found factors influencing PPE nonadherence correction.•Many providers did not adhere to PPE policies during aerosol-generating procedures.•Only 10% of nonadherence PPE instances were corrected by providers.•Correction time varied by PPE type and nonadherence level (incomplete vs. absent).

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7 citations in Web of Science
3 citations in Scopus

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#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Infectious Diseases
Public, Environmental & Occupational Health
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