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Timing and type of personal protective equipment adherence lapses in pediatric trauma resuscitation: A retrospective video study
Journal article   Open access   Peer reviewed

Timing and type of personal protective equipment adherence lapses in pediatric trauma resuscitation: A retrospective video study

Mary S. Kim, Dylan W. Arkowitz, Alice A. Currie, Aleksandra Sarcevic and Randall S. Burd
American journal of infection control, v 53(12), pp 1325-1329
Dec 2025
PMID: 40885257
url
https://pmc.ncbi.nlm.nih.gov/articles/PMC12439607/View
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Abstract

Infection control Infection transmission Personal protective equipment Public Health
Although personal protective equipment (PPE) reduces the transmission of infectious diseases, adherence among health care providers remains inconsistent. Developing strategies to improve PPE use requires understanding the factors associated with adherence lapses, defined as the partial undoing or removal of PPE, leading to nonadherence. We performed a retrospective video review of 10 pediatric trauma resuscitations from March 2023 to July 2024. We recorded the number of lapses, the time from adherence to lapse (time-to-lapse), and the timing of lapses during resuscitation. We observed provider actions before and after a lapse to understand situational factors. We observed 292 lapses among 120 providers. The median time-to-lapse was 7.7 minutes (interquartile range [IQR] 3.8-15.1) for gloves, 1.5 minutes (IQR 0.3-6.8) for masks, and 13.4 minutes (IQR 6.6-26.6) for gowns. Lapses in masks (estimate −0.4, 95% confidence interval −0.6 to −0.3, P < .001) occurred earlier in the resuscitations. Of 292 lapses, 105 (36.0%) were corrected. The most common provider action before a lapse included “observing” (n = 109/292, 37.3%). PPE lapses were frequent in the postpandemic setting. The time-to-lapse and lapse timing varied by PPE type. Aligning PPE monitoring with lapse patterns may optimize nonadherence detection and correction. •PPE adherence among providers stayed low in the post-COVID-19 period.•Only one-third of adherence lapses were corrected.•Lapses were common among observers without clinical roles.•A policy is needed to improve PPE adherence and restrict patient area access.

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