Observational studyAmerican journal of infection control2017
The association between self-perceived proficiency of personal protective equipment and objective performance: An observational study during a bioterrorism simulation drill.
Observational study in American journal of infection control, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Systematic review on the current state of disaster preparation Simulation Exercises (SimEx).BMC emergency medicine · 2023Pooled it
- Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff.The Cochrane database of systematic reviews · 2020Pooled it
- Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff.The Cochrane database of systematic reviews · 2020Pooled it
- Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff.The Cochrane database of systematic reviews · 2019Pooled it
- Strengthening patient safety through biosafety and infection prevention measures during COVID-19: a policy and practice review.Frontiers in health services · 2026Review
- Artificial intelligence-assisted personal protective equipment donning and doffing training for health professions students and healthcare workers: a scoping review.BMC medical education · 2025Article
- Comparative analysis of personal protective equipment nonadherence detection: computer vision versus human observers.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- The PATH to PPE Mastery - Programme for Assessment and Training in HCID (High Consequence Infectious Diseases) PPE (Personal Protective Equipment), Mastery.Infection prevention in practice · 2023Article
- Personal protection equipment: Preliminary evidence of effectiveness from a three-phase simulation program.Journal of infection prevention · 2023Article
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- Knowledge of COVID-19 and its implications in dental treatment, and practices of personal protective equipment among dentists: A survey-based assessment.Journal of education and health promotion · 2021Article
- Disruption of healthcare: Will the COVID pandemic worsen non-COVID outcomes and disease outbreaks?Progress in pediatric cardiology · 2020Article
- State of Personal Protective Equipment Practice in Indian Intensive Care Units amidst COVID-19 Pandemic: A Nationwide Survey.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020Article
- Healthcare Workers' Strategies for Doffing Personal Protective Equipment.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019Article
- Experience of Chicagoland acute care hospitals in preparing for Ebola virus disease, 2014-2015.Journal of occupational and environmental hygiene · 2019Article
- Metabolic fatigue in resuscitators using personal protection equipment against biological hazard.Investigacion y educacion en enfermeria · 2019Article
- 'VIOLET': a fluorescence-based simulation exercise for training healthcare workers in the use of personal protective equipment.The Journal of hospital infection · 2018Article
- Does Gender Influence Physiological Tolerance in Resuscitators When Using Personal Protection Equipment against Biological Hazards?Emergency medicine international · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe recent Ebola virus disease outbreak emphasized the potential misuse of personal protective equipment (PPE) by health care workers (HCWs) during such an event. We aimed to compare self-perceived proficiency of PPE use and objective performance, and identify predictors of low compliance and PPE misuse.
methodsAn observational study combined with subjective questionnaires were carried out during a bioterror simulation drill. Forty-two observers evaluated performance under PPE. Mistakes were recorded and graded using a structured observational format and were correlated with the subjective questionnaires and with demographic parameters.
resultsOne hundred seventy-eight HCWs from community clinics and hospitals were included. The mean self-perceived proficiency was high (6.1 out of 7), mean level of comfort was moderate (4.0 out of 7), and mean objective performance was intermediate (9.5 out of 13). There was no correlation between comfort and objective performance scores. Self-perceived proficiency was in correlation with donning and continuous performance with PPE but not with doffing. Clinic personnel performed better than personnel in hospitals (40.3% vs 67.8% with 3 or more mistakes, respectively; P = .001). Demographic characteristics had no correlation with objective or self-perceived performance.
conclusionsSelf-perceived proficiency is a poor predictor of appropriate PPE use. The results suggest poor awareness of the possibility of PPE misuse.
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