ArticleThe Journal of hospital infection2018
'VIOLET': a fluorescence-based simulation exercise for training healthcare workers in the use of personal protective equipment.
Article in The Journal of hospital infection, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled 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
- A system for invitro inhaled/exhaled aerosol testing of personal protective equipment.Scientific reports · 2026Article
- Personal protection equipment: Preliminary evidence of effectiveness from a three-phase simulation program.Journal of infection prevention · 2023Article
- A methodology for using Lambda phages as a proxy for pathogen transmission in hospitals.The Journal of hospital infection · 2023Article
- Infection Prevention Performance among In-Flight Cabin Crew in South Korea.International journal of environmental research and public health · 2021Article
- What Not to Do with PPE: A Digital Application to Raise Awareness of Proper PPE Protocol.Advances in experimental medicine and biology · 2021Article
- 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
- Characteristics of personal protective equipment training programs in Australia and New Zealand hospitals: A survey.Infection, disease & health · 2020Article
- How to rapidly design and operationalise PPE donning and doffing areas for a COVID-19 care facility: quality improvement initiative.BMJ open quality · 2020Article
- Washing our hands of the problem.The Journal of hospital infection · 2020Article
- Experience of Chicagoland acute care hospitals in preparing for Ebola virus disease, 2014-2015.Journal of occupational and environmental hygiene · 2019Article
- A unified personal protective equipment ensemble for clinical response to possible high consequence infectious diseases: A consensus document on behalf of the HCID programme.The Journal of infection · 2018Article
- Self-contamination during doffing of personal protective equipment by healthcare workers to prevent Ebola transmission.Antimicrobial resistance and infection control · 2018Article
- A Cross-Sectional Study on Knowledge, Attitude, and Practices of Donning and Doffing of Personal Protective Equipment: An Institutional Survey of Health-Care Staff during the COVID-19 Pandemic.Anesthesia, essays and researchesArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealthcare workers caring for patients with high-consequence infectious diseases (HCIDs) require protection from pathogen exposure, for example by wearing personal protective equipment (PPE). Protection is acquired through the inherent safety of the PPE components, but also their safe and correct use, supported by adequate training and user familiarity. However, the evidence base for HCID PPE ensembles and any associated training is lacking, with subsequent variation between healthcare providers.
aimTo develop an evidence-based assessment and training tool for evaluating PPE ensembles and doffing protocols, in the assessment of patients with suspected HCIDs.
methodsVIOLET (Visualising Infection with Optimised Light for Education and Training) comprises a healthcare mannequin adapted to deliver simulated bodily fluids containing UV-fluorescent tracers. On demand and remotely operated, the mannequin projectile vomits (blue), coughs (red), has diarrhoea (yellow) and is covered in sweat (orange). Wearing PPE, healthcare staff participate in an HCID risk assessment and examination of the 'patient', thereby becoming exposed to these bodily fluids. Contamination of PPE is visualized and body-mapped under UV light before and after removal. Observational findings and participant feedback, around its use as a training exercise, is also recorded.
findingsSignificant contamination from different exposure events was seen, enabling evaluation of PPE and doffing procedures used. Observational data and participant feedback demonstrated its strengths and success as a training technique.
conclusionSimulation exercises using VIOLET provide evidence-based assessment of PPE ensembles, and are a valuable resource for training of healthcare staff in wearing and safe doffing of PPE.
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