Evidence map›Paper›PMID 31291152›Full record

ArticleJournal of occupational and environmental hygiene2019

Personal protective equipment doffing practices of healthcare workers.

Linh T Phan, Dayana Maita, Donna C Mortiz, Rachel Weber, Charissa Fritzen-Pedicini, Susan C Bleasdale, Rachael M Jones, CDC Prevention Epicenters Program

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of occupational and environmental hygiene, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04937257 (Comparison of a Virtual Reality Versus an E-Module on Efficacy of Donning and Doffing PPE), which is not on this map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
17.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

NCT04937257 nacompletednot on this mapstarted 2020, after this paper: background citation

Comparison of a Virtual Reality Versus an E-Module on Efficacy of Donning and Doffing PPE: A Randomized Control Trial

TypeinterventionalSponsorMontefiore Medical CenterRan2020 to 2021Enrolled54ConditionsMedical TrainingArmsVirtual Reality, E-module
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 1 synthesis or guideline pooled it, 161 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Prophylactic dressings in the prevention of pressure ulcer related to the use of personal protective equipment by health professionals facing the COVID-19 pandemic: A randomized clinical trial.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society · 2021
    Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Linh T Phana School of Public Health , University of Illinois at Chicago , Chicago , Illinois.ORCID 0000-0001-8810-5971
Dayana Maitab College of Medicine, University of Illinois at Chicago , Chicago , Illinois.
Donna C Mortizb College of Medicine, University of Illinois at Chicago , Chicago , Illinois.
Rachel Webera School of Public Health , University of Illinois at Chicago , Chicago , Illinois.
Charissa Fritzen-Pedicinia School of Public Health , University of Illinois at Chicago , Chicago , Illinois.
Susan C Bleasdaleb College of Medicine, University of Illinois at Chicago , Chicago , Illinois.ORCID 0000-0001-7448-6259
Rachael M Jonesa School of Public Health , University of Illinois at Chicago , Chicago , Illinois.ORCID 0000-0003-1611-7900
CDC Prevention Epicenters Program
University of Illinois Chicago · US

Funding

NCEZID CDC HHS U54 CK000445
6 · The paper itself

Abstract

During the doffing of personal protective equipment (PPE), pathogens can be transferred from the PPE to the bodies of healthcare workers (HCWs), putting HCWs and patients at risk of exposure and infection. PPE doffing practices of HCWs who cared for patients with viral respiratory infections were observed at an acute care hospital from March 2017 to April 2018. A trained observer recorded doffing performance of HCWs inside the patient rooms using a pre-defined checklist based on the Centers for Disease Control and Prevention (CDC) guideline. Doffing practices were observed 162 times during care of 52 patients infected with respiratory viral pathogens. Out of the 52 patients, 30 were in droplet and contact isolation, 21 were in droplet isolation, and 1 was in contact isolation. Overall, 90% of observed doffing was incorrect, with respect to the doffing sequence, doffing technique, or use of appropriate PPE. Common errors were doffing gown from the front, removing face shield of the mask, and touching potentially contaminated surfaces and PPE during doffing. Deviations from the recommended PPE doffing protocol are common and can increase potential for contamination of the HCW's clothing or skin after providing care. There is a clear need to change the approach used to training HCWs in PPE doffing practices.

Indexed as

Health PersonnelAdultGuideline AdherenceHospitalsHumansInfection ControlInfectious Disease Transmission, Patient-to-ProfessionalPersonal Protective EquipmentPersonnel, HospitalRespiratory Tract InfectionsVirus DiseasesDoffinghealthcare workersinfection preventionpersonal protective equipment

Identifiers

PMID31291152
PMCPMC7157959
OpenAlexW2959688817

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.