ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019
Healthcare Workers' Strategies for Doffing Personal Protective Equipment.
Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- European consensus recommendations for neonatal and paediatric retrievals of positive or suspected COVID-19 patients.Pediatric research · 2021Guideline
- A prospective observational study evaluating drug-related problems and their impact on patient-related outcomes in hospitalized epileptic patients.Scientific reports · 2026Observational
- Function evaluation of intelligent interaction voice prompting system on personal protective equipment removal for medical staff.BMC health services research · 2026Article
- Self-contamination risk and failure modes during high-level PPE doffing: A pilot comparison of 2 powered air-purifying respirator (PAPR) hoods.American journal of infection control · 2025Article
- Effectiveness of donning and doffing personal protective equipment education using video debriefing among Korean undergraduate nursing students.BMC nursing · 2024Article
- Study on Knowledge of Infection Control Practice of Healthcare Workers.Journal of pharmacy & bioallied sciences · 2024Article
- A prospective observational study of estimating drug related problems and clinical outcomes in subtypes of stroke patients.PloS one · 2024Observational
- Unfamiliar personal protective equipment: The role of routine practice and other factors affecting healthcare personnel doffing strategies.Infection control and hospital epidemiology · 2023Article
- Observational
- Article
- Electronic monitoring of doffing using video surveillance to minimise error rate and increase safety at Howard Springs International Quarantine Facility.Antimicrobial resistance and infection control · 2022Article
- Modeling fomite-mediated SARS-CoV-2 exposure through personal protective equipment doffing in a hospital environment.Indoor air · 2022Article
- Knowledge and practice of Protective Personal Equipment (PPE) among healthcare providers in Saudi Arabia during the early stages of COVID-19 pandemic in 2020.Journal of preventive medicine and hygiene · 2021Article
- Article
- Personal protective equipment and doffing procedures in out-of-hospital practice: assessment with a contamination simulation.International journal of emergency medicine · 2021Article
- Global vascular surgeons' experience, stressors, and coping during the coronavirus disease 2019 pandemic.Journal of vascular surgery · 2021Article
- Containing SARS-CoV-2 in hospitals facing finite PPE, limited testing, and physical space variability: Navigating resource constrained enhanced traffic control bundling.Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi · 2021Review
- Barriers to using personal protective equipment by healthcare staff during the COVID-19 outbreak in China.Medicine · 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
- Failure modes and effect analysis to develop transfer protocols in the management of COVID-19 patients.British journal of anaesthesia · 2020Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundPersonal protective equipment (PPE) helps protect healthcare workers (HCWs) from pathogens and prevents cross-contamination. PPE effectiveness is often undermined by inappropriate doffing methods. Our knowledge of how HCWs approach doffing PPE in practice is limited. In this qualitative study, we examine HCWs' perspectives about doffing PPE.
methodsThirty participants at a Midwestern academic hospital were recruited and assigned to 1 of 3 doffing simulation scenarios: 3 mask designs (n = 10), 2 gown designs (n = 10), or 2 glove designs (n = 10). Participants were instructed to doff PPE as they would in routine practice. Their performances were video-recorded and reviewed with participants. Semistructured interviews about their doffing approaches were conducted and audio-recorded, then transcribed and thematically analyzed.
resultsThree overarching themes were identified in interviews: doffing strategies, cognitive processes, and barriers and facilitators. Doffing strategies included doffing safely (minimizing self-contamination) and doffing expediently (eg, ripping PPE off). Cognitive processes during doffing largely pertained to tracking contaminated PPE surfaces, examining PPE design cues (eg, straps), or improvising based on prior experience from training or similar PPE designs. Doffing barriers and facilitators typically related to PPE design, such as PPE fit (or lack of it) and fastener type. Some participants also described personal barriers (eg, glasses, long hair); however, some PPE designs helped mitigate these barriers.
conclusionsEfforts to improve HCWs' doffing performance need to address HCWs' preferences for both safety and expediency when using PPE, which has implications for PPE design, training approaches, and hospital policies and procedures.
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