ArticleIsrael journal of health policy research2021
Emergency department impaired adherence to personal protective equipment donning and doffing protocols during the COVID-19 pandemic.
Article in Israel journal of health policy research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Impact of Face-to-Face Teaching in Addition to Electronic Learning on Personal Protective Equipment Doffing Proficiency in Student Paramedics: Randomized Controlled Trial.International journal of environmental research and public health · 2022Trial
- SAFE: A Smart Adherence Detection Framework for Monitoring Personal Protective Equipment in Healthcare Settings.IEEE journal of biomedical and health informatics · 2026Article
- An image dataset for surveillance of personal protective equipment adherence in healthcare.Scientific data · 2025Article
- Factors associated with correction of personal protective equipment nonadherence in a multidisciplinary emergency department setting: A retrospective video review.American journal of infection control · 2025Article
- Occult Serologically Confirmed Cases of SARS-CoV-2 Coronavirus among the General Population in the Era of the Fourth Vaccination.Journal of clinical medicine · 2024Article
- Under Armour - Use of personal protective equipment for simulated CPR of COVID-19 patients: an observational study.Antimicrobial resistance and infection control · 2024Observational
- Article
- Assessment of knowledge, accessibility, and adherence to the use of personal protective equipment and standard preventive practices among healthcare workers during the COVID-19 pandemic.Journal of public health research · 2023Article
- A Fuzzy Hybrid MCDM Approach for Assessing the Emergency Department Performance during the COVID-19 Outbreak.International journal of environmental research and public health · 2023Article
- Rapid development and implementation of a behaviour change strategy to improve COVID-19 personal protective equipment use in a regional Australian emergency department.Australasian emergency care · 2022Article
- Adherence to safety precautions in the operation theatre among anaesthesiologists in the COVID era.Indian journal of anaesthesia · 2022Article
- Compliance with COVID-19 preventive measures is high among university-level students in Québec, Canada.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2022Article
- Compliance to Infection Prevention and Control Practices Among Healthcare Workers During COVID-19 Pandemic in Malaysia.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesCoronavirus Disease 2019 (COVID-19) is a highly infectious viral pandemic that has claimed the lives of millions. Personal protective equipment (PPE) may reduce the risk of transmission for health care workers (HCWs), especially in the emergency setting. This study aimed to compare the adherence to PPE donning and doffing protocols in the Emergency Department (ED) vs designated COVID-19 wards and score adherence according to the steps in our protocol.
designPrior to managing COVID-19 patients, mandatory PPE training was undertaken for all HCWs. HCWs were observed donning or doffing COVID-19 restricted areas.
settingDonning and doffing was observed in COVID-19 designated Emergency department and compared to COVID-19 positive wards.
participantsAll HCWs working in the aforementioned wards during the time of observation.
resultsWe observed 107 donning and doffing procedures (30 were observed in the ED). 50% HCWs observed donned PPE correctly and 37% doffed correctly. The ED had a significantly lower mean donning score (ED: 78%, Internal: 95% ICU: 96%, p < 0.001); and a significantly lower mean doffing score (ED: 72%, Internal: 85% ICU: 91%, p = 0.02).
conclusionsAs hypothesized, HCWs assigned to the designated ED wing made more protocol deviations compared with HCWs positive COVID-19 wards. Time management, acuity, lack of personnel, stress and known COVID-19 status may explain the lesser adherence to donning and doffing protocols. Further studies to assess the correlation between protocol deviations in use of PPE and morbidity as well as improvement implementations are required. Resources should be invested to ensure PPE is properly used.
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