Evidence map›Paper›PMID 39116999›Full record

ArticleAmerican journal of infection control2025

Factors associated with correction of personal protective equipment nonadherence in a multidisciplinary emergency department setting: A retrospective video review.

Mary S Kim, Aleksandra Sarcevic, Genevieve J Sippel, Kathleen H McCarthy, Eleanor A Wood, Carmen Riley, Aaron H Mun, Karen J O'Connell, Peter T LaPuma, Randall S Burd

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of infection control, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

10 authors.

Mary S KimDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, DC.
Aleksandra SarcevicCollege of Computing and Informatics, Drexel University, Philadelphia, PA.
Genevieve J SippelDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, DC.
Kathleen H McCarthyDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, DC.
Eleanor A WoodCollege of Medicine, Drexel University Health Sciences Building, Philadelphia, PA.
Carmen RileyCollege of Computing and Informatics, Drexel University, Philadelphia, PA.
Aaron H MunDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, DC.
Karen J O'ConnellDivision of Emergency Medicine, Children's National Hospital, Washington, DC.
Peter T LaPumaDepartment of Environmental & Occupational Health, Milken School of Public Health, George Washington University, Washington, DC.
Randall S BurdDivision of Trauma and Burn Surgery, Children's National Hospital, Washington, DC. Electronic address: rburd@childrensnational.org.

Funding

Intention-aware Recommender System for Improving Trauma Resuscitation OutcomesR01LM011834 · NLM · CHILDREN'S RESEARCH INSTITUTE · PI BURD, RANDALL S., MARSIC, IVAN · 2014 to 2023
$4.7M
Development of a Video-based Personal Protective Equipment Monitoring SystemR01EB032819 · NIBIB · CHILDREN'S RESEARCH INSTITUTE · PI BURD, RANDALL S., LINGURARU, MARIUS GEORGE · 2023 to 2025
$1.5M
DEVELOPMENT OF A VIDEO-BASED PERSONAL PROTECTIVE EQUIPMENT MONITORING SYSTEMR56EB032819 · NIBIB · CHILDREN'S RESEARCH INSTITUTE · PI BURD, RANDALL S., LINGURARU, MARIUS GEORGE · 2022 to 2022
$657k
NIBIB NIH HHS R01 EB032819NIBIB NIH HHS R56 EB032819NLM NIH HHS R01 LM011834
6 · The paper itself

Abstract

backgroundDespite local and national recommendations, health care provider adherence to personal protective equipment (PPE) varied during the COVID-19 pandemic. Previous studies have identified factors influencing initial PPE adherence but did not address factors influencing behaviors leading to correction after initial nonadherence.

methodsWe conducted a retrospective video review of 18 pediatric resuscitations involving aerosol-generating procedures from March 2020 to December 2022 to identify factors associated with nonadherence correction. We quantified adherent and nonadherent providers, instances of PPE nonadherence, and time to correction. We also analyzed correction behaviors, including provider actions and correction locations.

resultsAmong 434 providers, 362 (83%) were nonadherent with at least 1 PPE. Only 186 of 1,832 instances of nonadherence were corrected, primarily upon room entry and during patient care. Correction time varied by PPE type and nonadherence level (incomplete vs absent). Most corrections were self-initiated, with few reminders from other providers. DISCUSSION: Potential barriers to correction include a lack of social pressure and external reminders. Solutions include optimizing PPE availability, providing real-time feedback, and educating on double gloving.

conclusionsMost providers were nonadherent to PPE requirements during high-risk infection transmission events. The low correction rate suggests challenges in promoting collective responsibility and maintaining protective behaviors during medical emergencies.

Indexed as

COVID-19Emergency Service, HospitalGuideline AdherencePersonal Protective EquipmentSARS-CoV-2Health PersonnelHumansInfection ControlRetrospective StudiesEmergency careInfection controlInfection transmissionPractice guidelinesPublic health

Identifiers

PMID39116999
PMCPMC11693478

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.