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Evaluation of a Redesigned Personal Protective Equipment Gown

BACKGROUND: In healthcare, the goal of personal protective equipment (PPE) is to protect healthcare personnel (HCP) and patients from body fluids and infectious organisms via contact, droplet, or airborne transmission. The critical importance of using PPE properly is highlighted by 2 potentially fat...

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Autores principales: Drews, Frank A, Mulvey, Diane, Stratford, Kristina, Samore, Matthew H, Mayer, Jeanmarie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761366/
https://www.ncbi.nlm.nih.gov/pubmed/31517973
http://dx.doi.org/10.1093/cid/ciz520
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author Drews, Frank A
Mulvey, Diane
Stratford, Kristina
Samore, Matthew H
Mayer, Jeanmarie
author_facet Drews, Frank A
Mulvey, Diane
Stratford, Kristina
Samore, Matthew H
Mayer, Jeanmarie
author_sort Drews, Frank A
collection PubMed
description BACKGROUND: In healthcare, the goal of personal protective equipment (PPE) is to protect healthcare personnel (HCP) and patients from body fluids and infectious organisms via contact, droplet, or airborne transmission. The critical importance of using PPE properly is highlighted by 2 potentially fatal viral infections, severe acute respiratory syndrome–associated coronavirus and Ebola virus, where HCP became infected while caring for patients due to errors in the use of PPE. However, PPE in dealing with less dangerous, but highly infectious organisms is important as well. This work proposes a framework to test and evaluate PPE with a focus on gown design. METHODS: An observational study identified issues with potential for contamination related to gown use. After redesigning the existing gown, a high-fidelity patient simulator study with 40 HCP as participants evaluated the gown redesign using 2 commonly performed tasks. Variables of interest were nonadherence to procedural standards, use problems with the gown during task performance, and usability and cognitive task load ratings of the standard and redesigned gowns. RESULTS: While no differences were found in terms of nonadherence and use problems between the current and the redesigned gown, differences in usability and task load ratings suggested that the redesigned gown is perceived more favorably by HCP. CONCLUSIONS: This work proposes a framework to guide the evaluation of PPE. The results suggest that the current design of the PPE gown can be improved in usability and user satisfaction. Although our data did not find an increase in adherence to protocol when using the redesigned gown, it is likely that higher usability and lower task load could result in higher adherence over longer periods of use.
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spelling pubmed-67613662019-10-02 Evaluation of a Redesigned Personal Protective Equipment Gown Drews, Frank A Mulvey, Diane Stratford, Kristina Samore, Matthew H Mayer, Jeanmarie Clin Infect Dis Supplement Articles BACKGROUND: In healthcare, the goal of personal protective equipment (PPE) is to protect healthcare personnel (HCP) and patients from body fluids and infectious organisms via contact, droplet, or airborne transmission. The critical importance of using PPE properly is highlighted by 2 potentially fatal viral infections, severe acute respiratory syndrome–associated coronavirus and Ebola virus, where HCP became infected while caring for patients due to errors in the use of PPE. However, PPE in dealing with less dangerous, but highly infectious organisms is important as well. This work proposes a framework to test and evaluate PPE with a focus on gown design. METHODS: An observational study identified issues with potential for contamination related to gown use. After redesigning the existing gown, a high-fidelity patient simulator study with 40 HCP as participants evaluated the gown redesign using 2 commonly performed tasks. Variables of interest were nonadherence to procedural standards, use problems with the gown during task performance, and usability and cognitive task load ratings of the standard and redesigned gowns. RESULTS: While no differences were found in terms of nonadherence and use problems between the current and the redesigned gown, differences in usability and task load ratings suggested that the redesigned gown is perceived more favorably by HCP. CONCLUSIONS: This work proposes a framework to guide the evaluation of PPE. The results suggest that the current design of the PPE gown can be improved in usability and user satisfaction. Although our data did not find an increase in adherence to protocol when using the redesigned gown, it is likely that higher usability and lower task load could result in higher adherence over longer periods of use. Oxford University Press 2019-10-01 2019-09-13 /pmc/articles/PMC6761366/ /pubmed/31517973 http://dx.doi.org/10.1093/cid/ciz520 Text en © The Author(s) 2019. Published by Oxford University Press for the Infectious Diseases Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Supplement Articles
Drews, Frank A
Mulvey, Diane
Stratford, Kristina
Samore, Matthew H
Mayer, Jeanmarie
Evaluation of a Redesigned Personal Protective Equipment Gown
title Evaluation of a Redesigned Personal Protective Equipment Gown
title_full Evaluation of a Redesigned Personal Protective Equipment Gown
title_fullStr Evaluation of a Redesigned Personal Protective Equipment Gown
title_full_unstemmed Evaluation of a Redesigned Personal Protective Equipment Gown
title_short Evaluation of a Redesigned Personal Protective Equipment Gown
title_sort evaluation of a redesigned personal protective equipment gown
topic Supplement Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761366/
https://www.ncbi.nlm.nih.gov/pubmed/31517973
http://dx.doi.org/10.1093/cid/ciz520
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