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    Hall, Samantha Poller, Bozena Bailey, Claire Gregory, Samantha Clark, Richard Roberts, Paul Tunbridge, Anne Poran, Vin Evans, Cariad and Crook, Brian 2018. Use of UV fluorescence based simulation in evaluation of personal protective equipment worn for first assessment and care of a patient with suspected high consequence infectious disease. Journal of Hospital Infection,

    Poller, Bozena Hall, Samantha Bailey, Claire Gregory, Samantha Clark, Richard Roberts, Paul Tunbridge, Anne Poran, Vin Crook, Brian and Evans, Cariad 2018. ‘VIOLET’ – a fluorescence-based simulation exercise for training healthcare workers in the use of personal protective equipment. Journal of Hospital Infection,

    Kwon, Jennie H. Burnham, Carey-Ann D. Reske, Kimberly A. Liang, Stephen Y. Hink, Tiffany Wallace, Meghan A. Shupe, Angela Seiler, Sondra Cass, Candice Fraser, Victoria J. and Dubberke, Erik R. 2017. Assessment of Healthcare Worker Protocol Deviations and Self-Contamination During Personal Protective Equipment Donning and Doffing. Infection Control & Hospital Epidemiology, Vol. 38, Issue. 09, p. 1077.

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Personal Protective Equipment for Infectious Disease Preparedness: A Human Factors Evaluation

  • Tracey A. Herlihey (a1), Stefano Gelmi (a1), Christopher J. Flewwelling (a1), Trevor N. T. Hall (a2), Carleene Bañez (a1), Plinio P. Morita (a1), Paul Beverley (a3), Joseph A. Cafazzo (a4) (a5) and Susy Hota (a6) (a7)...
Abstract
OBJECTIVE

To identify issues during donning and doffing of personal protective equipment (PPE) for infectious diseases and to inform PPE procurement criteria and design.

 DESIGN

A mixed methods approach was used. Usability testing assessed the appropriateness, potential for errors, and ease of use of various combinations of PPE. A qualitative constructivist approach was used to analyze participant feedback.

 SETTING

Four academic health sciences centers: 2 adult hospitals, 1 trauma center, and 1 pediatric hospital, in Toronto, Canada.

 PARTICIPANTS

Participants (n=82) were representative of the potential users of PPE within Western healthcare institutions.

 RESULTS

None of the tested combinations provided a complete solution for PPE. Environmental factors, such as anteroom layout, and the design of protocols and instructional material were also found to impact safety. The study identified the need to design PPE as a complete system, rather than mixing and matching components.

 CONCLUSIONS

Healthcare institutions are encouraged to use human factors methods to identify risk and failure points with the usage of their selected PPE, and to modify on the basis of iterative evaluations with representative end users. Manufacturers of PPE should consider usability when designing the next generation of PPE.

Infect Control Hosp Epidemiol 2016;37:1022–1028
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 
Corresponding author
Address correspondence to Tracey A. Herlihey, PhD, Healthcare Human Factors, Techna Institute, University Health Network, R. Fraser Elliott Bldg, 4th Fl, Toronto, Canada, M5G 2C4 (tracey.herlihey@uhn.ca).
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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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