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Journal articles on the topic 'Doffing'

Author: Grafiati
Published: 3 June 2025
Last updated: 31 July 2025

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1

Priyadarshi, Ketan, Sarumathi Dhandapani, Deepashree Rajshekar, et al. "Donning of personal protective equipment under direct supervision- A quality improvement study in COVID-ICUs of a tertiary care facility, South India." IP International Journal of Medical Microbiology and Tropical Diseases 10, no. 4 (2024): 357–63. https://doi.org/10.18231/j.ijmmtd.2024.060.

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: Personal protective equipment has a major role in reducing the transmission of infections to healthcare workers despite the fact that improper doffing techniques can pose a threat of acquiring nosocomial infections. Compliance to donning or doffing is an all or none phenomenon where lack of adherence to sequence or technique can result is transmission of infections. Conducting doffing audit with the help of trained supervisors (dofficers) can significantly improve compliance with doffing guidelines. : This quality improvement study, was conducted at a large-scale tertiary care hospital locat
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Wundavalli, LaxmiTej, Sheetal Singh, Angel Rajan Singh, and Sidhartha Satpathy. "How to rapidly design and operationalise PPE donning and doffing areas for a COVID-19 care facility: quality improvement initiative." BMJ Open Quality 9, no. 3 (2020): e001022. http://dx.doi.org/10.1136/bmjoq-2020-001022.

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IntroductionEffective implementation of standard precautions specific to COVID-19 is a challenge for hospitals within the existing constraints of time and resources.AimTo rapidly design and operationalise personal protective equipment (PPE) donning and doffing areas required for a COVID-19 care facility.MethodsLiterature review was done to identify all issues pertaining to donning and doffing in terms of Donabedian’s structure, process and outcome. Training on donning and doffing was given to hospital staff. Donning and doffing mock drills were held. 5S was used as a tool to set up donning and
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Baloh, Jure, Heather Schacht Reisinger, Kimberly Dukes, et al. "Healthcare Workers’ Strategies for Doffing Personal Protective Equipment." Clinical Infectious Diseases 69, Supplement_3 (2019): S192—S198. http://dx.doi.org/10.1093/cid/ciz613.

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Abstract Background Personal 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. Methods Thirty 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 instructe
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Chasco, Emily, Jaqueline Pereira da Silva, Kimberly Dukes, et al. "The Role of Routine Practice in Healthcare Worker Strategies when Doffing Unfamiliar Personal Protective Equipment." Infection Control & Hospital Epidemiology 41, S1 (2020): s410. http://dx.doi.org/10.1017/ice.2020.1063.

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Background: Appropriate doffing of personal protective equipment (PPE) prevents healthcare worker (HCW) self-contamination and spread of pathogens. HCWs may encounter an array of PPE types (eg, gloves, gowns, masks) and designs (eg, masks with elastic ear loops vs ties) during their duties, some of which may be unfamiliar. We know little about how HCWs strategize when doffing unfamiliar PPE. As part of a larger study examining the doffing process and the risk of self-contamination, we used qualitative methods to explore factors influencing HCW PPE doffing strategies. Methods: In total, 70 HCW
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Kwon, Jennie H., Carey-Ann D. Burnham, Kimberly A. Reske, et al. "Assessment of Healthcare Worker Protocol Deviations and Self-Contamination During Personal Protective Equipment Donning and Doffing." Infection Control & Hospital Epidemiology 38, no. 9 (2017): 1077–83. http://dx.doi.org/10.1017/ice.2017.121.

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OBJECTIVETo evaluate healthcare worker (HCW) risk of self-contamination when donning and doffing personal protective equipment (PPE) using fluorescence and MS2 bacteriophage.DESIGNProspective pilot study.SETTINGTertiary-care hospital.PARTICIPANTSA total of 36 HCWs were included in this study: 18 donned/doffed contact precaution (CP) PPE and 18 donned/doffed Ebola virus disease (EVD) PPE.INTERVENTIONSHCWs donned PPE according to standard protocols. Fluorescent liquid and MS2 bacteriophage were applied to HCWs. HCWs then doffed their PPE. After doffing, HCWs were scanned for fluorescence and swa
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Rypicz, Łukasz, Corinne Mowrey, Izabela Witczak, Sandra Furterer, and Hugh Salehi. "Assessing personal protective equipment compliance in a polish healthcare setting during the COVID-19 pandemic – A pilot case study." Journal of Hospital Administration 12, no. 1 (2023): 24. http://dx.doi.org/10.5430/jha.v12n1p24.

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Objective: The purpose of this study is to identify failures in proper Personal Protective Equipment (PPE) usage in a healthcare hospital environment to enhance PPE compliance through proper donning and doffing procedures.Methods: We used naturalistic observation (shadowing) of PPE donning and doffing by healthcare medical staff in their hospital work setting to identify non-conformities to compliant donning and doffing of PPE.Results: We found an average of 1.84 non-conformances per healthcare worker across the donning procedures and 2.06 non-conformances in the doffing procedures per healthc
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Mumma, Joel M., Francis T. Durso, Lisa M. Casanova, et al. "Common Behaviors and Faults When Doffing Personal Protective Equipment for Patients With Serious Communicable Diseases." Clinical Infectious Diseases 69, Supplement_3 (2019): S214—S220. http://dx.doi.org/10.1093/cid/ciz614.

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Abstract Background The safe removal of personal protective equipment (PPE) can limit transmission of serious communicable diseases, but this process poses challenges to healthcare workers (HCWs). Methods We observed 41 HCWs across 4 Ebola treatment centers in Georgia doffing PPE for simulated patients with serious communicable diseases. Using human factors methodologies, we obtained the details, sequences, and durations of doffing steps; identified the ways each step can fail (failure modes [FMs]); quantified the riskiness of FMs; and characterized the workload of doffing steps. Results Eight
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Mourad, Michelle S. "Donning and Doffing." JAMA 325, no. 6 (2021): 536. http://dx.doi.org/10.1001/jama.2020.26468.

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9

Silva, Jaqueline Pereira da, Priyadarshini Pennathur, Hugh Salehi, et al. "Self-Contamination While Doffing Personal Protective Equipment." Infection Control & Hospital Epidemiology 41, S1 (2020): s385—s386. http://dx.doi.org/10.1017/ice.2020.1020.

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Background: Personal protective equipment (PPE) effectiveness can be undermined by inappropriate doffing methods. Objective: We used human factors engineering methods to evaluate self-contamination during PPE doffing. Methods: In this study, 30 participants at a Midwestern academic hospital (A) donned and doffed 3 mask styles (n = 10), 2 gown styles (n = 10), and 2 glove styles (n = 10; the Doffy glove has a tab to facilitate doffing). Also, 30 additional participants at hospital A (residents or fellows, nurses, special isolation trained staff [SITS]) and 10 SITS at academic hospital B doffed
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Barach, Paul, Trang Pham, Ashley Hughes, Devin Doos, and Rami Ahmed. "Normalized Deviance from Approved Personal Protective Equipment (PPE) Donning and Doffing Protocol—Towards a Hazard Reduction Index." Prehospital and Disaster Medicine 38, S1 (2023): s48—s49. http://dx.doi.org/10.1017/s1049023x23001607.

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Introduction:Reusing PPE is not recommended but was common during COVID-19 pandemic. Limited guidance on proper PPE use and its reuse heightened the hazards to health care worker (HCW) safety. Emerging data on PPE use suggests that most HCWs were contaminated by donning and doffing of PPE while adhering to standards of care.Method:A prospective observational study was conducted to understand HCW behaviors in donning, doffing, and reusing PPE. Emergency Department physicians and nurses were video-recorded donning, doffing, and reusing PPE within a simulated acute care environment. Participants
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Kaur, Sukhpal, Damanpreet Kaur, Ajay Singh, et al. "Novel real-time remote audio-visual aided technique for doffing of personal protective equipment and assessment of satisfaction level among front-line health care workers amid COVID-19 pandemic." International Journal Of Community Medicine And Public Health 8, no. 12 (2021): 5938. http://dx.doi.org/10.18203/2394-6040.ijcmph20214591.

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Background: Appropriate and cautious doffing is vital to prevent self-contamination and infection from the highly contagious SARS-CoV-2 virus. In current study satisfaction levels of front-line health care workers regarding doffing assisted by a novel real-time remote audio-visual aided approach was assessed.Methods: A questionnaire-based survey was carried out among 158 health care workers. The questionnaire was developed and validated to assess the participants’ satisfaction level regarding the instructions being given remotely for doffing through the real-time remote audio-visual aided tech
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DuBose, Jennifer R., Zorana Matić, Maria Fernanda Wong Sala, et al. "Design strategies to improve healthcare worker safety in biocontainment units: learning from ebola preparedness." Infection Control & Hospital Epidemiology 39, no. 8 (2018): 961–67. http://dx.doi.org/10.1017/ice.2018.125.

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AbstractObjectiveTo identify ways that the built environment may support or disrupt safe doffing of personal protective equipment (PPE) in biocontainment units (BCU).DesignWe observed interactions between healthcare workers (HCWs) and the built environment during 41 simulated PPE donning and doffing exercises.SettingThe BCUs of 4 Ebola treatment facilities and 1 high-fidelity BCU mockup.ParticipantsA total of 64 HCWs (41 doffing HCWs and 15 trained observers) participated in this study.ResultsIn each facility, we observed how the physical environment influences risky behaviors by the HCW. The
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Qabool, Hafsa, Faiza Ali, Rashna Hoshang Sukhia, and Naila Badruddin. "Compliance to donning and doffing of personal protective equipment among dental healthcare practitioners during the coronavirus pandemic: a quality improvement plan, do, study and act (PDSA) Initiative." BMJ Open Quality 11, no. 3 (2022): e002001. http://dx.doi.org/10.1136/bmjoq-2022-002001.

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IntroductionWith the emergence of SARS-Cov-2, the Centers for Disease Control and Prevention (CDC) defined mandatory guidelines for donning and doffing personal protective equipment (PPE) among dental healthcare professionals. The study’s objective was to improve the compliance of the donning and doffing protocols for PPE among dental practitioners by the Plan, Do, Study, and Act (PDSA) cycle.Materials and methodsA quasi-experimental study was conducted on a sample of dental healthcare professionals using the non-probability purposive technique. In the first planning stage, compliance with CDC
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Sanders, Joan E., Daniel S. Harrison, John C. Cagle, Timothy R. Myers, Marcia A. Ciol, and Katheryn J. Allyn. "Post-doffing residual limb fluid volume change in people with trans-tibial amputation." Prosthetics and Orthotics International 36, no. 4 (2012): 443–49. http://dx.doi.org/10.1177/0309364612444752.

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Background: Residual limb volume may change after doffing, affecting the limb shape measured and used as a starting point for socket design. Objectives: The purpose of this study was to compare residual limb fluid volume changes after doffing for different test configurations. Study Design: The study was a repeated measures experimental design with three conditions ( Sit, Liner, and Walk). Methods: Residual limb fluid volume on 30 people with trans-tibial amputation was measured using bioimpedance analysis. Three tests were conducted – Sit: sit for 10 minutes, remove the prosthesis, socks and
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Okamoto, Koh, Yoona Rhee, Michael Schoeny, et al. "Impact of doffing errors on healthcare worker self-contamination when caring for patients on contact precautions." Infection Control & Hospital Epidemiology 40, no. 05 (2019): 559–65. http://dx.doi.org/10.1017/ice.2019.33.

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AbstractObjective:We assessed the impact of personal protective equipment (PPE) doffing errors on healthcare worker (HCW) contamination with multidrug-resistant organisms (MDROs).Design:Prospective, observational study.Setting:The study was conducted at 4 adult ICUs at 1 tertiary-care teaching hospital.Participants:HCWs who cared for patients on contact precautions for methicillin-resistantStaphylococcus aureus(MRSA), vancomycin-resistant Enterococci, or multidrug-resistant gram-negative bacilli were enrolled. Samples were collected from standardized areas of patient body, garb sites, and high
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Wong, Maria F., Zorana Matić, Gabrielle C. Campiglia, et al. "Design Strategies for Biocontainment Units to Reduce Risk During Doffing of High-level Personal Protective Equipment." Clinical Infectious Diseases 69, Supplement_3 (2019): S241—S247. http://dx.doi.org/10.1093/cid/ciz617.

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Abstract Background Few data exist to guide the physical design of biocontainment units, particularly the doffing area. This can impact the contamination risk of healthcare workers (HCWs) during doffing of personal protective equipment (PPE). Methods In phase I of our study, we analyzed simulations of a standard patient care task with 56 trained HCWs focusing on doffing of high-level PPE. In phase II, using a rapid cycle improvement approach, we tested different balance aids and redesigned doffing area layouts with 38 students. In phase III, we tested 1 redesigned layout with an additional 10
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Richard, Vijay Samuel, and Muralidhar Kanchi. "A Practical Guide to a Safe Sequence of Donning and Doffing of Personal Protective Equipment in Relation to COVID-19." Journal of Cardiac Critical Care TSS 04, no. 01 (2020): 61–63. http://dx.doi.org/10.1055/s-0040-1712804.

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AbstractWhen caring for patients with suspected or confirmed COVID-19 (coronavirus disease 2019), especially when involved in procedures that generate aerosol, personal protective equipment (PPE) with full-body coverage is recommended. The Centers for Disease Control and Prevention emphasizes and recommends the following principles with regard to donning and doffing of PPE: (1) training and education (rigorous and repeated training of the health care workers [HCWs]), (2) all HCWs must exhibit competency in the PPE donning and doffing, and (3) PPE doffing should be done in a manner that prevent
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Lee, Yu Ri, and Nam Hee Kim. "Knowledge, Attitude, Performance of Donning and Doffing about Personal Protective Equipment Related to Acute Respiratory Infectious Diseases of Nurses in Small and Medium Hospital." Crisis and Emergency Management: Theory and Praxis 18, no. 5 (2022): 109–23. http://dx.doi.org/10.14251/crisisonomy.2022.18.5.109.

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This study was conducted to investigate the correlation between knowledge, attitude, performance of donning and doffing of personal protective equipment related to acute respiratory infectious diseases for nurses working in small and medium-sized hospitals. The survey was conducted on 159 nurses working at four small and medium hospitals with less than 300 beds located in B city, from august 10, 2021 to september 7. The collected data were analyzed using the SPSS program. The averages of knowledge, attitude, and performance of donning and doffing of personal protective equipment were 14.13±2.2
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Todd, Wendy L., and Marjorie J. T. Norton. "Garment-Doffing Kinematic Analysis." Clothing and Textiles Research Journal 14, no. 1 (1996): 63–72. http://dx.doi.org/10.1177/0887302x9601400108.

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Brown, D. G. "On Doffing the Mask." Journal of Academic Ethics 5, no. 2-4 (2007): 217–19. http://dx.doi.org/10.1007/s10805-007-9034-8.

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Pandey, Sagar, Sujan Poudel, Ashok Gaire, et al. "Knowledge, attitude and reported practice regarding donning and doffing of personal protective equipment among frontline healthcare workers against COVID-19 in Nepal: A cross-sectional study." PLOS Global Public Health 1, no. 11 (2021): e0000066. http://dx.doi.org/10.1371/journal.pgph.0000066.

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Background Coronavirus Disease 2019 (COVID-19) is a respiratory infection with a high rate of transmission primarily via airborne route and direct contact. Proper use of personal protective equipment (PPE) is a proven and effective way to prevent COVID-19 spread in healthcare settings. This study was done aiming to assess the knowledge, attitude, and reported practice, and identify the associated factors regarding donning and doffing of PPE among frontline healthcare workers in Nepal. Methods A cross-sectional study was conducted from 25th April to 30th July 2021 among 205 frontline healthcare
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Hagedoren—Meuwissen, Edith, Uta Roentgen, Sandra Zwakhalen, Loek van der Heide, Marie Josee van Rijn, and Ramon Daniëls. "The impact of wearing compression hosiery and the use of assistive products for donning and doffing: A descriptive qualitative study into user experiences." PLOS ONE 19, no. 12 (2024): e0316034. https://doi.org/10.1371/journal.pone.0316034.

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This qualitative study aimed to describe users’ experiences and needs related to wearing, donning, and doffing compression hosiery, and the provision process of compression hosiery and associated assistive products for donning and doffing. Adults who have been advised to wear compression hosiery participated in semi-structured interviews. Existing frameworks about the provision process and acceptance of assistive technology guided the topic list. The interviews were analyzed using directed content analysis. After 19 interviews, data saturation was reached. Three main themes were revealed: (1)
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Herlihey, Tracey A., Stefano Gelmi, Joseph A. Cafazzo, and Trevor N. T. Hall. "The Impact of Environmental Design on Doffing Personal Protective Equipment in a Healthcare Environment: A Formative Human Factors Trial." Infection Control & Hospital Epidemiology 38, no. 06 (2017): 712–17. http://dx.doi.org/10.1017/ice.2017.68.

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OBJECTIVE To explore the impact of environmental design on doffing personal protective equipment in a simulated healthcare environment. METHODS A mixed-methods approach was used that included human-factors usability testing and qualitative questionnaire responses. A patient room and connecting anteroom were constructed for testing purposes. This experimental doffing area was designed to overcome the environmental failures identified in a previous study and was not constructed based on any generalizable hospital standard. RESULTS In total, 72 healthcare workers from Ontario, Canada, took part i
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Gurses, Ayse P., Aaron S. Dietz, Elaine Nowakowski, et al. "Human factors–based risk analysis to improve the safety of doffing enhanced personal protective equipment." Infection Control & Hospital Epidemiology 40, no. 2 (2018): 178–86. http://dx.doi.org/10.1017/ice.2018.292.

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AbstractObjectiveTo systematically assess enhanced personal protective equipment (PPE) doffing safety risks.DesignWe employed a 3-part approach to this study: (1) hierarchical task analysis (HTA) of the PPE doffing process; (2) human factors-informed failure modes and effects analysis (FMEA); and (3) focus group sessions with a convenience sample of infection prevention (IP) subject matter experts.SettingA large academic US hospital with a regional Special Pathogens Treatment Center and enhanced PPE doffing protocol experience.ParticipantsEight IP experts.MethodsThe HTA was conducted jointly b
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Mumma, Joel M., Francis T. Durso, Ashley N. Ferguson, et al. "Human Factors Risk Analyses of a Doffing Protocol for Ebola-Level Personal Protective Equipment: Mapping Errors to Contamination." Clinical Infectious Diseases 66, no. 6 (2018): 950–58. http://dx.doi.org/10.1093/cid/cix957.

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This study conducted human factors risk analyses of a doffing protocol for Ebola-level personal protective equipment to identify and quantify the risk of errors made by healthcare workers, marked with surrogate viruses, while doffing and to predict rates of self-contamination.
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Christensen, Liva, Charlotte Schang Rasmussen, Thomas Benfield, and Jeffrey Michael Franc. "A Randomized Trial of Instructor-Led Training Versus Video Lesson in Training Health Care Providers in Proper Donning and Doffing of Personal Protective Equipment." Disaster Medicine and Public Health Preparedness 14, no. 4 (2020): 514–20. http://dx.doi.org/10.1017/dmp.2020.56.

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ABSTRACTObjective:This study compared live instructor-led training with video-based instruction in personal protective equipment (PPE) donning and doffing. It assessed the difference in performance between (1) attending 1 instructor-led training session in donning and doffing PPE at 1 month prior to assessment, and (2) watching training videos for 1 month.Methods:This randomized controlled trial pilot study divided 21 medical students and junior doctors into 2 groups. Control group participants attended 1 instructor-led training session. Video group participants watched training videos demonst
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Abu Osman, Noor Azuan, Arezoo Eshraghi, Hossein Gholizadeh, Wan Abu Bakar Wan Abas, and Knut Lechler. "Prosthesis donning and doffing questionnaire: Development and validation." Prosthetics and Orthotics International 41, no. 6 (2017): 571–78. http://dx.doi.org/10.1177/0309364617690397.

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Objectives: To develop a questionnaire that specifically evaluates the ability of trans-tibial amputees to don and doff a prosthesis and to investigate the psychometric properties of the newly developed questionnaire. Background: Prosthesis should be donned and doffed few times during the day and night; thus, it is important to measure ease of donning and doffing. Study design: A cross-sectional study. Methods: The questionnaire was designed and evaluated by a group of experts. The final questionnaire was administered to 50 individuals with trans-tibial amputation. A test–retest study was also
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Dhandapani, Asha, Sathyan Soundararajan, Rajvinder Sambhi, and Catherine Baker. "Are the staff in Heddfan Psychiatric Unit, Wrexham Maelor Hospital, are adhering to the personal protective equipment (PPE) guidance as per Public Health Education, England? a QIP." BJPsych Open 7, S1 (2021): S184. http://dx.doi.org/10.1192/bjo.2021.498.

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AimsThe aim of this audit is to assess whether healthcare staff are correctly donning and doffing PPE when entering and leaving the wards (changed to donning and doffing PPE when within 2 metres vicinity of a patient).MethodConsultants/ Junior doctors/ Ward managers/ Staff nurses/ student nurses/ Health care support workers/ Occupational therapist/ Psychologists/ Student nurses/ Housekeeping staff, were all included in this Audit. None of the staff was aware of this Audit and this was an entirely random observation. We used a standard proforma in order to audit. Followed by the Audit, we train
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Doll, Michelle, Moshe Feldman, Sarah Hartigan, et al. "Acceptability and Necessity of Training for Optimal Personal Protective Equipment Use." Infection Control & Hospital Epidemiology 38, no. 2 (2016): 226–29. http://dx.doi.org/10.1017/ice.2016.252.

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Healthcare workers routinely self-contaminate even when using personal protective equipment. Observations of donning/ doffing practices on inpatient units along with surveys were used to assess the need for a personal protective equipment training program. In contrast to low perceived risk, observed doffing behaviors demonstrate significant personal protective equipment technique deficits.Infect Control Hosp Epidemiol 2017;38:226–229
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Khan, Jamal Azfar, Asif Ali, and Farzana Muneer. "IMPACT OF A SINGLE TUTORIAL SESSION ON THE TECHNIQUE OF USING PERSONAL PROTECTIVE EQUIPMENT BY HEALTH CARE WORKERS." Pakistan Armed Forces Medical Journal 70, no. 6 (2020): 1765–70. http://dx.doi.org/10.51253/pafmj.v70i6.4440.

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Objective: To determine the impact of a single tutorial session on the technique of donning and doffing the personal protective equipment by health care workers.
 Study Design: Cross-sectional comparative study.
 Place and Duration of Study: CMH Landi Kotal Cantt, from 1st March 2020 to 10th June 2020.
 Patients and Methods: The study was conducted on 62 health workers, working in CMH Landi Kotal Cantt. They were asked to demonstrate donning and doffing surgical masks, gowns and gloves and the steps were evaluated as per a standardized checklist. Then, the participants were give
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Casanova, Lisa M., Lisa J. Teal, Emily E. Sickbert-Bennett, et al. "Assessment of Self-Contamination During Removal of Personal Protective Equipment for Ebola Patient Care." Infection Control & Hospital Epidemiology 37, no. 10 (2016): 1156–61. http://dx.doi.org/10.1017/ice.2016.169.

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OBJECTIVEEbola virus disease (EVD) places healthcare personnel (HCP) at high risk for infection during patient care, and personal protective equipment (PPE) is critical. Protocols for EVD PPE doffing have not been validated for prevention of viral self-contamination. Using surrogate viruses (non-enveloped MS2 and enveloped Φ6), we assessed self-contamination of skin and clothes when trained HCP doffed EVD PPE using a standardized protocol.METHODSA total of 15 HCP donned EVD PPE for this study. Virus was applied to PPE, and a trained monitor guided them through the doffing protocol. Of the 15 p
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Andonian, Jennifer, Sadaf Kazi, Jennifer Therkorn, et al. "Effect of an Intervention Package and Teamwork Training to Prevent Healthcare Personnel Self-contamination During Personal Protective Equipment Doffing." Clinical Infectious Diseases 69, Supplement_3 (2019): S248—S255. http://dx.doi.org/10.1093/cid/ciz618.

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Abstract Background More than 28 000 people were infected with Ebola virus during the 2014–2015 West African outbreak, resulting in more than 11 000 deaths. Better methods are needed to reduce the risk of self-contamination while doffing personal protective equipment (PPE) to prevent pathogen transmission. Methods A set of interventions based on previously identified failure modes was designed to mitigate the risk of self- contamination during PPE doffing. These interventions were tested in a randomized controlled trial of 48 participants with no prior experience doffing enhanced PPE. Contamin
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Salway, Richard, Trenika Williams, Camilo Londono, and Bonnie Arquilla. "Comparing Training Techniques in Chemical Disaster Preparedness." Prehospital and Disaster Medicine 34, s1 (2019): s109. http://dx.doi.org/10.1017/s1049023x19002292.

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Introduction:Currently, there are no universally accepted personal protective equipment (PPE) training guidelines for Emergency Medicine physicians, though many hospitals offer training through a brief didactic presentation. Physicians’ response to hazmat events requires PPE utilization to ensure the safety of victims, facilities, and providers; providing effective and accessible training is crucial. In the event of a real disaster, time constraints may not allow a brief in-person presentation and an accessible video training may be the only resource available.Aim:To assess the effectiveness o
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Asma Ansari, Uzma Urooj, Mustafa Waseem, and Alveera Ihtasham. "Video based learning vs instructor led training for optimizing personal protective equipment use to prevent Covid-19 infection- a comparative study." Journal of the Pakistan Medical Association 72, no. 5 (2022): 807–10. http://dx.doi.org/10.47391/jpma.3359.

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Objective: To evaluate two different types of education and training aids to improve compliance with guidelines related to personal protective equipment in healthcare workers. Methods: The quasi-experimental study was conducted at the Department of Gynaecology and Obstetrics, Combined Military Hospital, Rawalpindi, from July 1 to December 31, 2020, and comprised healthcare personnel who were divided into two equal groups. Group A received weekly instructor-led training session of donning and doffing for two hours. Group B was assigned to watch 30-min training videos weekly. After one month, an
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Stuby, Loric, Ludivine Currat, Birgit Gartner, et al. "Impact of Face-to-Face Teaching in Addition to Electronic Learning on Personal Protective Equipment Doffing Proficiency in Student Paramedics: Protocol for a Randomized Controlled Trial." JMIR Research Protocols 10, no. 4 (2021): e26927. http://dx.doi.org/10.2196/26927.

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Background The COVID-19 pandemic has brought attention to the importance of correctly using personal protective equipment (PPE). Doffing is a critical phase that increases the risk of contamination of health care workers. Although a gamified electronic learning (e-learning) module has been shown to increase the adequate choice of PPE among prehospital personnel, it failed to enhance knowledge regarding donning and doffing sequences. Adding other training modalities such as face-to-face training to these e-learning tools is therefore necessary to increase prehospital staff proficiency and thus
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Salway, Richard J., Trenika Williams, Camilo Londono, Patricia Roblin, Kristi Koenig, and Bonnie Arquilla. "Comparing Training Techniques in Personal Protective Equipment Use." Prehospital and Disaster Medicine 35, no. 4 (2020): 364–71. http://dx.doi.org/10.1017/s1049023x20000564.

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AbstractIntroduction:Physicians’ management of hazardous material (HAZMAT) incidents requires personal protective equipment (PPE) utilization to ensure the safety of victims, facilities, and providers; therefore, providing effective and accessible training in its use is crucial. While an emphasis has been placed on the importance of PPE, there is debate about the most effective training methods. Circumstances may not allow for a traditional in-person demonstration; an accessible video training may provide a useful alternative.Hypothesis:Video training of Emergency Medicine (EM) residents in th
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Yendapu, Raja Sekhar, Vijaya Kumar Uthakalla, Partha Sarathy Naidana, Abhilash Kalapala, Pavan Kumar Abbavaram, and Vijay Krishna Yalamanchili. "A cross-sectional study on knowledge, attitude, and practices of donning and doffing of personal protective equipment: an institutional survey on interns during the COVID-19 pandemic." International Journal Of Community Medicine And Public Health 10, no. 1 (2022): 169. http://dx.doi.org/10.18203/2394-6040.ijcmph20223539.

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Background: Personal protective equipment (PPE) is a physical barrier that healthcare workers (HCW) wear to stop the transmission of a pathogen from a pathologic specimen or a confirmed or suspected case. It prevents the spread of disease from patient to HCWs as well as the other way around. Eyewear, face shield, surgical mask, particulate respirators, glove, disposable gowns and boots, and head coverings are some examples of these physical barriers. The primary objective of the study is to assess the knowledge, attitude and practices (KAP) of interns towards appropriate use of PPE and seconda
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Erukunuakpor, Kimberly, Colleen Kraft, and Lisa Casanova. "Self-Contamination and Failure Modes During PPE Doffing: A Comparison of Two Powered Air-Purifying Respirator Hoods." Infection Control & Hospital Epidemiology 41, S1 (2020): s384—s385. http://dx.doi.org/10.1017/ice.2020.1019.

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Background: High-level personal protective equipment (PPE) protects healthcare workers (HCWs) during the care of patients with serious communicable diseases. Doffing body fluid–contaminated PPE presents a risk of self-contamination. A study assessing HCW failure modes and self-contamination with viruses during PPE doffing found that, of all PPE items, the highest number of doffing failure modes and highest self-contamination risk occurred during removal of the 1-layer powered air-purifying respirator (PAPR) hood. Hood type may affect contamination risk; however, no experimental evidence exists
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Rueda-Medina, Blanca, María Encarnación Aguilar-Ferrándiz, Ana Alejandra Esteban-Burgos, et al. "Impact of Non-Face-to-Face Teaching with Passive Training on Personal Protective Equipment Use in Health Science Students: A Randomized Controlled Trial." International Journal of Environmental Research and Public Health 19, no. 19 (2022): 12981. http://dx.doi.org/10.3390/ijerph191912981.

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Background: In the COVID-19 era, there was a call for the transformation of higher education. Universities had to combine non-face-to-face teaching with traditional procedures. This study analyzed the effectiveness and perceived satisfaction in a cohort of health sciences students of non-face-to-face teaching with passive training versus face-to-face teaching with active training in the proper donning and doffing of personal protective equipment (PPE) in a clinical simulation scenario. Methods: A total of 142 participants were randomized into two groups: (a) non-face-to-face teaching with pass
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Mahmood, Nosheen, Saima Aamir, Humera Akhlaq, Isma Sajjad, Sajid Hanif, and Kefi Iqbal. "Knowledge & Usage of Personal Protective Equipment for Prevention of Infection Among Frontline Health Care Workers During Covid – 19 Pandemic." Pakistan Journal of Medical and Health Sciences 15, no. 11 (2021): 3299–304. http://dx.doi.org/10.53350/pjmhs2115113299.

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Background: The risk of transmission of novel SARS CoronaVirus-2 among health care workers can be reduced using personal protective equipment. It is critical to follow guidelines for appropriate use of protective gear to avoid its wastage. This study aimed to evaluate frontline healthcare workers’ understanding of effective donning and doffing of protective equipment in the wake of recent emergence of corona virus disease.Physical impacts due to its prolonged usage were also identified. Material and Methods: A cross sectional survey was conducted targeting frontline health care workers from Ju
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Eiras, Daniel, Andrea Echeverri, Kieran Toale, Patricia Tennill, and Laura Evans. "Painting the Gown Red: Using a Colored Paint Quality Improvement Process to Evaluate Healthcare Worker Personal Protective Equipment for Highly Pathogenic Infections." Open Forum Infectious Diseases 4, suppl_1 (2017): S412. http://dx.doi.org/10.1093/ofid/ofx163.1031.

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Abstract Background Personal protective equipment (PPE) and strict infection control techniques are the primary methods by which healthcare workers (HCW) can avoid exposure during the treatment of patients with highly pathogenic infections such as Ebola Virus Disease (EVD) or the Middle East Respiratory Syndrome coronavirus (MERS-CoV). There is currently no consensus for the types of PPE that are recommended to be worn by HCWs, nor is there a universal process for the donning and doffing of PPE. Methods HCWs from Bellevue Hospital participate in quarterly PPE trainings as part of the Special P
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Youngblood, Robert Tyler, Brian J. Hafner, Katheryn J. Allyn, et al. "Effects of activity intensity, time, and intermittent doffing on daily limb fluid volume change in people with transtibial amputation." Prosthetics and Orthotics International 43, no. 1 (2018): 28–38. http://dx.doi.org/10.1177/0309364618785729.

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Background: The volume of a prosthesis user’s residual limb changes during the day and may affect the fit of the prosthesis. These changes must be managed by the user to prevent discomfort, skin breakdown, and falls. Objectives: The objectives were to test how activity, time of day, and intermittent doffing affected residual limb fluid volume in people with transtibial amputation. Study design: Standardized, repeated measure (A-B-A) out-of-laboratory protocol. Methods: Participants with transtibial amputation completed three 6-h test sessions. Two sessions served as controls (A protocol) durin
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Igual, Carles, Andrés Camacho, Enrique J. Bernabeu, and Jorge Igual. "Donning/Doffing and Arm Positioning Influence in Upper Limb Adaptive Prostheses Control." Applied Sciences 10, no. 8 (2020): 2892. http://dx.doi.org/10.3390/app10082892.

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New upper limb prostheses controllers are continuously being proposed in the literature. However, most of the prostheses commonly used in the real world are based on very old basic controllers. One reason to explain this reluctance to change is the lack of robustness. Traditional controllers have been validated by many users and years, so the introduction of a new controller paradigm requires a lot of strong evidence of a robust behavior. In this work, we approach the robustness against donning/doffing and arm position for recently proposed linear filter adaptive controllers based on myoelectr
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Mascarenhas, Luís Alberto Brêda, Bruna Aparecida Souza Machado, Leticia de Alencar Pereira Rodrigues, et al. "Perception of Professionals from Different Healthcare Units Regarding the Use of Spray Technology for the Instantaneous Decontamination of Personal Protective Equipment during the Coronavirus Disease Pandemic: A Short Analysis." Applied Sciences 12, no. 15 (2022): 7771. http://dx.doi.org/10.3390/app12157771.

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Within the context of the coronavirus disease (COVID-19) pandemic, different disinfection technologies have been developed to efficiently exercise microbial control, especially to minimize the potential risks that are associated with transmission and infection among healthcare professionals. Thus, the aim of this work was to evaluate the perception of professionals regarding the use of a new technology (chamber) for the instantaneous decontamination of personal protective equipment before the doffing stage. This was a cross-sectional descriptive study where the study data were obtained by usin
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Sanders, Joan E., Tyler L. Hartley, Reid H. Phillips, et al. "Does temporary socket removal affect residual limb fluid volume of trans-tibial amputees?" Prosthetics and Orthotics International 40, no. 3 (2015): 320–28. http://dx.doi.org/10.1177/0309364614568413.

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Background: Lower-limb prosthesis users typically experience residual limb volume losses over the course of the day that can detrimentally affect socket fit. Objectives: To determine whether temporarily doffing the prosthesis encouraged residual limb fluid volume recovery and whether the recovered fluid was maintained. Study Design: Experimental design. Methods: Residual limb fluid volume was monitored on 16 participants in three test sessions each. Participants conducted six cycles of resting/standing/walking. Between the third and fourth cycles, participants sat for 30 min with the prosthesi
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Kohara, Y., T. Mutoh, T. Itoh, and H. Umada. "Doffing Scheduler in Synthetic Filament Spinning Process." Sen'i Kikai Gakkaishi (Journal of the Textile Machinery Society of Japan) 48, no. 2 (1995): P66—P73. http://dx.doi.org/10.4188/transjtmsj.48.2_p66.

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Kiteck, Paul D. "Low‐noise and high efficiency doffing gun." Journal of the Acoustical Society of America 87, no. 6 (1990): 2799. http://dx.doi.org/10.1121/1.399040.

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Lin, Jen-Feng, and Ying C. Huang. "A booster shot to promote doffing safety." Journal of Acute Medicine 5, no. 2 (2015): 51. http://dx.doi.org/10.1016/j.jacme.2015.05.002.

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B, Niharika, Suchitra R, Shreenivas Shouri, and Posina Priyanka. "A Cross-Sectional Study of Knowledge and Practice with Regard to Personal Protective Equipment in Covid-19 Management among Healthcare Workers at a Tertiary Care Center of Ananthapuram District, Andhra Pradesh." Journal of Evidence Based Medicine and Healthcare 8, no. 24 (2021): 2011–16. http://dx.doi.org/10.18410/jebmh/2021/378.

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BACKGROUND The healthcare personnel are the first ones to get exposed to corona virus disease (COVID 19) infection while serving the patients in the hospital. Correct knowledge and practice regarding personal protective equipment (PPE) kit usage is the need of the hour which acts as a barrier for infection. The level of knowledge on PPE, method of guidance and the perceived need for PPE by healthcare personnel play an important role in controlling the infections in hospital settings. METHODS A cross-sectional study was conducted at the Covid Care Center of a Tertiary Care Hospital of Ananthapu
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Hussain, Alikunju Syed Khaja, K. Mereesha, and Divya Kallanchira Devaraj. "Effects of Long-Duration Wearing of Personal Protective Equipment with N95 Masks on Blood Oxygen Concentration and Pulse Rate Among Dental Professionals." Journal of Dental Research and Review 9, no. 3 (2022): 224–27. http://dx.doi.org/10.4103/jdrr.jdrr_98_22.

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Background: The importance of personal protective equipment (PPE) for health-care professionals working in an infective environment has been highlighted again in this COVID pandemic. CDC recommends the use of PPE with FFp2/N95 wear in dental health professionals. There are studies revealing the varied physiological as well as psychological impact of long-duration wear of PPE in health professionals. This study aims to evaluate the effects of wearing PPE with N95 mask before donning and after doffing (for 4 h) on the oxygen saturation levels and pulse rate. Materials and Methods: Forty dental s
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