Abstract：
BACKGROUND: Despite 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.
METHODS: We 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.
RESULTS: Among 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.
CONCLUSIONS: 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.
CONCLUSIONS: Most 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.
METHODS: We 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.
RESULTS: Among 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.
CONCLUSIONS: 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.
CONCLUSIONS: Most 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.
摘要：
背景：尽管有地方和国家的建议，在COVID-19大流行期间，医护人员对个人防护装备(PPE)的依从性各不相同。先前的研究已经确定了影响初始PPE依从性的因素，但没有解决影响导致初始不依从性后矫正的行为的因素。
方法：我们从2020年3月至2022年12月对18例涉及气溶胶生成程序（AGP）的儿科复苏进行了回顾性视频回顾，以确定与不依从性校正相关的因素。我们量化了坚持和不坚持的提供者，PPE不依从性的实例，和时间来纠正。我们还分析了矫正行为，包括提供者的行动和更正位置。
结果：在434个提供商中，362（83％）与至少一种PPE无粘附。在1,832例未遵守的情况中，只有186例得到了纠正，主要是在进入房间和病人护理期间。纠正时间因PPE类型和不依从性水平而异（不完整与不存在）。大多数更正都是自我发起的，与其他供应商的提醒很少。
结论：矫正的潜在障碍包括缺乏社会压力和外部提醒。解决方案包括优化PPE可用性、提供实时反馈，和双重手套教育。
结论：在高风险感染传播事件期间，大多数提供者不遵守PPE要求。低纠正率表明在医疗紧急情况下促进集体责任和维持保护行为方面存在挑战。
方法：我们从2020年3月至2022年12月对18例涉及气溶胶生成程序（AGP）的儿科复苏进行了回顾性视频回顾，以确定与不依从性校正相关的因素。我们量化了坚持和不坚持的提供者，PPE不依从性的实例，和时间来纠正。我们还分析了矫正行为，包括提供者的行动和更正位置。
结果：在434个提供商中，362（83％）与至少一种PPE无粘附。在1,832例未遵守的情况中，只有186例得到了纠正，主要是在进入房间和病人护理期间。纠正时间因PPE类型和不依从性水平而异（不完整与不存在）。大多数更正都是自我发起的，与其他供应商的提醒很少。
结论：矫正的潜在障碍包括缺乏社会压力和外部提醒。解决方案包括优化PPE可用性、提供实时反馈，和双重手套教育。
结论：在高风险感染传播事件期间，大多数提供者不遵守PPE要求。低纠正率表明在医疗紧急情况下促进集体责任和维持保护行为方面存在挑战。
