Lack of compliance with basic infection-control measures during cardiopulmonary resuscitation—Are we ready for another epidemic?

Chiang, Wen-Chu; Wang, Hui-Chih; Chen, Shey-Ying; Chen, Limei; Wu, Grace; Ko, Patrick Chow-In; Yang, Chih‐Wei; Hsieh, Cheng-Chun; Tsai, Ming-Tse; Su, Chan-Ping; Chen, Shyr‐Chyr; Huei‐Ming, Matthew

doi:10.1016/j.resuscitation.2008.03.042

Cited by 5 publications

(6 citation statements)

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“…However, observational studies have reported findings similar to those of questionnaire studies in that observed compliance rates are low among different staff groups (Berhe et al. 2006, Chiang et al. 2008).…”

Section: Introductionmentioning

confidence: 59%

Attitudes towards the Infection Prevention and Control Nurse: an interview study

Ward

2012

Journal of Nursing Management

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Section: Introductionmentioning

confidence: 59%

Attitudes towards the Infection Prevention and Control Nurse: an interview study

Ward

2012

Journal of Nursing Management

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“…Despite CDC guidelines and a mandate from the Occupational Safety and Health Administration (OSHA) since 1991, 35 the day-to-day practice of standard precautions and use of personal protective equipment (PPE) in the ED remains highly variable. Several studies performed in U.S. academic medical centers have employed either direct observation or video recording during trauma and medical resuscitations to measure adherence, [36][37][38][39][40][41][42] and have reported rates ranging from 38% to 89%. In some cases, HCP adherence to standard precautions improved if a patient was visibly bleeding.…”

Section: Hand Hygienementioning

confidence: 99%

Infection Prevention in the Emergency Department

Liang

Theodoro

Schuur

et al. 2014

Annals of Emergency Medicine

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Infection prevention remains a major challenge in emergency care. Acutely ill and injured patients seeking evaluation and treatment in the emergency department (ED) not only have the potential to spread communicable infectious diseases to healthcare personnel and other patients, but are vulnerable to acquiring new infections associated with the care they receive. This article will evaluate these risks and review the existing literature for infection prevention practices in the ED, ranging from hand hygiene, standard and transmission-based precautions, healthcare personnel vaccination, and environmental controls to strategies for preventing healthcare-associated infections. We will conclude by examining what can be done to optimize infection prevention in the ED and identify gaps in knowledge where further research is needed. Successful implementation of evidence-based practices coupled with innovation of novel approaches and technologies tailored specifically to the complex and dynamic environment of the ED are the keys to raising the standard for infection prevention and patient safety in emergency care.

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“…While gloves are the most frequently used item, masks are less appropriately used [15]. Although clinicians' use of PPE has been shown to increase when an outbreak is declared [3,[16][17][18], routine compliance is typically suboptimal [19,20] which increases the risk of occupationally-acquired infection and disease.…”

Section: Introductionmentioning

confidence: 99%

Enablers of, and barriers to, optimal glove and mask use for routine care in the emergency department: an ethnographic study of Australian clinicians

Barratt

Gilbert

Shaban

et al. 2020

Australasian Emergency Care

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a b s t r a c tBackground: The risk of healthcare-acquired infection increases during outbreaks of novel infectious diseases. Emergency department (ED) clinicians are at high risk of exposure to both these and common communicable diseases. Personal protective equipment (PPE) is recommended to protect clinicians from acquiring, or becoming vectors of, infection, yet compliance is typically sub-optimal. Little is known about factors that influence use of PPE-specifically gloves and masks-during routine care in the ED. Methods: This was an ethnographic study, incorporating documentation review, field observations and interviews. The theoretical domains framework (TDF) was used to aid thematic analysis and identify relevant enablers of and barriers to optimal PPE use. Results: Thirty-one behavioural themes were identified that influenced participants' use of masks and gloves. There were significant differences, namely: more reported enablers of glove use vs more barriers to mask use. Reasons included more positive unit culture towards glove use, and lower perception of risk via facial contamination. Conclusion: Emerging infectious diseases, spread (among other routes) by respiratory droplets, have caused global outbreaks. Emergency clinicians should ensure that, as with gloves, the use of masks is incorporated into routine cares where appropriate. Further research which examines items of PPE independently is warranted. (R. Barratt).severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS) and pandemic influenza A [2]. Healthcareassociated transmission of these viral infections, into previously unaffected communities, was a key feature of the early stages of, for example, SARS in Toronto and MERS in Seoul [3,4]. A notable feature of both outbreaks was the high proportion of those affected who were healthcare workers, with reports of up to 27% and 57% for MERS and SARS, respectively [5]. First responders and emergency department (ED) clinicians are at high risk of exposure to both common and emerging communicable diseases of high consequence, as they are in close contact with symptomatic patients before a diagnosis is made [5][6][7]. For example, ED staff are among

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Lack of compliance with basic infection-control measures during cardiopulmonary resuscitation—Are we ready for another epidemic?

Cited by 5 publications

References 0 publications

Attitudes towards the Infection Prevention and Control Nurse: an interview study

Attitudes towards the Infection Prevention and Control Nurse: an interview study

Infection Prevention in the Emergency Department

Enablers of, and barriers to, optimal glove and mask use for routine care in the emergency department: an ethnographic study of Australian clinicians

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