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Making the invisible visible: Why does design matter for safe doffing of personal protection equipment?

Published online by Cambridge University Press:  02 October 2018

Craig M. Zimring*
Affiliation:
SimTigrate Design Lab, School of Architecture, Georgia Institute of Technology, Atlanta, Georgia
Zorana Matić
Affiliation:
SimTigrate Design Lab, School of Architecture, Georgia Institute of Technology, Atlanta, Georgia
Maria Fernanda Wong Sala
Affiliation:
School of Industrial Design, Georgia Institute of Technology, Atlanta, Georgia
Joel M. Mumma
Affiliation:
School of Psychology, Georgia Institute of Technology, Atlanta, Georgia
Colleen S. Kraft
Affiliation:
Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
Lisa M. Casanova
Affiliation:
Division of Environmental Health, School of Public Health, Georgia State University, Atlanta, Georgia
Kimberly Erukunuakpor
Affiliation:
Division of Environmental Health, School of Public Health, Georgia State University, Atlanta, Georgia
Francis T. Durso
Affiliation:
School of Psychology, Georgia Institute of Technology, Atlanta, Georgia
Victoria L. Walsh
Affiliation:
Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
Puja Shah
Affiliation:
Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
Jesse T. Jacob
Affiliation:
Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
Jennifer R. DuBose
Affiliation:
SimTigrate Design Lab, School of Architecture, Georgia Institute of Technology, Atlanta, Georgia
for the CDC Prevention Epicenters Program
Affiliation:
SimTigrate Design Lab, School of Architecture, Georgia Institute of Technology, Atlanta, Georgia School of Industrial Design, Georgia Institute of Technology, Atlanta, Georgia School of Psychology, Georgia Institute of Technology, Atlanta, Georgia Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia Division of Environmental Health, School of Public Health, Georgia State University, Atlanta, Georgia Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
*
Author for correspondence: Craig Zimring, PhD, School of Architecture, SimTigrate Design Lab, Georgia Institute of Technology, Atlanta, GA 30332-0155. E-mail: craig.zimring@gatech.edu

Abstract

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Type
Commentary
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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References

1. DuBose, JR, Matic, Z, Wong Sala, MF, et al. Design strategies to improve healthcare worker safety in biocontainment units: learning from Ebola preparedness. Infect Control Hosp Epidemiol 2018;39:961967.Google Scholar
2. Zimring, C, Denham, ME, Jacob, JT, et al. Evidence-based design of healthcare facilities: opportunities for research and practice in infection prevention. Infect Control Hosp Epidemiol 2013;34:514516.Google Scholar
3. Institute of Medicine. Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st century. Washington, DC: National Academies Press; 2001.Google Scholar
4. Zimring, C, Jacob, JT, Denham, ME, et al. The role of facility design in preventing the transmission of healthcare-associated infections: background and conceptual framework. Health Environ Res Design J 2013;7:1830.Google Scholar
5. Mumma, JM, Durso, FT, Ferguson, AN, et al. Human factors risk analyses of a doffing protocol for Ebola-level personal protective equipment: mapping errors to contamination. Clin Infect Dis 2018;66:950958.Google Scholar
6. Casanova, LM, Erukunuakpor, K, Kraft, CS, et al. Assessing viral transfer during doffing of Ebola-level personal protective equipment in a biocontainment unit. Clin Infect Dis 2018;66:945949.Google Scholar
7. Casanova, LM, Erukunuakpor, K, Walsh, VL, et al. Multicenter evaluation of viral self-contamination during doffing of Ebola-level personal protective equipment. Am J Infect Control 2017;45:S17.Google Scholar
8. Leape, LL. Errors in medicine. Clinica Chimica Acta 2009;404:25.Google Scholar
9. Verbeek, JH, Ijaz, S, Mischke, C, et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Lib 2016. doi: 10.1002/14651858.CD011621.pub2.Google Scholar
10. Clack, L, Schmutz, J, Manser, T, Sax, H. Infectious risk moments: a novel, human factors–informed approach to infection prevention. Infect Control Hosp Epidemiol 2014;35:10511055.Google Scholar
11. Thaler, RH, Sunstein, CR, Balz, JP. Choice architecture. University of Pennsylvania website. https://www.sas.upenn.edu/~baron/475/choice.architecture.pdf. Published 2014. Accessed August 10, 2018.Google Scholar
12. Nevo, I, Fitzpatrick, M, Thomas, R-E, et al. The efficacy of visual cues to improve hand hygiene compliance. Simul Healthcare 2010;5:325331.Google Scholar
13. Herlihey, TA, Gelmi, S, Cafazzo, JA, Hall, TNT. The impact of environmental design on doffing personal protective equipment in a healthcare environment: a formative human factors trial. Infect Control Hosp Epidemiol 2017:16.Google Scholar
14. Endsley, MR. Designing for Situation Awareness: An Approach to User-Centered Design. Boca Raton, FL: CRC Press; 2016.Google Scholar