Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study.

Krein SL, Mayer J, Harrod M, et al. JAMA Intern Med. 2018 Jun 11; [Epub ahead of print].

Infection control precautions including use of personal protective equipment (PPE) are critical for preventing transmission of infections within health care settings. This direct observation study observed frequent failures in use of PPE, including entering rooms without using PPE at all, PPE process mistakes, and slips in properly executing PPE use. The authors suggest that given the wide range of failures, a variety of strategies are needed to improve use of PPE.

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