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. 2022 Sep;11(3):e002001.
doi: 10.1136/bmjoq-2022-002001.

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

Hafsa Qabool  1 , Faiza Ali  1 , Rashna Hoshang Sukhia  2 , Naila Badruddin  3
Affiliations

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

Hafsa Qabool et al. BMJ Open Qual. 2022 Sep.

Abstract

Introduction: With 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 methods: A 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-approved donning and doffing was assessed on the clinical premises. In the second stage, an educational session was arranged with all the healthcare professionals to explain stepwise guidelines of donning and doffing to improve the quality of donning and doffing compliance. In the third stage, improvement in the quality outcome was then assessed after the session. Data were normally distributed. Qualitative variables for all the steps of donning and doffing are reported as frequency and percentages. Pareto charts were made to assess the non-compliance rate for donning and doffing protocols among dental healthcare professionals.

Results: There was an improvement of 44.55% in the hand hygiene practices before wearing the PPE after the second step of the PDSA cycle. A percentage improvement of 7.4% was recorded for removing jewellery, wearing the gown and wearing a surgical cap. No improvement was seen in securing the mask/ respirator ties, washing hands after wearing the respirator, placing the goggles or face shield practices.

Conclusions: PDSA cycle improved the overall compliance to PPE donning and doffing practices. Most of the protocols were followed by the dental healthcare professionals; however, some of them remained the same or worsened due to ease in SARS-CoV 2 restrictions.

Keywords: COVID-19; Continuous quality improvement; Quality improvement.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Fish-bone diagram. PPE, personal protective equipment.
Figure 2
Figure 2
Non-compliance rate for donning before PDSA cycle. PDSA, plan, do, study and act.
Figure 3
Figure 3
Non-compliance rate for doffing before PDSA cycle. PDSA, plan, do, study and act.
Figure 4
Figure 4
Non-compliance rate for donning after PDSA cycle. PDSA, plan, do, study and act.
Figure 5
Figure 5
Non-compliance rate for doffing after PDSA cycle. PDSA, plan, do, study and act.
See this image and copyright information in PMC

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References

    1. Kharma MY, Alalwani MS, Amer MF, et al. . Assessment of the awareness level of dental students toward middle East respiratory syndrome-coronavirus. J Int Soc Prev Community Dent 2015;5:163–9. 10.4103/2231-0762.159951 - DOI - PMC - PubMed
    1. Bains VK, Bains R, Gupta V, et al. . Knowledge of COVID-19 and its implications in dental treatment, and practices of personal protective equipment among dentists: a survey-based assessment. J Educ Health Promot 2021;10:79. 10.4103/jehp.jehp_763_20 - DOI - PMC - PubMed
    1. Huang C, Wang Y, Li X, et al. . Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497–506. 10.1016/S0140-6736(20)30183-5 - DOI - PMC - PubMed
    1. Bazaid AS, Aldarhami A, Binsaleh NK, et al. . Knowledge and practice of personal protective measures during the COVID-19 pandemic: a cross-sectional study in Saudi Arabia. PLoS One 2020;15:e0243695. 10.1371/journal.pone.0243695 - DOI - PMC - PubMed
    1. Jung S-M, Akhmetzhanov AR, Hayashi K, et al. . Real-time estimation of the risk of death from novel coronavirus (COVID-19) infection: inference using exported cases. J Clin Med 2020;9:523. 10.3390/jcm9020523 - DOI - PMC - PubMed