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@article{ART002625566},
author={Matić, Zorana and Oh， Yeinn and Lisa Lim},
title={Using Design to Make Doffing of Personal Protective Equipment Safer for Healthcare Workers},
journal={JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE},
issn={2733-8649},
year={2020},
volume={26},
number={3},
pages={17-26},
doi={10.15682/jkiha.2020.26.3.17}

TY - JOUR
AU - Matić, Zorana
AU - Oh， Yeinn
AU - Lisa Lim
TI - Using Design to Make Doffing of Personal Protective Equipment Safer for Healthcare Workers
JO - JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE
PY - 2020
VL - 26
IS - 3
PB - Korea Institute Of Healthcare Architecture
SP - 17
EP - 26
SN - 2733-8649
AB - Purpose: This paper presents research evidence that the environmental design of the doffing area in a biocontainment unit (BCU) can have a measurable impact on increasing the safety of frontline healthcare workers (HCW) during doffing of high-level personal protective equipment (PPE), and proposes optimized biocontainment unit design. Methods: From 2016 to 2019, The SimTigrate Design Lab conducted 3 consecutive studies, focusing on ways in which the built environment may support or hinder safe doffing. In the first study, to identify the risky behaviors, we observed 56 simulation exercises with HCWs in 4 BCUs and 1 high-fidelity BCU mockup. In the second study, we tested the effectiveness of a redesigned doffing area on improving the HCWs performance and used simulation, observation, and rapid prototyping in 1 high-fidelity mockup of a doffing area. In a follow-up study, we used simulation and co-design with HCWs to optimize the design of a safer doffing area in a full-size pediatric BCU mock-up. Results: We identified 11 specific risky behaviors potentially leading to occupational injury, or contamination of the PPE, or of the environment. We developed design strategies to create a space for safer doffing. In the second study, in a redesigned doffing area, the overall performance of HCW improved, and we observed a significant decrease in the number of risky behaviors; some risky behaviors were eliminated. There was a significant decrease in physical and cognitive load for the HCWs. Finally, we propose an optimized layout of a BCU for a safer process of PPE doffing. Implications: The proposed BCU design supports better staff communication, efficiency, and automates safer behaviors. Our findings can be used to develop design guidelines for spaces where patients with other highly infectious diseases are treated when the safety of the patient-facing HCWs is of critical importance.
KW - Evidence-Based Design;Isolation Unit;Biocontainment Unit;Infection Control;Personal Protective Equipment(PPE)
DO - 10.15682/jkiha.2020.26.3.17
ER -

Matić, Zorana, Oh， Yeinn and Lisa Lim. (2020). Using Design to Make Doffing of Personal Protective Equipment Safer for Healthcare Workers. JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE, 26(3), 17-26.

Matić, Zorana, Oh， Yeinn and Lisa Lim. 2020, "Using Design to Make Doffing of Personal Protective Equipment Safer for Healthcare Workers", JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE, vol.26, no.3 pp.17-26. Available from: doi:10.15682/jkiha.2020.26.3.17

Matić, Zorana, Oh， Yeinn, Lisa Lim "Using Design to Make Doffing of Personal Protective Equipment Safer for Healthcare Workers" JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE 26.3 pp.17-26 (2020) : 17.

Matić, Zorana, Oh， Yeinn, Lisa Lim. Using Design to Make Doffing of Personal Protective Equipment Safer for Healthcare Workers. 2020; 26(3), 17-26. Available from: doi:10.15682/jkiha.2020.26.3.17

Matić, Zorana, Oh， Yeinn and Lisa Lim. "Using Design to Make Doffing of Personal Protective Equipment Safer for Healthcare Workers" JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE 26, no.3 (2020) : 17-26.doi: 10.15682/jkiha.2020.26.3.17

Matić, Zorana; Oh， Yeinn; Lisa Lim. Using Design to Make Doffing of Personal Protective Equipment Safer for Healthcare Workers. JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE, 26(3), 17-26. doi: 10.15682/jkiha.2020.26.3.17

Matić, Zorana; Oh， Yeinn; Lisa Lim. Using Design to Make Doffing of Personal Protective Equipment Safer for Healthcare Workers. JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE. 2020; 26(3) 17-26. doi: 10.15682/jkiha.2020.26.3.17

Matić, Zorana, Oh， Yeinn, Lisa Lim. Using Design to Make Doffing of Personal Protective Equipment Safer for Healthcare Workers. 2020; 26(3), 17-26. Available from: doi:10.15682/jkiha.2020.26.3.17

Matić, Zorana, Oh， Yeinn and Lisa Lim. "Using Design to Make Doffing of Personal Protective Equipment Safer for Healthcare Workers" JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE 26, no.3 (2020) : 17-26.doi: 10.15682/jkiha.2020.26.3.17