Real-Time Remote Surveillance of Doffing During COVID-19 Pandemic: Enhancing Safety of Health Care Workers

Singh, Ajay; Naik, B Naveen; Soni, Shiv Lal; Puri, Goverdhan Dutt

doi:10.1213/ane.0000000000004940

Cited by 15 publications

(19 citation statements)

References 3 publications

(3 reference statements)

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“…An imminent crisis is opportunities for innovation, wherein a conventionally slow-moving healthcare facility can be improvised in response to the pandemic [29]. To stem the risk of self-contamination during doffing of PPE, we utilized the real-time RADS system to assist HCW while doffing [20]. With this system, a trained observer from an offsite location can easily collaborate through a visual screen, imparting crystal-clear communication while assisting doffing.…”

Section: Discussionmentioning

confidence: 99%

“…For the reasons stated above, we implemented real-time remote audio-visual doffing surveillance (RADS) system utilizing high-definition closed-circuit television (CCTV) surveillance cameras installed in several doffing areas to remotely monitor and assist the HCW in doffing PPE [20]. In the present study, we aimed to observe a breach in biosafety among different HCWs during doffing of PPE using a real-time RADS system.…”

Section: Introductionmentioning

confidence: 99%

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Performance of Health Care Workers in Doffing of Personal Protective Equipment Using Real-Time Remote Audio-Visual Doffing Surveillance System: Its Implications for Bio-Safety Amid COVID-19 Pandemic

B¹,

Singh²,

Lazar³

et al. 2021

Cureus

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BackgroundVery little has been reported about health care workers' (HCWs) adherence to the Centers for Disease Control and Prevention (CDC) guidelines of doffing personal protective equipment (PPE) amid the COVID-19 pandemic. Real-time remote audio-visual doffing surveillance (RADS) system for assisting doffing might reduce the risk of self-contamination. We used this system to determine the incidence of the breach in biosafety during doffing of PPE among HCWs involved in the care of Covid-19 patients. MethodsA total of 100 HCWs were enrolled in this observational study who performed duties in the COVID intensive care unit (ICU) of our tertiary care centre. With a real-time RADS system, trained observers from remote locations assisted HCWs during doffing of PPE and noted breach at any step using the CDC doffing checklist. The breach was considered major if committed during removal of gloves/gown/N-95 or if ≥3 errors occurred in any other steps. ResultsOverall, 40% of the HCWs committed a breach during doffing at least one step. The majority of the errors were observed during hand hygiene (34%), followed by glove removal (12%) and N-95 removal (8%). Nineteen percent of HCWs committed the major breach, out of which 37.5% were done by house-keeping sanitation staff (p = 0.008 and RR 2.85; 95% CI of 1.313-6.19), followed by technicians (22.5%), nursing staff (16.7%) and resident doctors (6.5%). ConclusionsPerforming doffing using a real-time RADS system is associated with a relatively low incidence of a breach in biosafety compared with earlier studies using an onsite standard observer. Overall adherence of HCWs to the CDC guidelines of doffing PPE was satisfactory. This study highlights the importance of the RADS system during doffing of PPE in a health care setting amid the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Performance of Health Care Workers in Doffing of Personal Protective Equipment Using Real-Time Remote Audio-Visual Doffing Surveillance System: Its Implications for Bio-Safety Amid COVID-19 Pandemic

B¹,

Singh²,

Lazar³

et al. 2021

Cureus

Self Cite

View full text Add to dashboard Cite

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“…1b). We have reported a similar CCTV system with audio-visual communication in the doffing area to enhance staff safety, monitored from remote location [4]. In addition to this, we installed a remote mobile health monitoring system and server structure, where patient vital parameters such as temperature, SpO2, ECG, heart rate, blood pressure, etCO2 and respiratory rate can be visualized over smartphone from the off-site location (Fig.…”

Section: Sirmentioning

confidence: 99%

Real-Time Smart Patient Monitoring and Assessment Amid COVID-19 Pandemic – an Alternative Approach to Remote Monitoring

et al. 2020

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“…Authors in [6] have added closed-circuit television (CCTV) cameras and smartphones application as well as some vital signs sensors in order to monitor the patients that have Infectious diseases. Authors in [7] have presented an Arduino-based IoT project used for monitoring the vital signs of humans.…”

mentioning

confidence: 99%

Design and Implementation of a Smart, Interactive and Portable System for Monitoring of Human Vital Signs

Shahadi

Kadhim²,

Almeyali³

et al. 2021

Jurnal Ilmiah Teknik Elektro Komputer Dan Informatika

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Smart systems are characterized by their efficiency, high accuracy, and cost reduction. One of the important fields in which the smart system is used is health care, especially monitoring of human vital signs. In general, the conventional patient monitor is expensive, cannot be used for remote monitoring, and non-interactive. In many situations, it requires remote and portable monitoring for patients, such as in case of the area is outside the medical services, infected diseases (e.g., 20), and difficulties of a patient transferred. This paper proposes a smart, interactive, and portable monitor for vital human signs based on the Internet of Things (IoT). The proposed monitor is cheap and easy to use either directly by doctors and nurses or remotely by any person. The proposed system is designed using ESP32microcontroller and vital-sign sensors. It measures three important vital signs, including heart rate, body temperature, and Electrocardiography (ECG), as well as the environment temperature of the patient. The measured signs can be monitored from anywhere in the world through a smartphone application in real-time. Furthermore, the doctor can send instructions and descriptions to the patients in real-time using the same phone application that is designed in this work.

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Real-Time Remote Surveillance of Doffing During COVID-19 Pandemic: Enhancing Safety of Health Care Workers

Cited by 15 publications

References 3 publications

Performance of Health Care Workers in Doffing of Personal Protective Equipment Using Real-Time Remote Audio-Visual Doffing Surveillance System: Its Implications for Bio-Safety Amid COVID-19 Pandemic

Performance of Health Care Workers in Doffing of Personal Protective Equipment Using Real-Time Remote Audio-Visual Doffing Surveillance System: Its Implications for Bio-Safety Amid COVID-19 Pandemic

Real-Time Smart Patient Monitoring and Assessment Amid COVID-19 Pandemic – an Alternative Approach to Remote Monitoring

Design and Implementation of a Smart, Interactive and Portable System for Monitoring of Human Vital Signs

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