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Infect Control Hosp Epidemiol . Increasing Facemask Compliance among Healthcare Personnel during the COVID-19 Pandemic

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  • Infect Control Hosp Epidemiol . Increasing Facemask Compliance among Healthcare Personnel during the COVID-19 Pandemic


    Infect Control Hosp Epidemiol


    . 2021 May 3;1-22.
    doi: 10.1017/ice.2021.205. Online ahead of print.
    Increasing Facemask Compliance among Healthcare Personnel during the COVID-19 Pandemic


    Rupak Datta 1 2 , Keith Glenn 2 , Anthony Pellegrino 1 , Jessica Tuan 2 , Brian Linde 3 4 , Jehanzeb Kayani 2 , Kavin Patel 2 , Lisbeysi Calo 5 , Louise Marie Dembry 1 2 6 , Ann Fisher 1 2



    Affiliations

    Abstract

    Objective: Prior studies of universal masking have not measured facemask compliance. We performed a quality improvement study to monitor and improve facemask compliance among healthcare personnel (HCP) during the coronavirus disease 2019 (COVID-19) pandemic.
    Design: Mixed-methods study.
    Setting: Tertiary care center in West Haven, Connecticut.
    Patients: HCP including physicians, nurses, and ancillary staff.
    Methods: Facemask compliance was measured through direct observations during a 4-week baseline period after universal masking was mandated. Frontline and management HCP completed semi-structured interviews from which a multimodal intervention was developed. Direct observations were repeated during a 14-week period following implementation of the multimodal intervention. Differences between units were evaluated with chi-squared testing using the Bonferroni correction. Facemask compliance between baseline and intervention periods was compared using time series regression.
    Results: Among 1,561 observations during the baseline period, median weekly facemask compliance was 82.2% (range, 80.8%-84.4%). Semi-structured interviews were performed with 16 HCP. Qualitative analysis informed the development of a multimodal intervention consisting of audit and passive feedback, active discussion, and increased communication from leadership. Among 2,651 observations during the intervention period, median weekly facemask compliance was 92.6% (range, 84.6%-97.9%). There was no difference in weekly facemask compliance between COVID-19 and non-COVID-19 units. The multimodal intervention was associated with an increase in facemask compliance (?=0.023, p=0.002).
    Conclusions: Facemask compliance remained suboptimal among HCP despite a facility-wide mandate for universal masking. A multimodal intervention consisting of audit and passive feedback, active discussion, and increased communication from leadership was effective in increasing facemask compliance among HCP.


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