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Opportunities to bridge gaps between respiratory protection guidance and practice in US health care

Published online by Cambridge University Press:  18 February 2019

Barbara I. Braun*
Affiliation:
Division of Healthcare Quality Evaluation, The Joint Commission, Oakbrook Terrace, Illinois
Brette A. Tschurtz
Affiliation:
Division of Healthcare Quality Evaluation, The Joint Commission, Oakbrook Terrace, Illinois
Hasina Hafiz
Affiliation:
Division of Healthcare Quality Evaluation, The Joint Commission, Oakbrook Terrace, Illinois
Debra A. Novak
Affiliation:
National Personal Protective Technology Laboratory (NPPTL), National Institute for Occupational Safety Health (NIOSH) (Retired), Pittsburgh, Pennsylvania
Maria C. Montero
Affiliation:
Healthcare Epidemiology and Infection Prevention, Northwestern Medicine Kishwaukee Hospital, Dekalb, Illinois
Cynthia M. Alexander
Affiliation:
Respiratory Care, Grady Health System, Atlanta, Georgia
Loretta Litz Fauerbach
Affiliation:
Fauerbach & Associates, Gainesville, Florida
MaryAnn Gruden
Affiliation:
Occupational Health Consultant, Pittsburgh, Pennsylvania
Marcia T. Isakari
Affiliation:
Occupational and Environmental Medicine, University of California San Diego Health System, San Diego, California
David T. Kuhar
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Lisa A. Pompeii
Affiliation:
Center for Epidemiology & Population Health, Department of Pediatrics, Baylor College of Medicine, Houston, Texas
Melanie D. Swift
Affiliation:
Division of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, Rochester, Minnesota
Lewis J. Radonovich
Affiliation:
National Personal Protective Technology Laboratory (NPPTL), National Institute for Occupational Safety Health (NIOSH), Pittsburgh, Pennsylvania
*
Author for correspondence: Barbara Braun, Email: [email protected]

Abstract

Healthcare organizations are required to provide workers with respiratory protection (RP) to mitigate hazardous airborne inhalation exposures. This study sought to better identify gaps that exist between RP guidance and clinical practice to understand issues that would benefit from additional research or clarification.

Type
Concise Communication
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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Footnotes

PREVIOUS PRESENTATIONS: The results of this study were presented at the following conferences: (1) The Society for Healthcare Epidemiology of America (SHEA) Spring 2018 Conference on April 19, 2018, in Portland, Oregon; (2) The Association of Occupational Health Professionals in Healthcare (AOHP) 2018 National Conference on September 8, 2018, in Glendale, Arizona; and (3) The International Society for Respiratory Protection (ISRP) 2018 Conference on September 17, 2018, in Denver, Colorado.

References

OSHA Respiratory Protection standard (29 CFR 1910.134). Occupational Safety and Health Administration website. https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=standards&p_id=12716. Published 1998. Accessed March 30, 2018.Google Scholar
Yarbrough, MI, Ficken, ME, Lehmann, CU, et al. Respirator use in a hospital setting: establishing surveillance metrics. J Int Soc Respir Prot 2016;33:111.Google Scholar
Radonovich, LJ Jr, Cheng, J, Shenal, BV, Hodgson, M, Bender, BS. Respirator tolerance in health care workers. JAMA 2009;301:3638.CrossRefGoogle ScholarPubMed
Peterson, K, Novak, D, Stradtman, L, Wilson, D, Couzens, L. Hospital respiratory protection practices in 6 US states: a public health evaluation study. Am J Infect Control 2015;43:6371.CrossRefGoogle Scholar
Munoz-Price, LS, Banach, DB, Bearman, G, et al. Isolation precautions for visitors. Infect Control Hosp Epidemiol 2015;36:747758.CrossRefGoogle ScholarPubMed
Institute of Medicine (US) Committee on Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A; Liverman, CT, Harris, TA, Rogers, MEB, Shine, KI, editors. Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A: A Letter Report. Washington, DC: National Academies Press; 2009.Google Scholar
HICPAC meeting minutes. Healthcare Infection Control Practices Advisory Committee (HICPAC) website. https://www.cdc.gov/hicpac/pdf/2017-November-HICPAC-Meeting-508.pdf. Published November 2017. Accessed April 6, 2018.Google Scholar
Yokoe, DS, Anderson, DJ, Berenholtz, SM, et al. Introduction to “A compendium of strategies to prevent healthcare-associated infections in acute care hospitals: 2014 updates.” Infect Control Hosp Epidemiol 2014;35:S1S5.CrossRefGoogle ScholarPubMed
Martuzzi, M, Tickner, JA, editors. The precautionary principle: protecting public health, the environment and the future of our children. World Health Organization website. http://www.euro.who.int/_data/assets/pdf_file/0003/91173/E83079.pdf, p. 7. Published 2004. Accessed October 20, 2017.Google Scholar
Gosch, ME, Shaffer, RE, Eagan, AE, Roberge, RJ, Davey, VJ, Radonovich, LJ Jr. B95: a new respirator for health care personnel. Am J Infect Control 2013;41:12241230.CrossRefGoogle ScholarPubMed