Table 5

PDSA cycle for donning and doffing.

Plan the changeWhatWhoWhen
PDSA cycle for donning
 AimTo ensure that HCW don PPE without any errors or protocol deviations
 PlanPlan a training programme and schedule for doctors, nurses, nursing assistants and environmental service personnel. Prepare a checklist of donning.IC teamWeek 0 (1 week before start of QI)
 DoDo an awareness and sensitisation lecture for all categories of staff in donning. Identify misconceptions and barriers related to donning in the donning cubicle.
Do an extensive literature review on donning practices.
Do naturalistic observations of donning in terms of environment, tasks and behaviours and collect informal participant comments.
Hospital administrator, infection control nurses or infection preventionistsEvery day in batches
 StudyStudy aspects of compliance qualitatively.
Study misconceptions and wrong practices related to donning using direct observation and with assistance of evidence-based literature.
IC team including hospital administratorAfter every third day
 ActResensitise staff on donning and the need for accurate donning along with clarification of misconceptions, wrong practices and providing solutions to barriers in structure and process.Hospital administrator and IC teamAfter every third day until the saturation of training of all staff
PDSA cycle for doffing
 AimTo ensure that HCW doff PPE without any errors or protocol deviations
 PlanPlan a training programme and schedule for doctors, nurses, nursing assistants and environmnetal service personnel. Prepare a checklist of doffing.IC teamWeek 0 (1 week before start of QI)
 DoDo an awareness and sensitisation lecture for all categories of staff in doffing. Identify misconceptions and barriers related to doffing in the doffing cubicle.
Do an extensive literature review on doffing practices.
Do naturalistic observations of doffing in terms of environment, tasks, behaviours and gather informal participant comments.
Hospital administrator, IC nurses or infection preventionistsEvery day in batches
 StudyStudy all aspects of doffing qualitatively.
Study misconceptions and wrong practices related to doffing using direct observation and with assistance of evidence-based literature.
IC team, including hospital administratorAfter every third day
 ActResensitise staff on doffing and the need for accurate doffing, along with clarification of misconceptions, wrong practices and providing solutions to barriers in structure and process.Hospital administrator and IC teamAfter every third day until saturation of training of all the staff
  • HCW, healthcare worker; IC, infection control; PDSA, plan–do–study–act; PPE, personal protective equipment; QI, quality improvement.