Using a human factors-centric approach to development and testing of a face shield designed for health care workers: A COVID-19 case study for process and outcomes

dc.contributor.authorKurtz, Camden E.en
dc.contributor.authorPeng, Yuhaoen
dc.contributor.authorJesso, Matthewen
dc.contributor.authorSanghavi, Harshen
dc.contributor.authorKuehl, Damon R.en
dc.contributor.authorParker, Sarah H.en
dc.date.accessioned2022-05-19T16:33:37Zen
dc.date.available2022-05-19T16:33:37Zen
dc.date.issued2022-03-01en
dc.date.updated2022-05-19T14:58:02Zen
dc.description.abstractBackground: Face shields are a critical piece of personal protective equipment and their comfort impacts compliant use and thus protectiveness. Optimal design criteria for face shield use in healthcare environments are limited. We attempt to identify factors affecting face shield usability and to test and optimize a face shield for comfort and function in health care settings. Methods: A broad range of workers in a large health care system were surveyed regarding face shield features and usability. Quantitative and qualitative analysis informed the development of iterative prototypes which were tested against existing shields. Iterative testing and redesign utilized expert insight and feedback from participant focus groups to inform subsequent prototype designs. Results: From 1,648 responses, 6 key elements were identified: ability to adjust tension, shifting load bearing from the temples, anti-fogging, ventilation, freedom of movement, and durability. Iterative prototypes received consistently excellent feedback based on use in the clinical environment, demonstrating incremental improvement. Conclusion: We defined elements of face shield design necessary for usability in health care and produced a highly functional face shield that satisfies frontline provider criteria and Emergency Use Authorization standards set by the Food and Drug Administration. Integrating human factors principles into rapid-cycle prototyping for personal protective equipment is feasible and valuable.en
dc.description.versionPublished versionen
dc.format.extentPages 306-311en
dc.format.extent6 page(s)en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1016/j.ajic.2021.10.033en
dc.identifier.eissn1527-3296en
dc.identifier.issn0196-6553en
dc.identifier.issue3en
dc.identifier.orcidParker, Sarah [0000-0001-6333-1315]en
dc.identifier.otherS0196-6553(21)00720-3 (PII)en
dc.identifier.pmid34774896en
dc.identifier.urihttp://hdl.handle.net/10919/110117en
dc.identifier.volume50en
dc.language.isoenen
dc.publisherMosby-Elsevieren
dc.relation.urihttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000768294300013&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=930d57c9ac61a043676db62af60056c1en
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectPublic, Environmental & Occupational Healthen
dc.subjectInfectious Diseasesen
dc.subjectPersonal protective equipment (PPE)en
dc.subjectIterative designen
dc.subjectOccupational safetyen
dc.subjectHuman centered designen
dc.subjectSAFETYen
dc.subject.meshHumansen
dc.subject.meshProtective Devicesen
dc.subject.meshHealth Personnelen
dc.subject.meshPersonal Protective Equipmenten
dc.subject.meshCOVID-19en
dc.subject.meshSARS-CoV-2en
dc.titleUsing a human factors-centric approach to development and testing of a face shield designed for health care workers: A COVID-19 case study for process and outcomesen
dc.title.serialAmerican Journal of Infection Controlen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
dc.type.otherJournalen
dcterms.dateAccepted2021-10-27en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Faculty of Health Sciencesen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/VTC School of Medicine - Instr Pgmsen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Emergency Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Emergency Medicine/Emergency Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/VTC School of Medicine - Instr Pgms/VTC School of Medicine-Instr Pgmsen
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