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Barrier precautions in trauma resuscitations: multivaried analysis of factors affecting use
P Sahdev1, M J Lacqua, N Harrigan
1Department of Surgery, Nassau County Medical Center, East Meadow, New York.
Study Objectives:
To determine the relative importance of factors affecting use of barrier precautions by trauma team members.
Design:
Prospective, nonblinded review of barrier precaution use by trauma team members over three periods. A multivaried analysis of factors affecting use then was conducted.
Setting:
A 615-bed Level I trauma center in New York State with an accredited surgical residency program.
Type Of Participants:
Trauma team members involved in resuscitating multitrauma patients in the trauma room.
Interventions:
Period 1: June to August 1991, barrier precaution use before interventions; period 2: September 1991 to January 1992, educational seminars held and material access improved by designated cart; period 3: February to June 1992, legislation mandating barrier precaution use introduced.
Main Results:
Barrier precaution compliance improved significantly in periods 2 and 3. The improvement was seen in all providers studied. Improvement in barrier precaution use correlated significantly with education, materials access, and legislation.
Conclusion:
Improved compliance with barrier precaution use can be affected by education, improving materials access, and legislation. The relative importance of education versus materials access requires further study.