BACKGROUND: Personal protective equipment (PPE) is a first-line transmission-based precaution for reducing the spread of nosocomial infections between health care workers (HCWs), patients, and staff. The COVID-19 pandemic highlighted a problematic skill gap in effective PPE donning/doffing. METHODS: We performed a single-center, mixed-methods, prospective cohort study of 293 HCWs in Sydney, Australia. Participants were assessed using SXR AI-PPE, an artificial intelligence (AI) system that autonomously evaluates donning/doffing of PPE while providing real-time feedback on user technique. RESULTS: Longitudinal results showed improved accuracy rates for correct donning/doffing after each guided session conducted at 3-monthly intervals, with a 100% accuracy rate for correct use of PPE after 2 guided sessions. These improvements were maintained with 3-monthly training sessions. CONCLUSIONS: The SXR AI-PPE platform is a comprehensive tool capable of training PPE donning/doffing by HCWs in real time with implications for reducing PPE contamination and risk of nosocomial infections.
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Preda et al. (2025) studied this question.
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