Real-Time Monitoring of Personal Protective Equipment Adherence Using On-Device Artificial Intelligence Models.
Journal:
Sensors (Basel, Switzerland)
PMID:
40218516
Abstract
Personal protective equipment (PPE) is crucial for infection prevention and is effective only when worn correctly and consistently. Health organizations often use education or inspections to mitigate non-compliance, but these are costly and have limited success. This study developed a novel on-device, AI-based computer vision system to monitor healthcare worker PPE adherence in real time. Using a custom-built image dataset of 7142 images of 11 participants wearing various combinations of PPE (mask, gloves, gown), we trained a series of binary classifiers for each PPE item. By utilizing a lightweight MobileNetV3 model, we optimized the system for edge computing on a Raspberry Pi 5 single-board computer, enabling rapid image processing without the need for external servers. Our models achieved high accuracy in identifying individual PPE items (93-97%), with an overall accuracy of 85.58 ± 0.82% when all items were correctly classified. Real-time evaluation with 11 unseen medical staff in a cardiac intensive care unit demonstrated the practical viability of our system, maintaining a high per-item accuracy of 87-89%. This study highlights the potential for AI-driven solutions to significantly improve PPE compliance in healthcare settings, offering a cost-effective, efficient, and reliable tool for enhancing patient safety and mitigating infection risks.