Real-Time Monitoring of Personal Protective Equipment Adherence Using On-Device Artificial Intelligence Models

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.