{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T09:40:58Z","timestamp":1783762858334,"version":"3.55.0"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Perioperative infection prevention and control (IPC) standards are known to reduce surgical site infections (SSI), but compliance is challenging. Clean Cut is a multimodal checklist\u2010based quality improvement initiative to improve compliance with IPC standards. This study evaluates the impact of Clean Cut training workshops to improve IPC compliance when delivered as part of a bundled intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From September 2021 to January 2023, nine Ethiopian hospitals received a bundled intervention that included educational workshops on the WHO Surgical Safety Checklist (SSC) and sterile reprocessing practices. Simultaneously, teams undertook a process mapping exercise of IPC standards to identify process gaps. We performed a time\u2010series analysis to assess changes in compliance with the SSC, instrument, and linen reprocessing in the 4\u00a0months before and after the intervention. We calculated incidence rate ratios (IRR) of compliance and predicted the change in average weekly compliance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We observed 5821 operations, 2876 (49.4%) pre\u2010intervention and 2946 (50.6%) post\u2010intervention. Trends in SSC, instrument, and linen reprocessing compliance improved after the intervention. Average weekly SSC compliance improved 9.1% (RR: 1.09; 95% CI: 1.002\u20131.188;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.044) while compliance with instrument reprocessing improved 12.1% (IRR: 1.12; 95% CI: 1.074\u20131.173;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and linen reprocessing 8.0% (IRR: 1.08, 95% CI: 1.017\u20131.147;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.013).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Workshop delivery coupled with process mapping of infection prevention standards was effective in improving compliance with the SSC and sterile reprocessing as part of a bundled intervention to reduce SSI. Observed improvements that temporally follow this work provide evidence of the value of this intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70177","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T16:18:27Z","timestamp":1763741907000},"page":"87-93","source":"Crossref","is-referenced-by-count":1,"title":["Sterile Reprocessing and Surgical Safety Checklist Training to Improve Perioperative Infection Prevention in\u00a0Ethiopia"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2532-4514","authenticated-orcid":false,"given":"Maia R.","family":"Nofal","sequence":"first","affiliation":[{"name":"Department of Surgery Boston Medical Center Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"},{"name":"Department of Surgery Stanford University  Palo Alto California USA"},{"name":"Global Health Equity Scholars Program (D43TW010540) Fogarty International Center  Washington DC Maryland USA"},{"name":"Lifebox Foundation  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natnael","family":"Gebeyehu","sequence":"additional","affiliation":[{"name":"Lifebox Foundation  Addis Ababa Ethiopia"},{"name":"Department of Surgery Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assefa","family":"Tesfaye","sequence":"additional","affiliation":[{"name":"Lifebox Foundation  Addis Ababa Ethiopia"},{"name":"St. Peter's Specialized Hospital  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Habtamu","family":"Woldeamanuel","sequence":"additional","affiliation":[{"name":"Lifebox Foundation  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senait Bitew","family":"Alemu","sequence":"additional","affiliation":[{"name":"Lifebox Foundation  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara Taye","family":"Haile","sequence":"additional","affiliation":[{"name":"Lifebox Foundation  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tihitena Negussie","family":"Mammo","sequence":"additional","affiliation":[{"name":"Lifebox Foundation  Addis Ababa Ethiopia"},{"name":"St. Peter's Specialized Hospital  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas G.","family":"Weiser","sequence":"additional","affiliation":[{"name":"Department of Surgery Stanford University  Palo Alto California USA"},{"name":"Lifebox Foundation  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"The Checklist Expansion for Antisepsis and Infection Control in Cesarean Section (CLEAN\u2010CS) Trial Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(10)61458\u20104"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(18)30001\u20101"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmsa0810119"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0000000000003944"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b5433"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0000000000000793"},{"key":"e_1_2_13_8_1","unstructured":"Lifebox accessed\u00a0March\u00a018 \u00a02024 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