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Enterprise risk management-based framework for surgical site infection prevention in gynecologic surgery: A
Ying Yang1, Yan Yin2, Shuai Jiang3
1Master of Business Administration, Department of Infection Control, Deyang People's Hospital, affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Deyang, Sichuan, China.
Background:
Gynecologic surgical site infections (SSIs) are influenced by patient, procedural, environmental, and system-level risks. We evaluated an enterprise risk management-informed program for gynecologic SSIs prevention in a tertiary hospital in Western China.
Methods:
This single-center implementation study included all gynecologic surgical procedures except cesarean deliveries. SSIs included superficial incisional, deep incisional, and organ/space infections identified during hospitalization or within 30 days after surgery. A multidisciplinary team used the Committee of Sponsoring Organizations enterprise risk management framework to conduct failure mode and effects analysis and implement staged infrastructure, process, and intelligence-feedback interventions. Semiannual SSI rates from 2022 to 2025 were analyzed descriptively, with rate ratios used for pre-post comparisons.
Results:
During 2022-2025, 123 SSIs occurred after 10,954 gynecologic procedures. SSI rates increased from 1.15% in 2022 H1 to 1.76% in 2023 H2, then decreased to 0.64% in 2025 H2. Compared with 2022-2023, the SSI rate decreased from 1.39% to 0.86% during 2024-2025 (rate ratio, 0.62; 95% CI, 0.43-0.88; P = .008).
Conclusions:
A multidisciplinary risk management program was temporally associated with lower gynecologic SSI rates and may help hospitals translate surveillance findings into staged infection prevention actions.
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