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FROM PRACTICE TO PERFECTION: A SURGICAL HAND SCRUBBING AUDIT IN INTERNEE TRAINING


Article Information

Title: FROM PRACTICE TO PERFECTION: A SURGICAL HAND SCRUBBING AUDIT IN INTERNEE TRAINING

Authors: Muhammad Asad Javed, Maheer Amjad, Dr. Muhammad Ehsan Shahid, Muhammad Waseem Ashraf, Aamira Parveen, Umnah Noor

Journal: The Research of Medical Science Review

HEC Recognition History
Category From To
Y 2024-10-01 2025-12-31

Publisher: Innovative Education Research Institute

Country: Pakistan

Year: 2025

Volume: 3

Issue: 5

Language: en

Keywords: ComplianceSurgical site infectionsHand hygieneInfection controlWHO guidelinesAudit Cycle

Categories

Abstract

Background: Proper surgical hand scrubbing is essential for maintaining asepsis and preventing surgical site infections (SSIs), which remain a major challenge, particularly in developing countries. Although surgeons understand its importance, many fail to follow the complete protocol, compromising patient safety and increasing the risk of hospital-acquired infections due to inadequate sterilization practices.Methods: A prospective audit assessed surgical hand scrubbing compliance among 25 trainees, including residents and house surgeons. Baseline data were gathered in cycle one, followed by interventions—video demos, hands-on training, and feedback—before cycle two. WHO standard criteria guided pre- and post-intervention assessments. Data was checklist-based, analyzed quantitatively for compliance rates, and qualitatively to explore adherence barriers.Results: In the first audit cycle, overall compliance was 86.25%, which improved to 93.25% after targeted interventions. Significant improvements were observed in previously weak steps, with gains between 30% and 45%. Strong initial compliance steps were maintained. The findings highlight that structured training, feedback, and continuous auditing can significantly enhance adherence to surgical hand hygiene protocols.


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