International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Standardizing Preoperative Hair Removal to Reduce Surgical Site Infection Risk: A Nursing-Led Perioperative Quality Improvement Initiative in a Rural Operating Room

Author(s) Marichu Payot Matig–a, Maria Karmela C. Del Rosario
Country Philippines
Abstract This study evaluated a nursing-led perioperative quality improvement initiative aimed at standardizing preoperative hair-removal practices in the rural operating room of the Community Hospital of Anaconda (CHA) to strengthen perioperative process reliability and reduce modifiable surgical site infection (SSI) risks. Guided by Donabedian’s Structure–Process–Outcome (SPO) Model, the study utilized a perioperative quality improvement initiative (PQII) framework focusing on documentation reliability, staff competency, equipment readiness, workflow efficiency, and SSI-prevention practices. A retrospective baseline audit of 30 surgical cases revealed significant deficiencies, including documentation completeness of only 30%–40%, fewer than 10% of staff with current competency validation in clipper-based hair removal, clipping-related workflow delays of approximately 5 per 100 procedures, and an annual SSI rate of 3.5%. Evidence-based interventions aligned with AORN, CDC, and WHO recommendations were implemented, including a standardized clipper-based hair-removal protocol, competency-based staff training, EHR documentation enhancements, equipment readiness checklists, visual reminders, audit-feedback cycles, and KPI dashboard monitoring. Following implementation, documentation completeness improved to 85% within three months and stabilized between 80% and 90% by Month 6. Staff competency validation reached 92% on first-attempt evaluation and 100% after remediation. Clipping-related workflow delays decreased from 5.0 to 1.2 per 100 procedures, while the SSI rate demonstrated a downward descriptive trend from 3.5% to 2.0%. The findings indicated that structured, low-cost, and sustainable perioperative interventions improved process reliability, strengthened staff competency, enhanced documentation compliance, and supported safer perioperative care in a rural healthcare setting.
Keywords perioperative quality improvement, preoperative hair removal, surgical site infection, rural operating room, perioperative nursing
Field Sociology > Health
Published In Volume 8, Issue 3, May-June 2026
Published On 2026-05-13
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E-ISSN 2582-2160
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