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Nursing process-oriented bundled interventions and digital monitoring may improve surgical site infection preventionNursing Pathways and Digital Tools Help Prevent Surgical Site Infections

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Key Takeaway
Consider implementing continuous nursing pathways and integrated digital monitoring to improve surgical site infection prevention.

This narrative review explores the role of nursing-led interventions in preventing surgical site infections (SSI). The scope includes bundled nursing processes, risk-stratified care, and the integration of digital technologies such as EHR-based screening, remote wound monitoring, and AI-assisted image triage.

The authors synthesize evidence suggesting that moving toward a continuous nursing pathway is more effective than isolated measures. This comprehensive approach includes preoperative risk identification, intraoperative aseptic coordination, and postoperative structured wound assessment. The review emphasizes that the effectiveness of digital tools depends on specific implementation factors, including clearly assigned responsibilities, predefined response timelines, and integration into existing workflows.

Several limitations are noted, including a lack of standardized surveillance, the need for external validation of digital tools, and a lack of cost-effectiveness data. Furthermore, the impact on patient experience and multidisciplinary sustainability is not yet fully established. Clinical application should focus on nurse-led standardized pathways and integrated technologies to improve SSI prevention outcomes.

This review looked at how nurses can better prevent surgical site infections. The research suggests that moving away from single, isolated actions toward a continuous nursing pathway is more effective. This approach includes identifying risks before surgery, ensuring sterile conditions during the operation, and providing structured wound care after the patient leaves the hospital.

Digital tools like electronic health record screening, remote monitoring, and AI-assisted image triage were also reviewed. The findings suggest that these technologies work best when they are part of a clear system. This means there must be defined responsibilities, set timelines for responses, and integrated workflows to make the technology useful for patient safety.

Because this was a narrative review, the evidence is not yet enough to confirm exactly how well these tools perform in every hospital. Many factors still need study, such as how much these programs cost and how they affect the patient experience. For now, the main takeaway is that a consistent, nurse-led plan combined with integrated technology shows promise for improving safety.

What this means for you:
Continuous nursing pathways and integrated digital tools may help prevent infections after surgery.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedJun 2026
View Original Abstract ↓
Surgical site infection (SSI) remains a common healthcare-associated infection and is associated with prolonged hospitalization, readmission, increased costs, and adverse clinical outcomes. Because SSI prevention, detection, and management extend across the preoperative, intraoperative, postoperative, and post-discharge phases, SSI can be regarded as a perioperative outcome closely related to nursing assessment, surveillance, education, and continuity of care. This narrative review summarizes current evidence on perioperative SSI prevention from a nursing perspective, with emphasis on nursing process-oriented bundled interventions, digital surveillance, risk-stratified care, and nurse-led implementation strategies. Current evidence suggests that SSI prevention should move beyond isolated measures and be embedded into a continuous nursing pathway. Preoperative care should focus on risk identification, preparation verification, checklist-based checkpoints, and patient education. Intraoperative nursing should emphasize aseptic coordination, environmental control, physiological support, and actionable handover. Postoperative and post-discharge care should strengthen structured wound assessment, incision care, remote follow-up, and timely escalation of abnormalities. Digital tools, including electronic health record-based screening, remote wound monitoring, artificial intelligence-assisted image triage, and digital risk stratification, may extend nursing surveillance, but their effectiveness depends on clearly assigned responsibilities, predefined response timelines, workflow integration, and quality indicators. Nurse-led standardized pathways, stratified education, team training, and audit-feedback mechanisms are essential for translating evidence-based SSI prevention into stable clinical practice. Future research should further evaluate implementation quality, surveillance standardization, external validation of digital tools, cost-effectiveness, patient experience, and multidisciplinary sustainability.
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