Improving Documentation of Surgical Site Infection Prevention Measures Through a Digital Quality Improvement Intervention: A Two-Cycle Clinical Audit at Al Managil Teaching Hospital, Sudan

BackgroundSurgical site infections (SSIs) remain an important cause of postoperative morbidity, particularly in resource-limited healthcare settings.Reliable implementation and documentation of evidence-based perioperative preventive measures are essential for reducing SSI risk.This quality improvement project assessed changes in documented perioperative SSI prevention measures following implementation of a structured digital documentation system supported by targeted staff education in a Sudanese teaching hospital. MethodsA two-cycle clinical audit was conducted in the Surgical Department of Al Managil Teaching Hospital, Sudan, between 1 June and 31 August 2026.Cycle 1 comprised a two-week retrospective audit of 51 surgical patients, followed by a one-month intervention incorporating the Clinical Audit System for Surgical Site Infection Prevention (CASSSI), targeted staff education, and reinforcement of evidence-based SSI prevention and documentation practices.Cycle 2 was conducted prospectively over approximately six weeks and included 48 patients, with data obtained from clinical records and direct observation using CASSSI.Audit items were informed primarily by the World Health Organization SSI prevention recommendations.Whole-cohort proportions of documented affirmative responses were compared using Pearson's chi-square or Fisher's exact test, as appropriate.A two-sided p < 0.05 was considered statistically significant, without adjustment for multiple comparisons.