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World J Gastrointest Surg. Mar 27, 2026; 18(3): 114647
Published online Mar 27, 2026. doi: 10.4240/wjgs.v18.i3.114647
Published online Mar 27, 2026. doi: 10.4240/wjgs.v18.i3.114647
Application of Plan-Do-Check-Act cycle based on software, hardware, environment, liveware model in preventing infection after endoscopic mucosal resection
Wen Li, Department of Nursing, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan 030032, Shanxi Province, China
Chun Liu, Department of Public Health, Minzu Street Community Health Service Center, Wuhan 430000, Hubei Province, China
Hai-Yan Zhang, Department of Gastroenterology, The Second People’s Hospital of Huai’an, Huai’an 223001, Jiangsu Province, China
Co-first authors: Wen Li and Chun Liu.
Author contributions: Li W and Liu C contributed to research design, data collection, data analysis, and paper writing; Zhang HY was responsible for research design, funding application, data analysis, reviewing and editing, communication coordination, ethical review, copyright and licensing, and follow-up; and all authors have read and approved the final manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Shanxi Bethune Hospital, approval No. YXLL-2025-069.
Informed consent statement: All research participants or their legal guardians provided written informed consent prior to study registration.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No other data available.
Corresponding author: Hai-Yan Zhang, Chief Nurse, Department of Gastroenterology, The Second People’s Hospital of Huai’an, No. 62 Huaihai South Road, Huai’an 223001, Jiangsu Province, China. zhy810525zhy@163.com
Received: October 31, 2025
Revised: December 5, 2025
Accepted: January 16, 2026
Published online: March 27, 2026
Processing time: 147 Days and 4.1 Hours
Revised: December 5, 2025
Accepted: January 16, 2026
Published online: March 27, 2026
Processing time: 147 Days and 4.1 Hours
Core Tip
Core Tip: This study validated the value of a collaborative intervention based on the Software, hardware, environment, liveware model of an integrated Plan-Do-Check-Act cycle in preventing infections after endoscopic mucosal resection. The findings emphasize the interplay of systematic risk identification and dynamic quality improvement in reducing surgical site infections and accelerating postoperative recovery. The comprehensive model effectively reduced infection rates and facilitated patient recovery, providing a practical tool for standardized perioperative management. This study fills a gap in systemic infection control in endoscopic surgery and highlights the need for risk analysis and iterative optimization in care management.