"Eyes wide open": A consciousness-based cultural model for infection control in the operating room

Abstract

Surgical site infections (SSIs) are among the most preventable yet persistent complications in modern surgical care. Despite advancements in sterile techniques, antibiotics, and environmental controls, infections continue to affect patient recovery and healthcare systems. This paper proposes a novel consciousness-based cultural model The Eyes Wide Open Approach which integrates emotional intelligence, ethical responsibility, and continuous awareness into the operating room (OR) culture. Rather than replacing technical precision, this approach complements it, anchoring infection prevention in shared vigilance, team empowerment, and a deep moral connection to the patient's safety.