5 Key Takeaways

• 1

  Postoperative endophthalmitis (POE) is a significant complication of intraocular surgery, with incidence rates having decreased over time.

• 2

  A multifaceted safety intervention was introduced at Fudan University Eye and ENT Hospital in late 2019 to improve surgical safety culture.

• 3

  The intervention included visual safety cues, biweekly training, standardized instrument regulation, microbial sampling, and performance reviews.

• 4

  POE rates fell from 0.038% before the intervention to 0.013% afterward, indicating a 64.4% reduction in incidence.

• 5

  The study suggests that surgical safety may be influenced by behavioral and organizational changes rather than solely by antibiotic practices.