At a point, one surgeon discovered that, with incontestable proof, and started advocating for hand-washing. When almost all surgeons noticed that something so simple and easy had that much impact, they immediately adopted it and saved a lot of suffering from their patients...
Ok, of course they didn't. Almost everybody fought the few wand-washing advocates, tried to shame and discredit them, tried to generate bullshit evidence saying that it didn't help, tried to convince everybody that it didn't matter, all the time denying to themselves that it worked. Surgeons only started washing unanimously their hands when that generation of them retired.