ArticleCureus2026
Improving Physicians' Adherence to the American Heart Association Guidelines for Airway Management: A Clinical Audit at Almanagil Teaching Hospital.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
23 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Effective airway management is a critical component of cardiopulmonary resuscitation (CPR) and emergency care. Deficiencies in healthcare professionals' knowledge of and adherence to evidence-based airway management principles may compromise the quality of resuscitation and patient outcomes. This study aimed to evaluate the effectiveness of a multifaceted quality improvement intervention in improving healthcare professionals' knowledge of and adherence to Advanced Cardiovascular Life Support (ACLS) airway management principles through a closed-loop clinical audit. Methods A prospective closed-loop clinical audit was conducted at Almanagil Teaching Hospital, Sudan. The first audit cycle was performed over two weeks (1 March-14 March 2026) and included 50 healthcare professionals comprising house officers, medical officers, and registrars. Baseline knowledge of airway management was assessed using a structured questionnaire based on the 2025 American Heart Association (AHA) ACLS guidelines. Following the initial assessment, a one-month quality improvement program incorporating structured educational sessions, practical demonstrations, educational materials, visual reminders, and regular feedback was implemented. A second audit cycle involving 50 participants was conducted over two months (15 April-14 June 2026) using the same methodology. Compliance rates between audit cycles were compared using the chi-square test, with statistical significance defined as p<0.05. Results Marked improvements were observed across most assessed airway management domains following implementation of the quality improvement intervention. Significant improvements were demonstrated in minimizing interruptions in chest compressions during intubation (66.0% vs. 96.0%, p 0.001), use of waveform capnography for airway confirmation (66.0% vs. 98.0%, p<0.001), knowledge of the maximum recommended interruption time during CPR (46.0% vs. 98.0%, p<0.001), continuous chest compressions following advanced airway placement (8.0% vs. 68.0%, p<0.001), knowledge of airway adjuncts (42.0% vs. 82.0%, p<0.001), understanding of the significance of end-tidal carbon dioxide (ETCO₂) during CPR (48.0% vs. 88.0%, p<0.001), and leadership during resuscitation (78.0% vs. 98.0%, p=0.002). Although improvements were also observed in bag-valve-mask ventilation, recognition of poor airway management practices, and knowledge of hyperventilation, these changes did not reach statistical significance. Conclusions A structured, multifaceted educational intervention implemented through a closed-loop clinical audit was associated with significant improvements in healthcare professionals' knowledge of and adherence to evidence-based airway management principles. Regular clinical audit, targeted education, practical reinforcement, and continuous feedback represent feasible and effective quality improvement strategies for strengthening airway management practices, particularly in resource-limited healthcare settings. Continued re-audit and competency-based training are recommended to sustain these improvements and promote safer emergency care.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.