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Enrolling by invitation Observational

Application of PDCA Cycle in Tracheal Intubation Training for Emergency Medicine Residents

NCT07146984 · tracked via the Priya Life Science China tracker
Sponsor
Guangzhou Panyu Central Hospital
Phase
Observational
Started
2024-10-01
Last updated
2025-09-22

Condition(s) studied

Tracheal IntubationMedical Education

Investigational drug(s) / intervention(s)

Behavioral (Educational Training Program)

Behavioral (Educational Training Program): A structured training program for emergency medicine residents based on the Plan-Do-Check-Act (PDCA) cycle. The intervention includes didactic teaching, simulation-based airway management practice, supervised clinical intubation, iterative performance assessment, and feedback-driven improvement.

Study summary

Tracheal intubation is a critical but technically demanding procedure in emergency airway management. Junior emergency medicine residents often struggle to achieve proficiency, leading to increased risks of complications. This study evaluates the effectiveness of a Plan-Do-Check-Act (PDCA) cycle-based training program in improving intubation skills.

The study was conducted in the emergency department of a tertiary teaching hospital. Residents performing intubations in 2023 with conventional training served as the control group, while those trained with the PDCA model in 2024 formed the intervention group. The PDCA program included structured lectures, high-fidelity simulation, supervised clinical practice, and iterative feedback.

Primary outcomes were first-attempt success rate and intubation completion time. Secondary outcomes included incidence of local airway trauma, extubation failure due to airway injury within 72 hours, and resident satisfaction. This study aims to provide evidence that PDCA-based training can enhance procedural competency, safety, and learner satisfaction in emergency airway management.

Eligibility

Sex
ALL
Min age
25 Years
Max age
45 Years
Healthy volunteers
No
Inclusion Criteria: * Emergency medicine residents rotating in the emergency department during the study period. * Residents who are required to perform tracheal intubation as part of clinical training. * Residents who have completed baseline theoretical and simulation-based airway management training. * Voluntary participation with written informed consent. Exclusion Criteria: * • Residents who refuse to participate or withdraw consent. * Residents with prior advanced airway fellowship training or extensive intubation experience (\>50 independent intubations). * Residents who are unable to complete the full PDCA-based training program due to absence or rotation schedule. * Any medical condition or circumstance deemed by investigators to interfere with participation or data integrity.

Primary outcome measure(s)

  • First-Attempt Success Rate of Tracheal Intubation — Within procedure (immediately at time of intubation)
    The proportion of tracheal intubation attempts by emergency medicine residents successfully completed on the first attempt, as verified by standard clinical confirmation (e.g., chest rise, end-tidal CO₂, auscultation, chest X-ray).

Trial sites (1)

FacilityCityRegionStatus
The Affiliated Panyu Central Hospital, Guangzhou Medical University Guangzhou Guangdong
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07146984 on ClinicalTrials.gov ↗ ← All trials in China