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

NCT07146984 | Enrolling By Invitation DMC

• 1 other identifier: PYRC-2024-280-01
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Tracheal Intubation; Medical Education

Keywords

PDCA cycle; emergency medicine; tracheal intubation; medical education

Outcome Measures

Primary Outcomes (1)

• First-Attempt Success Rate of Tracheal 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).

  Within procedure (immediately at time of intubation)

Secondary Outcomes (4)

• Intubation Completion Time

  Periprocedural (measured once during each intubation attempt, from laryngoscope insertion to confirmed tracheal tube placement, using a stopwatch

• Incidence of Local Airway Trauma

  Assessment was performed immediately after completion of intubation and within 5 minutes post-procedure, by direct laryngoscopic visualization or suction catheter inspection

• Extubation Failure Due to Airway Injury

  Assessment was performed within 72 hours following planned extubation. Patients were monitored for the need of reintubation, and airway injury was confirmed by laryngoscopy when extubation failure occurred.

• Mean Questionnaire Score on Learning Experience and Perceived Training Value

  Immediately after completion of the training session (within 24 hours).

Study Arms (1)

PDCA Cycle-Based Training Intervention

The Plan-Do-Check-Act (PDCA) cycle Based Training Intervention

Behavioral: Behavioral (Educational Training Program)

Interventions

Behavioral (Educational Training Program) BEHAVIORAL

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.

PDCA Cycle-Based Training Intervention

Eligibility Criteria

• Age: 25 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Emergency medicine residents from the Department of Emergency, Panyu Central Hospital, Guangzhou Medical University, China. Participants were postgraduate residents rotating in the emergency department during the study period and were required to perform tracheal intubation as part of their clinical training.

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Guangzhou Panyu Central Hospital: lead

Study Sites (1)

The Affiliated Panyu Central Hospital, Guangzhou Medical University

Guangzhou, Guangdong, 511000, China

Location

Study Officials

• yingshen wen

  Department of emergency, The Affiliated Panyu Central Hospital, Guangzhou Medical University, China

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 6 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Chief Physician

Study Record Dates

• First Submitted: August 16, 2025
• First Posted: August 28, 2025
• Study Start: October 1, 2024
• Primary Completion: September 30, 2025
• Study Completion: September 30, 2025
• Last Updated: September 22, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)