Audit and re-audit regarding the current practice of ABCDE approach in the emergency department at selected university hospitals in Syria

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-09-29 DOI:10.1016/j.ienj.2025.101691

Ahmad Batieh , Nagham Alsaid Abdullah Altwer , Abdulkader Mehli , Mohamed Amsha , Batoul Al Zoubi , Zafer Hadaki , Bayan Alsaid

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引用次数: 0

Abstract

Background

The ABCDE approach (Airway, Breathing, Circulation, Disability, Exposure) is crucial for the initial assessment and treatment of critically ill patients. However, previous studies have shown suboptimal adherence to this protocol, highlighting the need for clinical audits.

Aim

To evaluate the extent of application of the ABCDE approach and to discover the obstacles that prevent them from being applied in internal emergency Department at selected university hospitals in Syria.

Methods

A clinical audit was conducted over two cycles at two university hospitals (hospital A and B), involving 160 patients. The first cycle took place from November 6 to November 19, 2023, and the second one from March 31 to April 9, 2024. Twenty-nine criteria based on World Health Organization guidelines were assessed using a checklist completed by a data collection group. The snapshot sampling method was used in determining the sample size and the convenient method to select patients. After the first cycle, findings were presented locally, leading to formulated recommendations.

Results

Both Hospitals showed improvement in compliance rates over the second cycle. Hospital A achieved 17.2% in the second cycle, while hospital B reached 20.6%. Hospital B had fewer declines and more criteria met, indicating a more favourable trend in patient care standards overall.

Conclusion

The audit also identified barriers to adherence, such as issues related to wearing gloves and ensuring patient privacy. The study concluded that regular clinical audits enhance the application of the ABCDE approach and improve healthcare delivery, emphasizing the need for ongoing research in this area.

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对叙利亚选定大学医院急诊科目前采用ABCDE方法的做法进行审计和再审计。

背景：ABCDE方法（气道、呼吸、循环、残疾、暴露）对危重患者的初步评估和治疗至关重要。然而，先前的研究表明，该方案的依从性不是最佳的，这突出了临床审计的必要性。目的：评估ABCDE方法的应用程度，并发现阻碍其在叙利亚选定大学医院的内部急诊科应用的障碍。方法：在两所大学附属医院（A医院和B医院）进行两个周期的临床审计，涉及160例患者。第一个周期发生在2023年11月6日至11月19日，第二个周期发生在2024年3月31日至4月9日。根据世界卫生组织准则的29项标准，使用由数据收集组完成的清单进行评估。采用快照抽样法确定样本量，方便选择患者。在第一个周期之后，在当地提出了调查结果，从而拟订了建议。结果：两家医院在第二周期的依从率均有改善。A医院第二周期达到17.2%，B医院达到20.6%。B医院的下降更少，符合的标准更多，表明患者护理标准总体上有更有利的趋势。结论：审计还发现了坚持的障碍，例如戴手套和确保患者隐私相关的问题。该研究的结论是，定期临床审计加强了ABCDE方法的应用，改善了医疗保健服务，强调了在这一领域进行持续研究的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.