Enhancing first-attempt success in radial artery cannulation: a PDCA-driven approach for anesthesiology residency training
ObjectiveThis study aimed to evaluate the effectiveness of the Plan-Do-Check-Act (PDCA) cycle in improving the first-attempt success rate of radial artery cannulation among anesthesiology residents undergoing standardized training.MethodsEighty-six residents from Sichuan Provincial People's Hos...
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Frontiers Media S.A.
2025-03-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1564760/full |
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| author | Meng Zhang Shuchuan Zhao Fangjing Bai Shanshan Yu Huixian Zhou Siyuan Song Guangmin Xu |
| author_facet | Meng Zhang Shuchuan Zhao Fangjing Bai Shanshan Yu Huixian Zhou Siyuan Song Guangmin Xu |
| author_sort | Meng Zhang |
| collection | DOAJ |
| description | ObjectiveThis study aimed to evaluate the effectiveness of the Plan-Do-Check-Act (PDCA) cycle in improving the first-attempt success rate of radial artery cannulation among anesthesiology residents undergoing standardized training.MethodsEighty-six residents from Sichuan Provincial People's Hospital, comprising 70 anesthesiology and 16 non-anesthesiology residents, were randomly divided into a control group and a PDCA group, each with 43 participants. Key outcomes assessed included first-attempt success rate, procedure duration, ultrasound utilization, preparation errors, and complication rates.ResultsIn anesthesiology residents, the PDCA group achieved a significantly higher first-attempt success rate (94%, 31/33) compared to the control group (43%, 16/37; P < 0.001). Among non-anesthesiology residents, the PDCA group also outperformed the control group, with success rates of 80% (8/10) vs. 33% (2/6; P = 0.048). Procedure duration was notably shorter in the PDCA group for both anesthesiology residents (median: 0.80 min, IQR: 0.50–2.30) and non-anesthesiology residents (median: 1.50 min, IQR: 0.70–3.00), compared to the control group (4.10 min, IQR: 3.10–5.90, and 3.70 min, IQR: 2.50–5.00; P < 0.001 and P = 0.026, respectively). Additionally, ultrasound usage was higher in the PDCA group, and assessment scores showed improvement, though the latter did not reach statistical significance.ConclusionThe PDCA cycle significantly enhances the first-attempt success rate and efficiency of radial artery cannulation while promoting greater adoption of ultrasound. These findings highlight its value in advancing standardized training for anesthesiology residents. |
| format | Article |
| id | doaj-art-a0fbab20013848cf8f5a041cc5a51628 |
| institution | DOAJ |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-a0fbab20013848cf8f5a041cc5a516282025-08-20T02:57:53ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-03-011210.3389/fsurg.2025.15647601564760Enhancing first-attempt success in radial artery cannulation: a PDCA-driven approach for anesthesiology residency trainingMeng Zhang0Shuchuan Zhao1Fangjing Bai2Shanshan Yu3Huixian Zhou4Siyuan Song5Guangmin Xu6Department of Anesthesiology, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Anesthesiology, Bazhou District People's Hospital, Sichuan, ChinaDepartment of Anesthesiology, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Anesthesiology, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaInternal Medicine Department, Montefiore Medical Center Wakefield Campus, New York, NY, United StatesDepartment of Neuroscience, Baylor College of Medicine, Houston, TX, United StatesDepartment of Anesthesiology, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, ChinaObjectiveThis study aimed to evaluate the effectiveness of the Plan-Do-Check-Act (PDCA) cycle in improving the first-attempt success rate of radial artery cannulation among anesthesiology residents undergoing standardized training.MethodsEighty-six residents from Sichuan Provincial People's Hospital, comprising 70 anesthesiology and 16 non-anesthesiology residents, were randomly divided into a control group and a PDCA group, each with 43 participants. Key outcomes assessed included first-attempt success rate, procedure duration, ultrasound utilization, preparation errors, and complication rates.ResultsIn anesthesiology residents, the PDCA group achieved a significantly higher first-attempt success rate (94%, 31/33) compared to the control group (43%, 16/37; P < 0.001). Among non-anesthesiology residents, the PDCA group also outperformed the control group, with success rates of 80% (8/10) vs. 33% (2/6; P = 0.048). Procedure duration was notably shorter in the PDCA group for both anesthesiology residents (median: 0.80 min, IQR: 0.50–2.30) and non-anesthesiology residents (median: 1.50 min, IQR: 0.70–3.00), compared to the control group (4.10 min, IQR: 3.10–5.90, and 3.70 min, IQR: 2.50–5.00; P < 0.001 and P = 0.026, respectively). Additionally, ultrasound usage was higher in the PDCA group, and assessment scores showed improvement, though the latter did not reach statistical significance.ConclusionThe PDCA cycle significantly enhances the first-attempt success rate and efficiency of radial artery cannulation while promoting greater adoption of ultrasound. These findings highlight its value in advancing standardized training for anesthesiology residents.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1564760/fullPlan-Do-Check-Actteaching methodstandardized trainingradial artery cannulationanesthesiology |
| spellingShingle | Meng Zhang Shuchuan Zhao Fangjing Bai Shanshan Yu Huixian Zhou Siyuan Song Guangmin Xu Enhancing first-attempt success in radial artery cannulation: a PDCA-driven approach for anesthesiology residency training Frontiers in Surgery Plan-Do-Check-Act teaching method standardized training radial artery cannulation anesthesiology |
| title | Enhancing first-attempt success in radial artery cannulation: a PDCA-driven approach for anesthesiology residency training |
| title_full | Enhancing first-attempt success in radial artery cannulation: a PDCA-driven approach for anesthesiology residency training |
| title_fullStr | Enhancing first-attempt success in radial artery cannulation: a PDCA-driven approach for anesthesiology residency training |
| title_full_unstemmed | Enhancing first-attempt success in radial artery cannulation: a PDCA-driven approach for anesthesiology residency training |
| title_short | Enhancing first-attempt success in radial artery cannulation: a PDCA-driven approach for anesthesiology residency training |
| title_sort | enhancing first attempt success in radial artery cannulation a pdca driven approach for anesthesiology residency training |
| topic | Plan-Do-Check-Act teaching method standardized training radial artery cannulation anesthesiology |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1564760/full |
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