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Background Effective discharge documentation is essential for ensuring patient safety, care continuity, and communication among healthcare providers. However, in resource-limited settings like Sudan, documentation quality is often suboptimal, leading to gaps in care and poor patient outcomes. This quality improvement project (QIP) at Dongola Specialized Hospital aimed to address these challenges by implementing a standardized discharge card and providing targeted staff training. Methods  The study was conducted over two cycles, with data collected from 50 discharge cards in each cycle, selected using a simple randomization technique. The first cycle assessed baseline documentation practices, revealing significant inconsistencies. A standardized discharge card was then developed and implemented, accompanied by training sessions for healthcare providers. The second cycle evaluated the intervention's effectiveness, measuring compliance and completeness of patient information (e.g., clinical summaries, discharge plans, and medication lists). Feedback from healthcare providers and patients was also collected to assess the new system's impact. Results The intervention led to significant improvements in discharge documentation quality. Compliance with the new format increased from 66% in the first cycle to 92% in the second cycle. Completeness of patient information reached 100%, while clinical summaries and discharge plans improved by 40% and 30%, respectively. Medication list accuracy also increased to 88%. Preliminary data indicated a 15% reduction in readmission rates, attributed to clearer postdischarge instructions. However, challenges such as incomplete documentation in certain sections and time constraints for healthcare providers remained. Conclusion The implementation of a standardized discharge card significantly improved the quality of discharge documentation at Dongola Specialized Hospital, contributing to better patient outcomes and reduced readmission rates. The findings highlight the importance of structured documentation and regular audits in enhancing patient safety and care continuity, particularly in resource-limited settings. Ongoing efforts are needed to address remaining challenges, such as incomplete documentation and time constraints, to ensure sustained improvements in the discharge process. This study serves as a model for similar healthcare facilities aiming to improve documentation practices and patient care.

Background Clinical audits serve as a critical tool for quality improvement, evaluating current practices to enhance patient care. Radiology request forms (RRFs) are essential for accurate diagnosis and treatment but often face challenges like incomplete or inaccurate information, illegibility, and non-compliance with established guidelines. This audit aimed to assess the adequacy of RRF completion at Othman Digna Teaching Hospital, Sudan, and implement interventions to improve compliance with guidelines. Materials and methods A prospective audit was conducted between November and December 2024. The first cycle involved assessing 50 randomly selected RRFs for adherence to the Royal College of Radiologists (RCR) guidelines. Interventions included introducing standardized forms and providing physician training. A second cycle of 50 RRFs was evaluated post-intervention. Data were analyzed using descriptive statistics and graphical representations. Results Compliance with eight key standards improved significantly post-intervention. Patient name compliance increased from 98% to 100%, while patient age rose from 12% to 98%. The inclusion of clinical background details and the question to be answered both reached 100% from initial rates of 16% and 4%, respectively. Overall mean compliance improved from 26% to 95.5%. Conclusions The study demonstrated significant improvements in the completion of RRFs following targeted interventions. Regular audits, standardized procedures, and continuous training are essential to sustaining compliance and improving communication between clinicians and radiologists, ultimately enhancing patient care.

 Arterial blood gas (ABG) analysis is a critical diagnostic tool used in emergency and intensive care settings to assess a patient's acid-base balance, ventilation, and oxygenation. Despite its importance, ABG interpretation remains challenging for junior doctors, particularly when dealing with complex cases involving mixed respiratory and metabolic disturbances. This clinical audit was conducted to evaluate the baseline competency of junior doctors in ABG interpretation and to measure the impact of targeted educational interventions.  Aim: This study aims to evaluate the baseline knowledge of junior doctors in ABG interpretation and to assess the impact of targeted educational interventions on improving their interpretation skills.  A prospective, two-cycle clinical audit was conducted at Dongola Teaching Hospital in Northern Sudan, involving 110 questionnaires, 55 in each cycle. The first cycle served as a baseline assessment using structured clinical scenarios based on American Thoracic Society (ATS) guidelines. After identifying deficiencies, educational interventions were implemented over a two-week period. These included focused lectures, visual posters, and small-group case discussions. The second cycle reassessed the same parameters using a revised version of the questionnaire to reduce recall bias. Data were analyzed using SPSS version 25, and statistical significance was evaluated using the chi-square test with p < 0.05 considered significant.  Results: Significant improvements were observed in most key areas of ABG interpretation. The ability to assess compensation improved from 23 (42%) to 40 (72%) (p = 0.002), identifying respiratory vs. metabolic origin increased from 37 (68%) to 50 (90%) (p = 0.005), and detection of mixed acid-base disorders rose from 30 (54%) to 43 (78%) (p = 0.015). The calculation of anion gap improved from 35 (64%) to 47 (86%) (p = 0.009), and basic interpretation of pH disturbances increased from 41 (74%) to 48 (88%) (p = 0.15). Although some gains were not statistically significant, all areas demonstrated clinical relevance and educational benefit.  The findings demonstrate that structured educational interventions can significantly enhance ABG interpretation skills among junior doctors, particularly in resource-limited settings. This audit supports the integration of focused, practical ABG training into routine junior doctor education and highlights the importance of ongoing assessment through audit cycles. Wider adoption of such strategies may contribute to improved diagnostic accuracy, timely interventions, and better patient outcomes.