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Background The health system in Sudan was severely compromised by the ongoing conflict, jeopardizing the lives of millions of vulnerable people suffering from chronic health conditions, including diabetic patients. This study explored the experiences of diabetic patients, focusing on the challenges they faced in accessing medical consultations, medications, and blood glucose monitoring during the ongoing war. Methods A descriptive facility-based cross-sectional study was conducted across seven hospitals and diabetes centers in Sudan from May to July 2024, enrolling 350 diabetic patients. Convenient sampling was used to select the participants from the outpatient clinics of the targeted health facilities. Data was collected by interviewing patients using a structured questionnaire. Results Sixty percent of participants faced challenges accessing medications, with drug shortages (65.9%), the closure of pharmacies (44.1%), and safety concerns (39.8%) being the major barriers. Insulin users experienced significant difficulties, with 69.1% reporting problems storing their medications due to frequent power outages. The majority of patients (81.1%) faced challenges accessing medical care during the war. The most common difficulties included transportation issues and long wait times or overcrowding. The war disrupted the healthy eating habits of 34.9% of patients. Moreover, 54.3% of patients experienced a decline in blood sugar testing frequency, often due to the unavailability of laboratories and financial constraints. Displaced patients and patients in Al Mangal City suffered the most from these challenges. Conclusion This study reveals the devastating impact of the ongoing conflict on diabetes care in Sudan. Severe disruptions to healthcare access, including medication shortages and limited resources, have forced patients to adopt hazardous coping mechanisms. Urgent action is needed, including humanitarian aid and innovative interventions, to ensure equitable and sustainable diabetes care for all Sudanese patients.

The transfusion quality improvement project (QIP) serves as a valuable tool for assessing and educating individuals who request blood components. The World Health Organization (WHO) recommends that each institution utilize a blood transfusion request form to ensure the effective conveyance of patient information to the hospital's blood bank. This QIP aimed to implement a transfusion request form and measure compliance with its use. A prospective study was conducted at Al Managil Teaching Hospital, Sudan, from May 1 to August 3, 2024, to address the lack of standardized transfusion request forms. The study included three cycles involving pre-intervention analysis, two phases of intervention with training sessions, and post-intervention evaluations. The interventions focused on developing and implementing a new transfusion request form, training clinical physicians, and reinforcing the form's use. Data from 100 randomly selected transfusion request forms were analyzed for completeness and adherence. The study showed significant improvements in the completeness of transfusion request forms across three cycles. In the first cycle, no data were collected, highlighting the absence of standardized forms. During the second cycle, with the introduction of the new form, the completion rates varied: some fields, such as patient information and clinical details, were fully completed in 50 cases (100%), while critical clinical parameters, such as current hemoglobin (Hb) and platelet (PLT) levels, were completed in only four requests (8%). By the third cycle, there was a substantial increase in completion rates across all domains. For example, patient information fields achieved 100% completion in 50 cases, and clinical parameters saw significant improvement, with current Hb and PLT levels documented in 48 cases (96%). The mean percentage completion increased from 68.1% in the second cycle to 97.9% in the third cycle, demonstrating the effectiveness of the interventions and training sessions. Minor decreases were observed in health insurance documentation and certain clinical details, indicating areas for further improvement. The systematic implementation and iterative evaluation of transfusion request forms significantly enhanced documentation completeness.

Inadequate discharge documentation at Almanagil Teaching Hospital posed significant risks to patient safety and continuity of care, consistent with challenges seen in similar healthcare settings. The hospital aimed to address these gaps by enhancing the completeness, accuracy, and clarity of surgical discharge documentation through the development and implementation of a standardized discharge card, coupled with targeted staff training. A prospective quality improvement project was conducted in two cycles (May-June 2025), involving audits of 44 (First Cycle) and 51 (Second Cycle) surgical discharge cards. Following baseline assessments, a structured discharge card was developed and implemented, along with targeted clinical staff training. Post-intervention audits revealed substantial improvements. Documentation of telephone number and address rose from 0 (0%) to 47 (92.2%) and 49 (96.1%), respectively. The number of hospital file entries increased from 29 (65.9%) to 49 (96.1%). Referrers' names, roles, organizations, and contact details improved from less than three (6.8%) to 51 (100%). Clinical elements, such as documentation of intraoperative and postoperative complications, rose from nine (20.5%) and eight (18.2%) to 51 (100%). Overall compliance increased from 52.9% to 94.6%, marking a 41.7% gain. The intervention significantly enhanced discharge documentation quality, reinforcing standardization, patient safety, and accountability. The model is scalable to similar resource-limited settings and warrants sustained auditing and ongoing training for long-term impact.

Background: Owing to its importance in detecting airway, lung, heart, blood vessel, and bone problems, chest radiography is the most prevalent diagnostic test. To ensure accuracy, the images must be evaluated technically. Once images are sufficiently good, radiologists can interpret radiographs more confidently and clinicians can diagnose them accurately. We aimed to evaluate and improve the technical posteroanterior (PA) chest X-ray (CXR) procedure.Methodology: A Retrospective, Prospective observational audit conducted at Managil Teaching Hospital and adjacent private radiology clinics in the 1st cycle 21 CXR was gathered and compared to the American College of Radiology (ACR) standards, and an initial Microsoft Excel® analysis identified substantial radiographic quality issues. Based on these findings, radiology staff training was ensued, and clinicians used a predesigned questionnaire to check the completeness of the requested image. Moreover, the department publicly posted posters defining quality PA CXR requirements based on ACR guidelines. These interventions were followed by data collection and analysis in the 2nd cycle with 41 CXR. The total sample size of the study was 62 patients.Results: A total of 41 CXR images were included in the study, 21 in the 1st cycle and 20 in the 2nd cycle, in the first cycle the collected data were compared with the ACR standards, A significant improvement was observed in most areas after the 2nd cycle, for instance the first criteria was the CXR should be Performed at full inspiration it was only in 67.20% during the 1st cycle and 90% in the 2nd cycle.Conclusion: The medical audit shows that the quality improvement efforts of the Managil Teaching Hospital have improved the PA CXR technicalities. Following the standards of the American College of Radiology (ACR) standards, the audit showed improvements in most anatomical imaging criteria post-intervention.