Identify Existing GapsNCT07899437
Code Blue: Status and Barriers in Egypt.
An observational study of Identify Existing Gaps and Code Blue Systems Organization and Implementation Remain Heterogeneous, and no National Data Are Available on Their Current Status, run by National Hepatology & Tropical Medicine Research Institute at 1 site in Egypt.
Trial summary
In Egypt, Code Blue systems have been introduced in many healthcare institutions; however, their organization and implementation remain heterogeneous, and no national data are available regarding their current status, operational characteristics, quality monitoring, or implementation barriers. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Identify Existing Gaps, Code Blue Systems Organization and Implementation Remain Heterogeneous, and no National Data Are Available on Their Current Status
- How many people
- 110 participants
- Where
- 1 siteEgypt
- Study dates
- 8 Sep 2026to 15 Sep 2026
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: The target population consists of healthcare professionals aged >18 years old directly involved in the organization, management, supervision, or operation of Code Blue systems within their institutions. Eligible respondents include: * Intensive Care physicians * Emergency physicians * Anesthesiologists * Cardiologists * Internal medicine physicians * Nursing supervisors * Hospital administrators * Quality officers * Department heads
Who may be able to join
- Healthcare professionals who:
- Are currently employed in an Egyptian hospital providing inpatient care.
- Have direct knowledge of the hospital's Code Blue system.
- Have worked at the institution for at least six months.
- Provide electronic informed consent.
Who cannot join
- Healthcare workers without knowledge of the institutional Code Blue system.
- Duplicate responses from the same hospital (the most complete response will be retained).
- Hospitals without inpatient services.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Current Status, Structure, and Barriers to Implementation of the Code Blue System in Egyptian Hospitals: A National Cross-sectional Survey
In Egypt, Code Blue systems have been introduced in many healthcare institutions; however, their organization and implementation remain heterogeneous, and no national data are available regarding their current status, operational characteristics, quality monitoring, or implementation barriers. A comprehensive national assessment is therefore needed to identify existing gaps, benchmark current practices against international recommendations, and guide future quality improvement initiatives.
Read the detailed description
This study is a national multicenter cross-sectional survey designed to evaluate the current implementation, organization, resources, and perceived effectiveness of Code Blue systems in Egyptian hospitals.
An electronic questionnaire will be distributed nationwide through professional medical societies, hospital administrations, intensive care networks, emergency medicine societies, nursing associations, and professional social media platforms.
Questionnaire items include multiple-choice questions, dichotomous (Yes/No) responses, Likert-scale ratings, and open-ended questions. The estimated completion time is approximately 7-10minutes.
To ensure equitable contribution from participating hospitals and to minimize potential clustering or overrepresentation of responses from hospitals with larger numbers of healthcare personnel, the number of eligible respondents contributing to the survey from each hospital will be limited to a maximum of 10 participants per hospital. Eligible participants will be selected from healthcare professionals directly involved in or familiar with the Code Blue system, including physicians and nursing staff. This approach will ensure that no single hospital disproportionately influences the overall findings while allowing representation of different professional perspectives within each institution. If more than 10 eligible healthcare professionals from the same hospital are willing to participate, recruitment will be capped at 10 respondents.
- Conditions
- Identify Existing Gaps, Code Blue Systems Organization and Implementation Remain Heterogeneous, and no National Data Are Available on Their Current Status
- Keywords
- Code blue, Cardiopulmonary resuscitation (CPR), Basic life support (BLS), Advanced life support (ALS)
What is being measured
The primary outcome is the main question the study is designed to answer.
Perceived effectiveness
Perceived overall effectiveness of the Code Blue system
Measured: immediately after the survey completion
Secondary outcomes (7)
Availability and organizational characteristics of Code Blue systems
by asking about the presence and duration of the implementation of the code blue system in the hospital
Measured: immediately after the survey completion
Code Blue team structure and readiness
by asking about the 24/7 availability of trained, competent team
Measured: immediately at the time of the survey
Training and preparedness of Code Blue personnel
By asking about mandatory BLS/ALS training
Measured: immediately after the survey completion
Documentation, auditing
by asking about the documentation of Code Blue events and recording of response time, survival to discharge, and neurological outcomes, as well as post-event debriefing and regular case auditing.
Measured: immediately at the time of the survey
Monitoring of quality indicators
by asking about response time, time to first defibrillation, CPR quality, ROSC, survival to discharge, and neurological outcomes.
Measured: immediately at the time of the survey
Barriers against effective implementation
By asking about the presence of staffing, training, communication, delayed response, equipment availability, hospital support, funding, workload, and the presence of written policies.
Measured: immediately after the survey completion
Healthcare professionals' recommendations for strengthening
by asking about the best choice (one/or more); national guidelines, mandatory BLS/ALS certification, a national Code Blue registry, digital reporting, mandatory mock codes, and national accreditation standards.
Measured: immediately after the survey completion
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Oct 2026
- Study start8 Sep 2026
- Primary completion15 Sep 2026
- Study completion15 Sep 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Identify Existing GapsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Cross-sectional
- Enrolment
- 110 participants (actual)
Sponsor and investigators
- Lead sponsor
- National Hepatology & Tropical Medicine Research Institute
- Sponsor type
- Other government
- Responsible party
- Principal investigator, ICU, National Hepatology & Tropical Medicine Research Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07899437
- Sponsor's protocol ID
- Code Blue system
- Status last verified
- Sep 2026
- First submitted
- 3 Oct 2026
- Last updated
- 27 Oct 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Individual participant data (IPD) will not be made publicly available because the dataset contains potentially identifiable information related to participating healthcare professionals and hospitals. De-identified data may be made available from the corresponding author upon reasonable request, subject to ethical and institutional approval and applicable data-protection requirements.
Publications
7. Nuryana A, et al. Barriers to Implementing the Code Blue System in Hospitals: A Scoping Review. Journal of Nursing Practice. 2024.
Biskin Cetin S, Sezgin MG, Coskun M, Sari F, Boztug N. Evaluation of Code Blue Notifications and Their Results: A University Hospital Example. Turk J Anaesthesiol Reanim. 2023 Apr;51(2):105-111. doi: 10.5152/TJAR.2023.22965.
PubMed 37140575Nolan JP, Berg RA, Andersen LW, Bhanji F, Chan PS, Donnino MW, Lim SH, Ma MH, Nadkarni VM, Starks MA, Perkins GD, Morley PT, Soar J; Utstein Collaborators. Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Template for In-Hospital Cardiac Arrest: A Consensus Report From a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia). Resuscitation. 2019 Nov;144:166-177. doi: 10.1016/j.resuscitation.2019.08.021. Epub 2019 Sep 16.
PubMed 31536777
Study at a glance
From the registry record, last updated by the sponsor on 27 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Current Status, Structure, and Barriers to Implementation of the Code Blue System in Egyptian Hospitals: A National Cross-sectional Survey
- ClinicalTrials.gov ID
- NCT07899437
- Acronym / sponsor ID
- Code Blue system
- Conditions
- Identify Existing Gaps, Code Blue Systems Organization and Implementation Remain Heterogeneous, and no National Data Are Available on Their Current Status
- Keywords
- Code blue, Cardiopulmonary resuscitation (CPR), Basic life support (BLS), Advanced life support (ALS)
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 110 participants (actual)
- Lead sponsor
- National Hepatology & Tropical Medicine Research InstituteOther government
- Study start
- 8 Sep 2026 (actual)
- Primary completion
- 15 Sep 2026 (actual)
- Study completion
- 15 Sep 2026 (actual)
- First posted
- 27 Oct 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In Egypt, Code Blue systems have been introduced in many healthcare institutions; however, their organization and implementation remain heterogeneous, and no national data are available regarding their current status, operational characteristics, quality monitoring, or implementation barriers. A comprehensive national assessment is therefore needed to identify existing gaps, benchmark current practices against international recommendations, and guide future quality improvement initiatives.
Detailed description
This study is a national multicenter cross-sectional survey designed to evaluate the current implementation, organization, resources, and perceived effectiveness of Code Blue systems in Egyptian hospitals.
An electronic questionnaire will be distributed nationwide through professional medical societies, hospital administrations, intensive care networks, emergency medicine societies, nursing associations, and professional social media platforms.
Questionnaire items include multiple-choice questions, dichotomous (Yes/No) responses, Likert-scale ratings, and open-ended questions. The estimated completion time is approximately 7-10minutes.
To ensure equitable contribution from participating hospitals and to minimize potential clustering or overrepresentation of responses from hospitals with larger numbers of healthcare personnel, the number of eligible respondents contributing to the survey from each hospital will be limited to a maximum of 10 participants per hospital. Eligible participants will be selected from healthcare professionals directly involved in or familiar with the Code Blue system, including physicians and nursing staff. This approach will ensure that no single hospital disproportionately influences the overall findings while allowing representation of different professional perspectives within each institution. If more than 10 eligible healthcare professionals from the same hospital are willing to participate, recruitment will be capped at 10 respondents.
Study design
- Observational model
- Other
- Time perspective
- Cross-sectional
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- The target population consists of healthcare professionals aged >18 years old directly involved in the organization, management, supervision, or operation of Code Blue systems within their institutions. Eligible respondents include: * Intensive Care physicians * Emergency physicians * Anesthesiologists * Cardiologists * Internal medicine physicians * Nursing supervisors * Hospital administrators * Quality officers * Department heads
Key inclusion criteria (5 listed)
- Healthcare professionals who:
Key exclusion criteria (3 listed)
- Healthcare workers without knowledge of the institutional Code Blue system.
- Duplicate responses from the same hospital (the most complete response will be retained).
- Hospitals without inpatient services.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Perceived effectiveness
Time frame: immediately after the survey completion
Perceived overall effectiveness of the Code Blue system
7 secondary outcomes
Availability and organizational characteristics of Code Blue systems
Time frame: immediately after the survey completion
Code Blue team structure and readiness
Time frame: immediately at the time of the survey
Training and preparedness of Code Blue personnel
Time frame: immediately after the survey completion
Documentation, auditing
Time frame: immediately at the time of the survey
Monitoring of quality indicators
Time frame: immediately at the time of the survey
Barriers against effective implementation
Time frame: immediately after the survey completion
Healthcare professionals' recommendations for strengthening
Time frame: immediately after the survey completion
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Oct 2026.
- Background7. Nuryana A, et al. Barriers to Implementing the Code Blue System in Hospitals: A Scoping Review. Journal of Nursing Practice. 2024.
- Background: PubMed 37140575Biskin Cetin S, Sezgin MG, Coskun M, Sari F, Boztug N. Evaluation of Code Blue Notifications and Their Results: A University Hospital Example. Turk J Anaesthesiol Reanim. 2023 Apr;51(2):105-111. doi: 10.5152/TJAR.2023.22965.
- Background: PubMed 31536777Nolan JP, Berg RA, Andersen LW, Bhanji F, Chan PS, Donnino MW, Lim SH, Ma MH, Nadkarni VM, Starks MA, Perkins GD, Morley PT, Soar J; Utstein Collaborators. Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Template for In-Hospital Cardiac Arrest: A Consensus Report From a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia). Resuscitation. 2019 Nov;144:166-177. doi: 10.1016/j.resuscitation.2019.08.021. Epub 2019 Sep 16.
- Individual participant dataSharing planned: Undecided. Individual participant data (IPD) will not be made publicly available because the dataset contains potentially identifiable information related to participating healthcare professionals and hospitals. De-identified data may be made available from the corresponding author upon reasonable request, subject to ethical and institutional approval and applicable data-protection requirements.
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Identify Existing Gaps and Code Blue Systems Organization and Implementation Remain Heterogeneous, and no National Data Are Available on Their Current Status, run by National Hepatology & Tropical Medicine Research Institute at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Perceived effectiveness (time frame: immediately after the survey completion). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07899437, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Oct 2026.