Seedlabs

FirstPass Registry: DAS 2025 Airway Audit and Benchmarking Module

A dashboard that tracks how often doctors succeed on their first attempt to insert breathing tubes.

A records-and-dashboard add-on that captures how every intubation went — first-attempt success, oxygen continuity, confirmation, escalations — and shows hospital departments how their performance compares to the new 2025 national standard.

MedicineAirway Management and Intubation Techniques
Microbial Symbiosis and ResistanceHospital quality improvement and anesthesia informatics — airway event registry and benchmarking.

Concept

A structured documentation-and-audit module that plugs into anesthesia and ED information systems. After each intubation, the clinician completes a 30-second structured event form: number of attempts, devices used, whether oxygen delivery was continuous, waveform capnography confirmation, any escalation to Plan B/C/D, and complications. The module auto-compiles events into department dashboards — first-attempt success rate, capnography-confirmation rate, algorithm-escalation adherence, and emergency front-of-neck airway events — each benchmarked against the DAS 2025 recommendations. Outlier events, such as repeated failed Plan A attempts with no escalation, are flagged automatically for morbidity-and-mortality review. The single wedge: the 2025 guideline redefines success as first-pass intubation rather than failure rescue; this product is the measurement system that tells a department whether it actually achieves that standard.

Why now

Paper [0] explicitly includes documentation among the 65 recommendation domains of the DAS 2025 guideline, alongside education and training, and shifts the stated philosophy toward maximising the chances of success rather than the avoidance and management of failure. First-attempt success, oxygen continuity, and capnography confirmation are now consensus-defined, auditable metrics — yet they are captured inconsistently in current anesthesia records. The scale of the evidence behind the standard (1241 papers reviewed, 65 recommendations from a 3-round Delphi and multidisciplinary consensus) gives hospitals an authoritative benchmark to audit against, and the guideline's emphasis on ongoing education implies a feedback loop that only exists if events are captured systematically.

Written by GLM · 9 Oct 2026

AI assessment

Backed by 1 paper86

A timely, high-utility compliance and quality tool that leverages a major guideline shift to create a necessary measurement layer for hospital airway safety.

Evidence strength
5/5
The idea is directly derived from the DAS 2025 guidelines, which explicitly include documentation as a recommendation domain and provide the specific metrics (first-pass success, oxygen continuity) required for the product.
Market pull
4/5
Hospital quality departments and anesthesia leads have a strong mandate for morbidity-and-mortality (M&M) reviews and regulatory compliance, making them likely buyers of a standardized audit tool.
Novelty & moat
3/5
While it differs from the 'AirwayLadder' (which is a real-time aid), it is a standard registry/benchmarking play; however, its specificity to the 2025 standard provides a temporary competitive edge.
Feasibility
4/5
The MVP is a structured form and a dashboard, which is technically simple to build, though integration with EHRs like Epic remains the primary implementation hurdle.
Wedge clarity
5/5
The wedge is exceptionally sharp: the transition to the 2025 standard creates an immediate need for a tool that defines and measures 'success' according to the new rules.
Simplicity / focus
5/5
The product is focused on a single, clear function: capturing intubation data and benchmarking it against a specific standard.

Scored by Gemma 4 · 9 Oct 2026. Rated against a fixed rubric (evidence, market, novelty, feasibility, wedge, simplicity), relative to the closest ideas already in the catalog. A prior estimate to compare ideas before real-world signal arrives.

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Who benefits

  • Anesthesia Quality Instituteorganization

    Operates NACOR, the largest U.S. anesthesia outcomes registry; a guideline-defined airway metric set (first-pass success, capnography confirmation, escalation adherence) is exactly the standardized data it aggregates for member hospitals.

  • Royal College of Anaesthetistsorganization

    Ran the NAP4 national airway audit with DAS; a turnkey event-capture module sharply lowers the cost of the next national airway audit conducted under the 2025 standard.

  • Kaiser Permanentecompany

    An integrated delivery system with system-level anesthesia quality programs; benchmarking first-attempt success across its hospitals pinpoints the departments that need targeted airway training.

  • Epic Systemscompany

    Its Anesthesia documentation module could carry the structured airway event form; post-2025, guideline-concordant airway documentation becomes a feature hospitals will ask their EHR vendor for.

Research it builds on

  1. Difficult Airway Society 2025 guidelines for management of unanticipated difficult tracheal intubation in adults
    Imran Ahmad, Kariem El‐Boghdadly, H. A. Iliff et al. · 2025 · 176 citations
    All ideas from this paper →
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feasibility