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Article History

Received: 9 December 2025

Accepted: 9 April 2026

First Online: 17 April 2026

Declarations

:

: This study was conducted as part of an internal quality improvement initiative at the American University of Beirut Medical Center (AUBMC). The project was reviewed and approved by the AUBMC Quality Advisory Council, the institutional body responsible for oversight of quality improvement activities. In accordance with AUBMC institutional policy and applicable regulations, quality improvement projects do not require review or approval by the American University of Beirut Institutional Review Board (IRB); therefore, formal IRB approval was not required, and no reference number was issued. All participants provided informed consent prior to participation, and the study was conducted in accordance with ethical principles, including those outlined in the Declaration of Helsinki.

: Not applicable.

: The authors declare no competing interests.