NCT05244928

Team Training and Medication Administration in an Ambulance Service

Team Training and Medication Administration in an Ambulance Service. A Study of a Team Training Interventions' Impact on Medication Administration, Teamwork, and Patient Safety Culture.

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 131 (actual)
• Sponsor: Sykehuset Innlandet HF · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

Medication administration events have the potential to cause patient harm. Frequency of medication administration events in the ambulance services is less known. Effective teamwork has been described as paramount for providing safe and effective patient care in the high-risk ambulance environment. "Team Strategies and Tools to Enhance Performance and Patient Safety®" is an evidence-based team training program released from the Agency for Healthcare Research and Quality. The aims of the study are: (1) to advance the knowledge of medication administration process in the ambulance services, and (2) to study the impact of a team training program on medication administration events, teamwork, and patient safety culture. To address the overall aims, the following research objectives will guide the study: Pre-study: To analyse and validate the psychometric properties of the Norwegian version of the Teamwork Perception Questionnaire for use in an ambulance service. Studies: 1. To determine the frequency of medication administration events in an ambulance service. 2. To describe the medication administration process in an ambulance service according to the "Systems Engineering Initiative for Patient Safety model". 3. To identify the impact of a team training program on the frequency of medication administration events in an ambulance service. 4. To explore ambulance professionals' experiences of teamwork before and after the implementation of a team training program and their experiences with the program. 5. To compare ambulance professionals' perceptions of teamwork and patient safety culture before and after implementation of a team training program. Post-study: To study the association between medication administration events and team training and patient safety culture in an ambulance service. A quasi-experimental, pre- and post-design, provides the framework for the intervention of the team training program in two clusters including seven ambulance stations, in total.

Conditions

• Patient Safety
• Medication Administration

Interventions

Type	Name	Description
OTHER	The team training program "Team Strategies and Tools to Enhance Performance and Patient Safety®"	"Team Strategies and Tools to Enhance Performance and Patient Safety®" is a team training program consisting of an evidence-based set of tools designed to develop teamwork skills with the goal of improving quality in healthcare services and providing safer patient care. In this study, selected tools from the "Team Strategies and Tools to Enhance Performance and Patient Safety®" curriculum have been chosen for implementation over a 4-month period together with a general emphasis on the key principles: communication, leadership, situation monitoring and mutual support. A full day introduction will be held to mark the start of the intervention and each successive month will have a focus on a single key principle with associated tools. A quasi-experimental, pre- post design, provides the framework for the intervention of the team training program in two clusters including seven ambulance stations, in total.

Timeline

• Start date: 2022-01-24
• Primary completion: 2024-01-31
• Completion: 2024-01-31
• First posted: 2022-02-17
• Last updated: 2025-10-06

Locations

1 site across 1 country: Norway