Team Training and Medication Administration in an Ambulance Service (TEAM-AMB)

Sykehuset Innlandet HF

Status: Completed

Conditions: Patient Safety; Medication Administration

Treatments: Other: The team training program "Team Strategies and Tools to Enhance Performance and Patient Safety®"

Study type: Interventional

Funder types: Other

Identifiers

NCT05244928

16797830

Details and patient eligibility

About

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.

Enrollment: 131 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria pre-study

• Ambulance professionals employed in the ambulance services

Exclusion criteria pre-study

• Under 18 years of age

Inclusion criteria study 1 and 3

• EPJs for patients who are transported or treated within the assigned areas
• Patient which receives medication (Oxygen, or clear fluid intravenously, by inhalation, intramuscularly, intraosseous, per os, sublingually, or intranasally)

Exclusion criteria study 1 and 3

• Missing and/or incomplete data.

Inclusion criteria study 2

• Ambulance professionals employed in the ambulance services

Exclusion criteria study 2

• Under 18 years of age
• Student and apprentices

Inclusion criteria study 4 and 5

• Ambulance professionals and apprentices participating in the "Team Strategies and Tools to Enhance Performance and Patient Safety®" intervention

Exclusion criteria study 4 and 5

• Ambulance professionals on long-term leave
• Under 18 years of age

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

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131 participants in 2 patient groups

Cluster 1.

Experimental group

Description:

The clusters will be formed from two ambulance stations (Approximately 50 participants).

Treatment:

Other: The team training program "Team Strategies and Tools to Enhance Performance and Patient Safety®"

Cluster 2.

Experimental group

Description:

The clusters will be formed from five ambulance stations (Approximately 70 participants).

Treatment:

Other: The team training program "Team Strategies and Tools to Enhance Performance and Patient Safety®"