NCT05244928: TEAM-AMB

Team Training and Medication Administration in an Ambulance Service

Completed NA Last updated 6 October 2025

What this trial tests

NA trial testing The team training program "Team Strategies and Tools to Enhance Performance and Patient Safety®" in Patient Safety in 131 participants. Completed in 31 January 2024.

Timeline

24 January 2022

Primary endpoint
31 January 2024

31 January 2024

Quick facts

Lead sponsor	Sykehuset Innlandet HF
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	factorial
Masking	none
Primary purpose	health services research
Enrollment	131
Start date	24 January 2022
Primary completion	31 January 2024
Estimated completion	31 January 2024
Sites	1 location across Norway

Drugs / interventions tested

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

Conditions studied

• Patient Safety — all drugs for Patient Safety →
• Medication Administration — all drugs for Medication Administration →

Sponsor

Sykehuset Innlandet HF — full company profile →

Who can join

Eligibility, any sex, with Patient Safety or Medication Administration. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

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.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

1. Team training program's impact on medication administration, teamwork and patient safety culture in an ambulance service (TEAM-AMB): a longitudinal multimethod study protocol.
   Vifladt A, Ballangrud R, Myhr K, Grusd E, et al · · 2023 · cited 5× · PMID 36669839 · DOI 10.1136/bmjopen-2022-067006
2. Ambulance professionals' experiences of teamwork in the context of a team training programme - a qualitative study.
   Myhr K, Ballangrud R, Aase K, Vifladt A. · · 2024 · cited 2× · PMID 38956498 · DOI 10.1186/s12873-024-01018-6
3. Adaptation of the Norwegian version of the TeamSTEPPS Teamwork Perceptions Questionnaire for use in ambulance services: A validation study
   Karlsen T, Ballangrud R, Myhr K, Porthun J, et al · · 2026 · DOI 10.21203/rs.3.rs-9444718/v1
4. Medication administration errors in a Norwegian ambulance service: a quasi-experimental study on the impact of a team training program.
   Myhr K, Ballangrud R, Porthun J, Sollid SJM, et al · · 2026 · PMID 41580728 · DOI 10.1186/s13049-026-01560-1