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.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 131
- 试验地点
- 2
- 主要终点
- Testing the psychometric properties of the Teamwork Perception Questionnaire
研究概览
简要总结
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:
- To determine the frequency of medication administration events in an ambulance service.
- To describe the medication administration process in an ambulance service according to the "Systems Engineering Initiative for Patient Safety model".
- To identify the impact of a team training program on the frequency of medication administration events in an ambulance service.
- To explore ambulance professionals' experiences of teamwork before and after the implementation of a team training program and their experiences with the program.
- 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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
研究组 & 干预措施
Cluster 1.
The clusters will be formed from two ambulance stations (Approximately 50 participants).
干预措施: The team training program "Team Strategies and Tools to Enhance Performance and Patient Safety®" (Other)
Cluster 2.
The clusters will be formed from five ambulance stations (Approximately 70 participants).
干预措施: The team training program "Team Strategies and Tools to Enhance Performance and Patient Safety®" (Other)
结局指标
主要结局
Testing the psychometric properties of the Teamwork Perception Questionnaire
时间窗: 4 weeks
The questionnaire will be digitally distributed to approximately 500 ambulance personnel in a hospital trust. Each items are scored on a five-point scale. The survey will be carried out for 14 days in February, and 14 days in August 2022.
The frequency of medication administration in ambulance service
时间窗: 18 month
The frequency of medication administration will be assed by a retrospective review of approximately 500 electronic patient journals before the intervention. An interim analysis will be conducted after the this review to determine the final number of necessary review of electronic patient journals after the intervention. The journals will be collected for a 6-month period prior to the intervention and a 12-month period after the end of the intervention in both clusters.
Description of the medication administration process.
时间窗: 3 month
Qualitative data from partly participants observations, approximately 10 individual interviews of ambulance professionals and supplemented by local guidelines.
The perception of patient safety culture and teamwork.
时间窗: 3 month
To measure the ambulance personnel's perception of patient safety culture and teamwork, the Prehospital Survey on Patient Safety Culture (five point-scale) and the Teamwork Perception Questionnaire (five point-scale), will be carried out at three times in each cluster (one time before and two times after the intervention) In cluster 1, the survey will be carried out for 14 days in January/February 2022, 14 days in June 2022 and 14 days in January 2023. In cluster 2, the survey will be carried out for 14 days in August 2022, 14 days in January 2023 and 14 days in August 2023.
The experiences of teamwork and the team training program before and after the intervention.
时间窗: 4 days
Qualitative data from from four focus group interviews before and after the intervention in each cluster.
次要结局
- Association between medication administration, team training and patient safety culture(21 month)