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TeamSTEPPS training shows no measurable gain

Ambulance professionals’ perceptions of teamwork and patient safety culture: a TeamSTEPPS intervention study
BMC Emergency Medicine · 2026-10-16 · Added 17 October 2026

A Norwegian TeamSTEPPS programme for ambulance staff measured teamwork and safety-culture perceptions at baseline, 4 and 12 months — and found no statistically significant change in any dimension despite the structured training.

Study type
Cross-sectional
Design
Repeated cross-sectional questionnaire study within a team-training intervention
Participants
90 ambulance professionals at baseline (104 eligible)
Main finding
No statistically significant changes in any teamwork or patient-safety dimension at 4 or 12 months; error reporting scored lowest (mean 2.56) at baseline.
Caveat
No control group and response rates fell from 87% to 53% across the time points.
Bottom line
Context only

Why it matters in Australia (High relevance). Structured team-training programmes are common across Australian ambulance services, so a well-conducted null result is directly relevant to anyone selling the next training package.

Learning goal

Understand why structured teamwork training may fail to shift patient safety culture in paramedic practice.

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