Colorado PROFILES, The Colorado Clinical and Translational Sciences Institute (CCTSI)
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Building Supportive Learning Environments: Implementation Research in VA Cardiac Catheterization Labs

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This project is relevant to all aspects of VA healthcare for it will develop and evaluate a training toolkit to assist healthcare teams to change their culture toward learning to enhance Veteran care. This work will support the VA transformation to a learning health system, so clinicians can see every patient encounter as a way to make the next one better. This will be achieved through studying unit-level learning environments, identifying high-reliability practices that support a learning culture and using this knowledge to adapt a team training program to the culture and workflow of clinical units. We will develop and test a training toolkit to empower teams to develop their own culture of learning and a rigorous mixed methods evaluation that leads to valid, generalizable lessons applicable across healthcare settings. We expect this study to result in positive changes in learning environments, teamwork, and highly-reliable use of evidence-based practices. The findings will inform future studies to determine the impact of learning environments on Veteran outcomes.
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