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Learning from implementation setbacks: Identifying and responding to contextual challenges

机译：从实施过程中的挫折中吸取教训：识别和应对环境挑战

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IntroductionWe address organizational learning about implementation context during setbacks to primary care redesign in an ambulatory system. The redesign expanded care teams and added a medical assistant assigned administrative and coordination tasks. The redesign was expected to improve care efficiency, prevention, and continuity. In response to setbacks, redesign and system leaders used understanding of context to plan system‐wide changes, as well as program adjustments. Doing so enhanced the redesign's prospects and contributed to system learning.

机译：简介我们解决了在门诊系统中对初级保健重新设计的挫折期间组织对实施环境的了解。重新设计扩大了护理团队，并增加了分配行政和协调任务的医疗助理。重新设计有望提高护理效率，预防和连续性。为了应对挫折，重新设计和系统负责人使用对上下文的理解来计划系统范围的更改以及程序调整。这样做可以提高重新设计的前景，并有助于系统学习。

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期刊名称 Learning Health Systems
作者
Michael I. Harrison; Susan Grantham;
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作者单位

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年(卷),期 2018(2),4
年度 2018
页码 e10068
总页数 10
原文格式 PDF
正文语种
中图分类
关键词
implementation organizational learning primary care redesign;

机译：实施;组织学习;基层医疗重新设计;

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1. Learning from implementation setbacks: Identifying and responding to contextual challenges [J] . Michael I. Harrison, Susan Grantham Learning health systems. . 2018,第4期

机译：从实施过程中的挫折中吸取教训：识别和应对环境挑战
2. Addressing Contextual Challenges in Underserved Indigenous Spaces of the Global South: In Search of an Approach Based on Unlearning, Co-Learning, and Relearning [J] . Uttaran Dutta International Journal of Qualitative Methods . 2019,第1期

机译：解决全球南部的欠缺土着空间中的情境挑战：寻找一种基于无学习，共同学习和重建的方法
3. Identifying Reefs of Hope and Hopeful Actions: Contextualizing Environmental, Ecological, and Social Parameters to Respond Effectively to Climate Change [J] . McClanahan TR, Cinner JE, Graham NAJ, Conservation Biology . 2009,第3期

机译：确定希望和希望采取的行动的礁石：结合环境，生态和社会参数，有效应对气候变化
4. PROSIMOS A Tool for identifying business cases in the implementation of a priority communications systems for first responders in Public Mobile Networks [C] . Roberto Gimenez, Inmaculada Luengo, Anna Mereu, Future Security Research Conference . 2011

机译：PROVIMOS一种用于识别业务案例的工具，用于在公共移动网络中执行第一个响应者的优先次数通信系统
5. Informal learning in the workplace: Identifying contextual factors affecting employee's ability to engage in informal learning in the nonprofit financial services industry. [D] . Slater, R. Todd. 2004

机译：工作场所的非正式学习：确定影响员工从事非营利金融服务行业非正式学习能力的环境因素。
6. Contextual Change After Fear Acquisition Affects Conditioned Responding and the Time Course of Extinction Learning—Implications for Renewal Research [O] . Rachel Sjouwerman, Johanna Niehaus, Tina B. Lonsdorf 2015

机译：恐惧习得后的语境变化影响条件响应和灭绝学习的时程-对更新研究的启示
7. Learning from implementation setbacks: Identifying and responding to contextual challenges [O] . Michael I. Harrison, Susan Grantham 2018

机译：从实施挫折中学习：识别和响应上下文挑战

Learning from implementation setbacks: Identifying and responding to contextual challenges

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