Pursuing Excellence Leaders Patient Safety Collaborative Application

Applications will be evaluated on the following three criteria:
1) Organizational commitment, leadership, and team
2) Significance of proposal to the aim of the collaborative
3) Measurement and evaluation strategy

The deadline to submit applications is 11:59 p.m. Central on July 10, 2019.

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* 1. Proposal Title

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* 2. Sponsoring Institution

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* 3. Hospital, or Medical Center Name, if not the same as the Sponsoring Institution

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* 4. Please describe how you currently engage PGY-1s and 1st-year Fellows in patient safety event analysis. (250 word limit)

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* 5. What role does your CLE's patient safety office play in training PGY-1s and 1st-year fellows? (250 word limit)

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Framework to Engage Early Learners in Optimizing Patient Safety

Framework to Engage Early Learners in Optimizing Patient Safety

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* 6. Using the NCICLE Framework to Engage Early Learners in Optimizing Patient Safety  above, describe how you would implement a program for all PGY-1s and 1st-year fellows to engage in patient safety that includes participation in an event analysis. (500 word limit)

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* 7. How will your program improve the outcomes of your learners? (250 word limit)

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* 8. Please explain how you would measure the success of your program. (250 word limit)

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* 9. Is there a sustainability plan for your program? (250 word limit)

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* 10. Please list each member of the team at your institution:

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* 11. Any additional team members:

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* 12. Please attach bios for each member of the project team at your institution.

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* 13. Please attach three letters of support from your institution's leadership.

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* 14. What are your expectations of participating in this Patient Safety collaborative? (150 word limit)

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* 15. Any additional comments or clarifications (150 word limit)

If you have any questions, please contact PEI@acgme.org

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