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Name of local PI
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Institution/hospital
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Name of Chair
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contact information (email)
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contact information (phone)
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type of EMR
Epic
Cerner
Other:
Clear selection
Existing sustainability measures
Desflurane removed from pharmacy formulary
Clinical Decision support tool for Low Flow
Educational initiatives
Nitrous oxide central supply decomissioning
Lower default fresh gas flow
Emissions feedback to clinical team
Other:
Other comments or feedback?
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