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Updated: Jan 26, 2026

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
Implementing Change Ideas, Interpreting Data and Sustaining Change in a Quality Improvement Project
Julie A Gilmour1, Geetha Mukerji2, Phillip Segal3
1Department of Medicine, Division of Endocrinology & Metabolism, University of Toronto, Toronto, Ontario, Canada; Division of Endocrinology, St. Michael's Hospital, Toronto, Ontario, Canada.
Abstract:
This article is the third and final installment in our diabetes quality improvement primer series. It summarizes how to interpret real-time data with run charts and highlights 4 key rules that can be applied to understand whether improvement is statistically significant. We also review the importance of outlining a family of measures, including outcome, process and balancing measures. Finally, we discuss strategies for sustaining change.
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Work Done During Volume Change
Consider a gas confined to a cylinder fitted with a movable piston at one end. If the gas expands from volume V1 to volume V2, it exerts a force on the piston, such that the piston moves by a distance dr.
The work done by the gas on the piston can be expressed as
Net Change Theorem
Standard Entropy Change for a Reaction
Le Chatelier's Principle: Changing Temperature
To understand this phenomenon, consider the elementary reaction:
Sustainable Development

