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INTRODUCTIONInterest in tools for enhancing patient safety has grown with the patient safety movement. The Medication Safety Self-Assessment (MSSA), a comprehensive assessment program originally developed by the Institute for Safe Medication Practices (ISMP) in the United States, is one such tool. The MSSA was adapted for use in Canada in 2001 and has been used by individual hospitals, regional health authorities, and provincial governments to identify and prioritize areas for improvement in medication-use systems.1 The Canadian MSSA program is administered by ISMP Canada, independent of ISMP (US), and includes additional features not available with the US version. The MSSA assists interdisciplinary hospital teams to evaluate the safety of medication practices in their institutions and to heighten awareness of the characteristics of a safe medication system. The MSSA consists of a series of safe medication practice characteristics, which are grouped into 10 key elements of medication-use systems (Table 1). Each key element is defined by one or more core distinguishing characteristics. Several self-assessment items describing safe medication practices are then used to determine the level of success for each of the key elements. Some of the items purposely represent innovative practices and system enhancements that are not widely implemented in Canadian hospitals but that are grounded in scientific research and expert analysis of medication errors and their causes. When completing the self-assessment, respondents must select 1 of 5 responses, ranging from no activity or discussion about a particular item to full implementation throughout the organization. Although ISMP Canada is not itself a standardssetting organization, several items are under consideration for inclusion in the new standards of the Canadian Council on Health Services Accreditation. The principal values of the MSSA are the ability of individual hospitals to identify opportunities for improvement and to track their improvement efforts over time. These values are enabled through a unique feature of the Canadian MSSA, whereby a Web-based program allows participants to immediately compare their current results to the aggregate national, provincial, and regional results, as well as to their own previous results in real time, as soon as responses have been electronically submitted. This functionality is not available for the US version. At the time of writing, in late 2006, a total of 273 Canadian hospitals had completed at least one self-assessment. This article describes one hospital's experience with the MSSA program.

IntroductionCommunity action, including activism, advocacy and service delivery, has been crucially important in the global response to AIDS from the beginning of the epidemic and remains one of its defining features. This indispensable contribution has been increasingly acknowledged in strategic planning documents from UNAIDS, the Global Fund to fight AIDS, Tuberculosis and Malaria, the World Bank, the World Health Organization and other organizations. A growing body of literature demonstrates that community‐based services can have measurable impact, serve populations that are not accessing public health services and reach people at scale.DiscussionRecognition of the powerful potential role of community has not translated into full incorporation of community responses in programme planning or financing, and communities are still not fully understood as true assets within overall systems for health. The diverse community contributions remain seriously underappreciated and under‐resourced in national responses.ConclusionsIt is time for a paradigm shift in how we think about, plan and finance community‐based responses to HIV in order to achieve improved impact and move toward ending the epidemic. We must utilize the unique strengths of communities in creating resilient and sustainable systems for health. There are several priorities for immediate attention, including agreement on the need to nurture truly comprehensive systems for health that include public, private and community activities; re‐examination of donor and national funding processes to ensure community is strategically included; improvement of data systems to capture the full spectrum of health services; and improved accountability frameworks for overall health systems. Health planning and financing approaches run by governments and donors should institutionalize consideration of how public, community and private health services can strategically contribute to meeting service needs and accomplishing public health targets.

This is the final version. Available from Springer via the DOI in this record. ; Data availability: The data (patient information websites and booklets) are freely available. ; Patient information is important to help patients fully participate in their healthcare. Commonly accessed osteoporosis patient information resources were identified and assessed for readability, quality, accuracy and consistency. Resources contained inconsistencies and scored low when assessed for quality and readability. We recommend optimal language and identify information gaps to address. INTRODUCTION: The purpose of this paper is to identify commonly accessed patient information resources about osteoporosis and osteoporosis drug treatment, appraise the quality and make recommendations for improvement. METHODS: Patient information resources were purposively sampled and text extracted. Data extracts underwent assessment of readability (Flesch Reading Ease and Flesch-Kincaid Grade Level) and quality (modified International Patient Decision Aid Standards (m-IPDAS)). A thematic analysis was conducted, and keywords and phrases were used to describe osteoporosis and its treatment identified. Findings were presented to a stakeholder group who identified inaccuracies and contradictions and discussed optimal language. RESULTS: Nine patient information resources were selected, including webpages, a video and booklets (available online), from government, charity and private healthcare providers. No resource met acceptable readability scores for both measures of osteoporosis information and drug information. Quality scores from the modified IPDAS ranged from 21 to 64% (7-21/33). Thematic analysis was informed by Leventhal's Common-Sense Model of Disease. Thirteen subthemes relating to the identity, causes, timeline, consequences and controllability of osteoporosis were identified. Phrases and words from 9 subthemes were presented to the stakeholder group who identified a predominance of medical technical language, misleading terms about ...

SUMMARY: Patient information is important to help patients fully participate in their healthcare. Commonly accessed osteoporosis patient information resources were identified and assessed for readability, quality, accuracy and consistency. Resources contained inconsistencies and scored low when assessed for quality and readability. We recommend optimal language and identify information gaps to address. INTRODUCTION: The purpose of this paper is to identify commonly accessed patient information resources about osteoporosis and osteoporosis drug treatment, appraise the quality and make recommendations for improvement. METHODS: Patient information resources were purposively sampled and text extracted. Data extracts underwent assessment of readability (Flesch Reading Ease and Flesch-Kincaid Grade Level) and quality (modified International Patient Decision Aid Standards (m-IPDAS)). A thematic analysis was conducted, and keywords and phrases were used to describe osteoporosis and its treatment identified. Findings were presented to a stakeholder group who identified inaccuracies and contradictions and discussed optimal language. RESULTS: Nine patient information resources were selected, including webpages, a video and booklets (available online), from government, charity and private healthcare providers. No resource met acceptable readability scores for both measures of osteoporosis information and drug information. Quality scores from the modified IPDAS ranged from 21 to 64% (7–21/33). Thematic analysis was informed by Leventhal's Common-Sense Model of Disease. Thirteen subthemes relating to the identity, causes, timeline, consequences and controllability of osteoporosis were identified. Phrases and words from 9 subthemes were presented to the stakeholder group who identified a predominance of medical technical language, misleading terms about osteoporotic bone and treatment benefits, and contradictions about symptoms. They recommended key descriptors for providers to use to describe osteoporosis and treatment ...

Supported by the Independent Transport Commission (ITC): a registered charity Why travel? What motivations underpin the journeys we make? And how can we make decisions that improve our travel experiences? Arguing that the desire to move is a purpose in itself, this book brings together leading experts to provide insights from multiple viewpoints across the sciences, arts and humanities. Together, they examine key travel motivations, including the importance of travel for human wellbeing, and how these can be reconciled with challenges such as reducing our carbon footprint, adapting new mobility technologies, and improving the quality of our journeys. The book shows how our travel choices are shaped by a wide range of social, physical, psychological and cultural factors, which have profound implications for the design of future transport policies. Offering thought-provoking and practical new perspectives, this fascinating book will be essential for all those who have ever wondered why we travel and how it relates to our fundamental needs

The planned High Luminosity Large Hadron Collider is being designed to maximise the physics potential of the LHC with 10 years of operation at instantaneous luminosities of 7.5×10 34 cm ¿2 s ¿1 . A consequence of this increased luminosity is the expected radiation damage requiring the tracking detectors to withstand hadron fluence to over 1×10 15 1 MeV neutron equivalent per cm 2 in the ATLAS Strips system. Fast readout electronics, deploying 130 nm CMOS front-end electronics are glued on top of a silicon sensor to make a module. The radiation hard n-in-p micro-strip sensors used have been developed by the ATLAS ITk Strip Sensor collaboration and produced by Hamamatsu Photonics. A series of tests were performed at the DESY-II test beam facility to investigate the detailed performance of a strip module with both 2.5 cm and 5 cm length strips before irradiation. The DURANTA telescope was used to obtain a pointing resolution of 2 ¿m, with an additional pixel layer installed to improve timing resolution to ~25 ns. Results show that prior to irradiation a wide range of thresholds (0.5¿2.0 fC) meet the requirements of a noise occupancy less than 1×10 ¿3 and a hit efficiency greater than 99%. © 2018 ; The research was supported and financed in part by Canada Foundation for Innovation, the National Science and Engineering Research Council (NSERC) of Canada under the Research and Technology Instrumentation (RTI) grant SAPEQ-2016-00015; the National Key Program for S&T Research and Development (Grant No. 2016YFA0400101) of China and CAS-Helmholtz Joint Research Group; theMinistry of Education, Youth and Sports of the Czech Repub87lic coming from the projectLM2015058 - Research infrastructure for experiments at CERN; the DST/NRF in South 88 Africa; the Spanish Ministry of Economy and Competitiveness through the Particle Physics National Program, ref. 89 FPA2015-65652-C4-4-R (MINECO/FEDER, UE), and co-financed with FEDER funds; the UK's Science and Tech90nology Facilities Council; USA Department of Energy, Grant DE-SC0010107; and the European Union's Horizon 2020 Research and Innovation programme under Grant Agreement no. 654168. The measurements leading to these results have been performed at the Test Beam Facility at DESY Hamburg (Germany), a member of the Helmholtz Association (HGF).