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Objective: To develop and implement a multidisciplinary early activation mechanism and bundle of care (eHIP) to improve adherence to ACSQHC standards in a regional trauma centre. Methods: Barriers to implementation were categorised using the Theoretical Domains Framework, then linked to specific strategies guided by the Behaviour Change Wheel and Behaviour Change Technique Taxonomy (BCTT). The resulting implementation strategies were assessed using Affordable, Practical, Effective, Acceptable, had Side-effects (APEASE) criteria. Results: Eighty-three barriers to implementation of the hip fracture care bundle were identified. The behaviour change wheel process resulted in the identification of 41 techniques to address these barriers. The predominant mechanisms to achieve this were development and implementation of 1) formal policy that outlines eHIP roles; 2) video promotion; 3) pager group; 4) fascia iliaca block enabling; 5) eMR modifications; 6) face-to-face reinforcement and modelling; 7) communication and prompts; 8) environmental restructuring. Conclusion:We applied behaviour change theory through a pragmatic evidence-based process. This resulted in a codesigned strategy to overcome staff and organisational barriers to the implementation of a multidisciplinary early activation mechanism and bundle of care (eHIP). Future work will include evaluation of the uptake and clinical impact of the care bundle.

But B. W. Anderson believes "most of us are more at home in the wisdom literature than in the historical literature of the Bible" (Understanding the Old Testament2, 1966, p. 489). This is not the impression gained from my experience; and see B. Gemser, Spriche Salomos (HAT, 1937), pp. 7-8. 2 ANET, pp. 412-14.

This is Volume 20 of The Anchor Bible, a new translation in fifty-six volumes, each with an introduction and notes. John L. McKenzie, S.J., Professor of Old Testament Theology at DePaul University, Chicago, has prepared The Anchor Bible translation of Second Isiah, including Chapters 34-35, and 40-66 of the Book of Isaiah. With its focus on the events surrounding the fall of Babylon to the forces of Cyrus of Persia, Second Isiah is a prophetic book of immense and exultant belief in the renascence of Israel, as the prophet foresees a new age after the long exile. Father McKenzie does justice to the literary sophistication of this book in his translation and he discusses the questions of authorship, dating, purpose, and the audience of Second Isiah in an extensive introduction. In accordance with the aims of The Anchor Bible, Father McKenzie's translation applies new material from the Dead Sea Scrolls, and reflects as closely as possible the mood, sense and style of the Hebrew poetry.