Background: Accreditation standards have outlined the need for staff in emergency departments to initiate the medication reconciliation process for patients who are at risk of adverse drug events. The authors hypothesized that a guided form could be used by non-admitted patients in the emergency department to assist with completion of a best possible medication history (BPMH). Objective: To determine the percentage of patients in the non-acute care area of the emergency department who could complete a guided BPMH form with no clinically significant discrepancies (defined as no major discrepancies and no more than 1 moderate discrepancy). Methods: This prospective exploratory study was conducted over 4 weeks in February and March 2016. Data were collected using the self-administered BPMH form, patient interviews, and a data collection form. After completion of the guided BPMH form, patients were randomly selected for interview by a pharmacy team member to ensure their self-completed BPMH forms were complete and accurate. Eligible patients were those with non-acute needs who had undergone triage to the waiting room. Patients who were already admitted and those with immediate triage to the acute care or trauma area of the emergency department were excluded. Results: Of the 160 patients who were interviewed, 146 (91.3%) completed the form with no more than 1 moderate discrepancy (but some number of minor discrepancies). There were no discrepancies in 31 (19.4%) of the BPMH forms, and 101 (63.1%) of the forms had only minor discrepancies. Conclusions: Most of the patients interviewed by the pharmacy team were able to complete the BPMH form with no clinically significant discrepancies. The self-administered BPMH form would be a useful tool to initiate medication reconciliation in the emergency department for this patient population, but used on its own, it would not be a reliable source of BPMH information, given the relatively low number of patients who completed the form with no discrepancies.

Well-protected, isolated bcc-iron nanoparticles embedded in silicon dioxide were prepared by e-beam evaporation and postannealing of multilayers in an ultrahigh vacuum system. The spherical shape and isolation of the particles were confirmed by plan-view and cross-sectional transmission electron microscopy. Oxidation was evaluated from the electron energy-loss near edge structure. In this technique, a postedge peak of 40eV above the iron L3 threshold, originating from backscattering of oxygen atoms, provides a clear indication of iron oxide. The white-line ratio (WLR), measuring the 3d-orbital occupancy, is used to estimate the oxidation-layer thickness. In the samples of large iron nanoparticles (with average diameter larger than 10nm), a very thin surface layer appears to be the oxide maghemite, approximately one atomic layer according to the WLR evaluations. The evolution of the coercivity with particle size, as measured by the magneto-optical Kerr effect, shows that the reversal process is dominated by the surface anisotropy and is also affected by the dipole interaction, particularly in samples with large volume-filling factor.

Perspectives d'enquête & a g r a v e ; partir des catégories du repas palawan * Les faits analys6s ici ne sont pas pr6sei-it6s sous forme d'une taxinomie unique mais comme des amorces de classification. D'autre part, a travers ces amorces ou ces deLuts de classification, dinerents niveaux de la realite sont mis en correspondarce ou meme en correlation.Neus aborderons ainsi deux problemes: a) 12. relative fixit6 ou, au contraire, mobilite des elements d'une taxinomie ; b) 1'homolo~ie des reprcsentations concernant des phénomènes, culturels et naturels, n'ayant de prime abord que peu de liens entre eux. Notre demarche, qui s'appuie toujours sur le vocabulaire palawanl, commence par les categories du repas telles que les distingue la langue palawan. Ces cat6gories sont ensuite mises en rapport avec le domaine des besoins, puis des activites de production. La division de 1'espace vegetal et celle du monde animal sont evoquees cn dernier lieu. z at NORTHWESTERN UNIV LIBRARY on June 5, 2016 ssi.sagepub.com Downloaded from

Cardiac nursing has changed significantly in recent years and many roles that were traditionally undertaken by medical staff have been adopted by nurses. In addition, the medical treatment that patients with an acute coronary syndrome (ACS) receive has become significantly more invasive and complex with the availability of new drugs and treatment options. This makes cardiac nursing an exciting area to work in with considerable scope for professional development. Furthermore, advances in patient safety methodology are changing service delivery. The role of the cardiac nurse remains central to the provision of good care and to ensuring that it remains safe, effective and patient-centred. This is the second of a two-part article on the role of the coronary care unit nurse in the management of patients with an ACS and describes their recovery and discharge.