The voice and role of "patient" in patient safety were explored by the Calgary Health Region's Patient and Family Safety Council perspective and the Calgary Health Region, Calgary, Alberta, Canada--an important collaboration for enhanced patient safety. Insights into patient safety were shared and coauthored in this article by the Patient and Family Safety Council with members of the Calgary Health Region staff. The Patient and Family Safety Council members were asked to respond to articles written about the role of patient in patient safety, without direct communication with patients. The authors of this article intended to demonstrate only a few of the ways in which patient involvement and feedback through partnership turn knowledge into action and help inform patients about safety practices and procedures.

Patients with advanced cancer generate 4 million visits annually to emergency departments (EDs) and other dedicated, high‐acuity oncology urgent care centers. Because of both the increasing complexity of systemic treatments overall and the higher rates of active therapy in the geriatric population, many patients experiencing acute decompensations are frail and acutely ill. This article comprehensively reviews the spectrum of oncologic emergencies and urgencies typically encountered in acute care settings. Presentation, underlying etiology, and up‐to‐date clinical pathways are discussed. Criteria for either a safe discharge to home or a transition of care to the inpatient oncology hospitalist team are emphasized. This review extends beyond familiar conditions such as febrile neutropenia, hypercalcemia, tumor lysis syndrome, malignant spinal cord compression, mechanical bowel obstruction, and breakthrough pain crises to include a broader spectrum of topics encompassing the syndrome of inappropriate antidiuretic hormone secretion, venous thromboembolism and malignant effusions, as well as chemotherapy‐induced mucositis, cardiomyopathy, nausea, vomiting, and diarrhea. Emergent and urgent complications associated with targeted therapeutics, including small molecules, naked and drug‐conjugated monoclonal antibodies, as well as immune checkpoint inhibitors and chimeric antigen receptor T‐cells, are summarized. Finally, strategies for facilitating same‐day direct admission to hospice from the ED are discussed. This article not only can serve as a point‐of‐care reference for the ED physician but also can assist outpatient oncologists as well as inpatient hospitalists in coordinating care around the ED visit.

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Neither historical nor linguistic records reveal exactly when the shift from Negerhollands to English and English Creole began in the Danish West Indies. In order to assess phonological continuity and change in the last stage of this moribund creole, the following discussion (1) contrasts earlier and current views of Negerhollands and sketches language contact in the Danish West Indies; (2) examines the language history and the vowel systems of the last speaker; and (3) assesses variation in a Negerhollands corpus produced by 10 elderly bilinguals. The article demonstrates how using a variety of approaches can enhance the investigation of an underdocumented language.

Using data from four sets of alternating forms in a moribund Dutch-lexicon creole, this article addresses the characteristics of variation in moribund languages, and “the usefulness of variationist approaches in the description and analysis” of them (Drechsel 1990:552–53). The analysis shows how variable phonological rules continue to exist in a dying language, even after large numbers of words have been bled from the rules' inputs, thereby providing support for Dressler's hypothesis of lexical fading (1972). A three-stage scenario of rule loss is proposed to account for the fact that, in the Negerhollands case, there is substantially greater phonological variation at the level of the community than at the level of the individual. (Obsolescence, phonological variation, phonological change, creole languages, Virgin Islands, Negerhollands)