Time constraints and documentation issues were major barriers to implementing the 5As. Simplified documentation processes and training enhancements, coupled with systems change, may enhance delivery of evidence-based smoking cessation interventions.

The TBH is a resource to address BF concerns, particularly among women who may face barriers to seeking professional lactation advice. Special Supplemental Nutrition Program for Women, Infants, and Children agencies might consider implementing initiatives outside their standard scope of clinic practice to address participants' needs for BF support.

No abstract

cause. An orthopaedic, blind to the parents' answers to the questionnaire, evaluated the children. A researcher estimated the score of each one of the completed questionnaires and reviewed the orthopaedics' clinical chart. Results 35 questionnaires were completed. According to orthopaedics, 21 children had GP, while according to questionnaire, 13 children did so. When the cut-off point was reset at 7, sensitivity was 91.3% and specificity 95.4%. Conclusions The questionnaire quantifies parental answers and may assist clinicians in GP diagnosis.

teams, and after interventions by PDSA3 all night team doctors were taking breaks. Discussion/Conclusion PDSA interventions were successful in increasing staff breaks, however sustainability of results in Junior Doctors will require a culture shift where doctors take personal responsibility for taking breaks. This is well-modelled by the PNPs who effectively arrange cross cover for breaks. A culture shift to improve patient safety overall can be aided by nominating a Junior Doctor break 'Champion'. Encouraging break taking in staff on night shifts will not only increase morale and wellness in the workplace but also contribute to improved patient care.