The First Nations Health Authority's Self-Assessment Aligning With the British Columbia Cultural Safety and Humility Standard.

The First Nations Health Authority (FNHA) completed a self-assessment of the organization's alignment to the British Columbia in collaboration with Elder Th'et-simiya and a group of Sisemó:ya Change Champions from across the organization (FNHA and HSO 2022). This article details the organization's processes, including the determination and selection of methods, self-assessment tools used and the lessons learned throughout. Other health and social services organizations are encouraged to use these learnings to guide their own self-assessment processes for continuous learning and development.

Is One-Pen, One-Patient Achievable in the Hospital? A Quality Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic Medical Center.

Background: The Food and Drug Administration (FDA), Centers for Disease Control and Prevention (CDC), and Institute for Safe Medicine Practices (ISMP) have issued warnings regarding the risk of potential transmission of blood-borne diseases if an insulin pen is used for more than one person. Many hospitals continue to use insulin pens due to their benefits of decreased risk of dosing error and improved work efficiency. Best practices for insulin pen use have been published; however, little is known about how these perform in hospitals.

In-vitro transcutaneous delivery of tamoxifen and gamma-linolenic acid from borage oil containing ethanol and 1,8-cineole.

The objective of this study was to examine the effects of ethanol and 1,8-cineole on the transcutaneous delivery of tamoxifen and gamma-linolenic acid (GLA) as a two-pronged anti-breast cancer therapy. Formulations containing tamoxifen and varying concentrations of borage oil (approximately 25% GLA), 1,8-cineole and ethanol were prepared and the simultaneous permeation of tamoxifen and GLA determined across full-thickness pig skin using Franz-type diffusion cells over 48 h. Analysis of tamoxifen and GLA (as methyl ester) were by reverse-phase HPLC.