Evaluating the accuracy of an automatic counting system to detect dispensing of hand hygiene product.

Background: Hand hygiene (HH) is an essential element of infection prevention and control programs. Direct observation of adherence to the 5 moments for HH is considered the gold standard in compliance monitoring. However, as direct observation introduces potential bias, other strategies have been proposed to supplement HH compliance data in healthcare facilities.

Should a Physician Comply with a Parent's Demands for a Forensic Exam on a 16-Year-Old Trauma Patient?

Physicians must remain vigilant about their ethical duties to patients, especially in high-stakes situations. The question raised by this case-whether a physician should comply with a parent's demand for treatment against her underage child's wishes-is not one of life or death in which a guardian might more credibly argue her judgment should stand. Given that forcing a rape kit exam on a patient who refuses to give assent could be further traumatizing, we argue that the physician should not comply.

Sudden bereavement in acute care settings.

Aim: This literature review examines best practice in caring for those who have been bereaved suddenly in acute care settings. Theories of bereavement are outlined in relation to sudden death. The evidence base for best practice is presented and the role of the nurse in this situation is examined.