Table 3.
Case characteristics
| Case 1 | Case 2 | Case 3 | |
|---|---|---|---|
| Location | West | Midwest | East |
| Pseudonym | Western University Hospital | Trinity Hospital | Atlantic Community Hospital |
| Size | Large | Midsize | Small |
| Type | Academic | Community | Community |
| Interviewees | 13 | 18 | 18 |
| General focus | Antibiotic Mgmt | Infection control | Antibiotic Mgmt and infection control |
| Specific clinical focus | Pseudomonas aeruginosa resistance | Ventilator-acquired pneumonia | Methicillin-resistant Staphylococcus aureus |
| Intervention | Fluoroquinolone restriction policy | IHI VAP bundle, new ET tube | Active surveillance cultures, isolation, hand hygiene |
| Results | Appropriate FQ use went from 68 to 92% | 6.0/1000 vent-days to 0.0 over 18 months prior to study | Resistance went from 80 to 62% |
| Resistance from 49 to 39% | Hand hygiene compliance rose from 45% to 89% | ||
| HA-MRSA virtually eliminated |