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 |