Table 1.

Summary of implementation processes and outcomes in the three acute care hospitals

	Hospital A	Hospital B	Hospital C
Characteristics	Large teaching hospital	Multi-site community hospital	Large teaching hospital
Transition to safety needles	2007, in response to safer needle regulation	2006, in response to a workplace inspection order	2003, voluntary transition
Training	Group-based training	Train-the-trainer strategy	Group-based + train-the-trainer strategy
Types of SENs	Mix of semi-automatic and manual	Mix of semi-automatic and manual	Mix of semi-automatic, manual and passive
Ongoing implementation policies and practices	Written policies and procedures Ongoing monitoring of incidents Resources on the intranet	Written policies and procedures Ongoing monitoring of incidents	Written policies and procedures Annual review of exceptions Ongoing monitoring of incidents
Rate of NSIs per 100 beds
Time 1*	11.9	15.3	8.3
Time 2**	8.6	6.2	1.6
% change	↓28%	↓60%	↓8!%

^*One year prior to the transition

^**Three years post-implementation