Table 3.
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 |