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. Author manuscript; available in PMC: 2010 Oct 28.
Published in final edited form as: Adv Health Sci Educ Theory Pract. 2010 Jan 13;15(4):491–516. doi: 10.1007/s10459-009-9214-y

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