Antibiotics is an easy fix. The Pharmacy is autonomous in a hospital. Changing somewhat due to formulary dictates, but there is much less bureaucracy in acquiring product to treat a condition. When it comes to nosocomial infections and procedures to avoid them then you are in the land of Materials Management/Purchasing. Measuring long term savings v. product cost is a concept generally lost there. Case in point: powdered latex OR gloves or synthetic powder free OR gloves. Even after scrubbing there is residual powder which in a wound sight is bad news. Also, latex allergies are common for patients and end users. A no brainer then? Less infections and less time off? Hardly. Powder free synthetics were more expensive. It took years to move to nitrile or other synthetics.
Progressive teaching hospitals are the best.
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