Table 2

Measurements and results

	TOC/core intervention	Measure	Operational definition	Baseline %	Outcome %
Aim: Increase Clostridium difficile prevention 25% at this urban hospital over 90 days
Antimicrobial stewardship	Data transparency audit tool and feedback for utilising best practice/protocol for treatment of UTIs	Process:	# of charts audited / # of patients with urinary tract infections weekly	4	80.5
Antimicrobial stewardship		Outcome:	Mean score of best practice		40.4
Patient discharge comprehension	Postdischarge comprehension audit	Process:	# of completed surveys / # of patients discharged with C. diff	0	100
Patient discharge comprehension	Postdischarge comprehension audit	Outcome:	Mean score of comprehension		26
Environmental Safety	Observation survey checklist using environmental tool	Process:	# of times tool was used / # of encounters	35	100
Environmental Safety	Observation survey checklist using environmental tool	Outcome:	Mean score of environmental safety		44
Balancing measure			Actual time collecting and implementing data/required time 456 hours