The efforts by hospitals in the Dallas-Fort Worth to fight infections often revolve around creative programs that boil down to keeping hands clean. For example, Arlington-based Texas Health Resources Inc. reinforces protocols with "time outs" in surgical situations to double-check sterilization of equipment and supplies. Meanwhile, Baylor Health Care System spent $6 million on training and data collection across its 15 North Texas hospitals. In addition, $2 million was spent on a program that supplements incomes of physicians who conduct research on improving quality.