Hospitals in the US are actually pretty concerned with hospital acquired infections. For the sole reason that medicare/medicaid and insurance typically don't cover costs associated with them. So the hospital itself is on the hook for diagnosis, treatment, and any associated costs.
Not really because moral hazard occurs when you’re protected from consequences. Missing an early nosocomial infection means you’re now on the hook for very long admissions with expensive treatments and interventions.
Personal experience in US academia also suggests not, far more concern for early diagnosis of infection and IPAC than I saw practicing in Canada.
