From 2006 to 2008, investigators with the Plexus Institute developed a pilot program at six hospitals to control and reduce the rate of infections of methicillin-resistant Staphylococcus aureus (MRSA), one of the most virulent hospital-acquired infections in the United States.
Investigators used an approach called positive deviance, which identifies individuals and groups within an organization or community who have overcome seemingly intractable problems and spreads their solutions throughout the organization.
- Six institutions participated in the pilot project:
- Albert Einstein Medical Center, Philadelphia, Pa.
- Billings Clinic, Billings, Mont.
- Franklin Square Hospital Center, Baltimore, Md.
- University of Louisville Hospital, Louisville, Ky.
- The Johns Hopkins Hospital, Baltimore, Md.
- VA Pittsburgh Healthcare System, Pittsburgh, Pa.
- MRSA rates declined by 73 percent in four of the six pilot units. Two of the six institutions did not report unit-level data.
- The aggregate rate of MRSA infections per 1,000 patient days dropped from 4.36 in 2006 to 1.17 in 2008 among the four pilot hospital units that reported.
- Three of the six hospitals expanded the approach from the initial pilot units to at least one other unit.
- Three hospitals adopted the project throughout their entire institutions.
- The results achieved by the pilot institutions spurred 53 additional hospitals in the United States, Canada and South America to adopt the positive deviance approach in their drives to prevent MRSA transmission.
RWJF Scholar examines neighborhood-based death rates from opiate-based painkiller overdoses, compared with heroin overdose deaths.
Unengaged patients can incur costs of up to 21% higher than patients who are highly engaged in care. This suite of materials from RWJF's AF4...
RWJF Nurse Faculty Scholar Jennifer Bellot writes about losing her grandmother to complications from a medical error.
This month the Johns Hopkins Bloomberg School of Public Health published a special issue of its magazine devoted to food.
This revolutionary concept gives patients the tools they need improve their own health and health care by transforming the doctor-patient re...
Learn how The Robert Wood Johnson Foundation is dedicated to building a culture of health in Risa Lavizzo-Mourey's 2014 annual message.
The reconvened Commission to Build a Healthier America will provide new guidance in three key areas: early childhood, healthy communities, a...
Team members, grantees, and guests discuss breakthrough ideas that will allow us to move toward solving challenges in health care.
Adverse working conditions contribute substantially to the risk of depression for working-age adults, according to new research from a team ...
CDC: Reducing High-risk Antibiotic Prescriptions Could Also Reduce Deadly Infections - Poorer Women Most Likely to Be Caught in ‘Vicious’ Ca...
The RWJF DataHub tracks state-level data, and allows visitors to customize and visualize facts and figures.
Ronald A. Yee, MD, became chief medical officer of the NACHC last year. NewPublicHealth recently spoke with Yee about the mission of health ...