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.
The What's Next Health series features leading thinkers and visionaries. Stanford social scientist & innovator BJ Fogg discusses his model f...
Executive Nurse Fellow Jerry Mansfield explains why the University Hospital and the Richard M. Ross Heart Hospital do not have a BSN-only hi...
We create new opportunities for better health by investing in health where it starts—in our homes, schools, and jobs.
Developing small community homes as alternatives to nursing homes, this radical, new national model for skilled nursing care returns control...
Patrick M. Krueger recently co-authored a study that examines the characteristics and mortality risks of nondrinker subgroups to explain why...
Telehealth Technology Could Help Obese Youth Get Better Treatment, Lose Weight - Study: Psychiatrists Less Likely than Other Doctors to Acce...
Hear from social scientist BJ Fogg, RWJF’s Entrepreneur-in-Residence Thomas Goetz, a team with a vision for creating a social epidemic of sa...
Team members, grantees, and guests discuss breakthrough ideas that will allow us to move toward solving challenges in health care.
NewPublicHealth spoke with Danny McGoldrick, vice president of research at the Campaign for Tobacco-Free Kids, about “A Broken Promise to Ou...
America is not getting good value for its health care dollar. These resources explore issues of cost and value of health care.
Imagine a shared national culture of health in which being healthy and staying healthy are esteemed social values.
The Robert Wood Johnson Foundation is working to increase awareness and understanding of the impact of ACEs and the need to develop effectiv...