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News & Events

Healthcare


Innovation and Complexity Science Workshop

Event

Sep 27 2010 to Sep 28 2010

Presented by Ernst & Young in cooperation with Plexus Institute, in Stuttgart, Germany. Complexity scholars and practitioners share insights on complexity, management, business, change, and the liberating structures that spark collaboration and innovation.
more >>


Positive Deviance and Better Health

Event

Sep 22 2010 to Sep 24 2010

All the parts of a healthcare system—or any system—are interconnected and continuously changing, visibly and invisibly. This exciting conference will let you discover how Positive Deviance can help liberate the hidden forces that bring out the best in your community.
more >>


On the Edge: Nursing in the Age of Complexity

News Item

This year's 4th Annual On the Edge conference willbe held July 18-20, 2010 at Gonzaga University in Spokane, WA
more >>


Positive Deviance Found to Help Fight Drug-Resistant Infections

News Item

CDC Analysis Finds a Unique Social and Behavior Intervention called Positive Deviance Helps Reduce MRSA Rates Up To 62% in Study Hospitals.
more >>


PD MRSA Story on CBS News

News Item

CBS news reports how healthcare workers at Albert Einstein Medical Center in Philadelphia collaborated to prevent transmission of MRSA.
more >>


Thursday Complexity Post - Pigs, People and MRSA

News Item

When a family physician in a small town in Indiana started seeing scores of patients with MRSA infections, he began to wonder whether nearby hog farms were incubating and spreading the disease.
more >>


Hospital in Colombia fights hospital-acquired infections with Positive Deviance

News Item

The El Tunal Hospital Epidemiological Newsletter, now available in English, tells the story.
more >>


NY Times Year in Ideas 2008 Cites Positive Deviance, Jerry and Monique Sternin and Plexus

News Item

The Sternins, pioneers of Positive Deviance, and the Plexus Institute initiative using PD to fight MRSA in hospitals, is featured in The York Times Magazine year in ideas issue.
more >>


Jerry Sternin, Innovator and Positive Deviance Pioneer, Died December 11

News Item

Jerry Sternin "evoked our better angels."
more >>


Interested in Culture Change? Exciting New Opportunities Exist

News Item

Plexus Institute Seeks Consultants Experienced in Positive Deviance and other self-organizing processes for work in healthcare and educational settings.
more >>


More We Than Me-How the Fight Against MRSA Led to a New Way of Collaborating at Albert Einstein Medical Center

News Item

Hundreds of people at the Albert Einstein Medical Center in Philadelphia have joined SMASH, the organization-wide effort to fight Methicillin Resistant Staphylococcus Aureus (MRSA). Using Positive Deviance, an innovative social change process, a broad cross section of employees have worked together to forge new solutions, new relationships and some very encouraging results in declining infection rates. .
more >>


JAMA Reports More Deadly MRSA Infections: Prevention Research Shows Promising Results

News Item

The October 17, 2007 issue of JAMA includes a report from the Centers for Disease Control and Prevention that shows US rates of Methicillin-resistant Staphylococcus aureus (MRSA) infections in healthcare settings are much higher then previously estimated. According to the article, almost 19,000 deaths are associated with invasive MRSA infections.
more >>


Thursday Complexity Post - A Pox on Parties?

News Item

Have you ever been to a chickenpox party? Some adults think deliberately exposing young children to common childhood diseases helps build stronger immune systems and is safer than giving them vaccines.
more >>


"Do What You Can, With What You Have, Where You Are" - A Quest to Eliminate MRSA

News Item

This story is about the use of Positive Deviance played in efforts by the staff the VA hospital in Pittsburgh to eliminate MRSA transmissions. MRSA is a virulent pathogen that cannot be killed by most commonly used antibiotics. Many authorities recognize tht the fight against MRSA is more of a behavioral and cultural challenge than it is a technical and medical problem.
more >>


Thursday Complexity Post - Gowns, Gloves and Culture Change

News Item

The VA Pittsburgh Healthcare System (VAPHS) has reduced hospital infections and saved money in the process, a New York Times story reports today.
more >>


When the Task is Accomplished, Can We Say We Did It Ourselves? A Quest to Eliminate MRSA at the Veterans Administrations' Hospitals in Pittsburgh

News Item

This story is about the quest at the VA Pittsburgh Healthcare System (VAPHS) to eliminate the transmission of deadly healthcare associated infections, specifically Methicillin-Resistant Staphylococcus Aureus or MRSA. Using the social and behavioral change process Positive Deviance, the facility was able to engage the innovativeness and energy of hundreds of hospital staff members to uncover and create practices to prevent transmission of MRSA and to spread these practices to their colleagues.
more >>


Positive Deviance, Culture Change & Success Against MRSA

News Item

VA Pittsburgh Healthcare System (VAPHS) is making notable progress in reducing the transmission of deadly healthcare associated infections, specifically Methicillin-Resistant Staphylococcus Aureus or MRSA. Using the social and behavioral change process Positive Deviance, the facility has engaged the innovativeness and energy of hundreds of hospital staff members and patients to uncover and create practices to prevent transmission of MRSA and to spread these practices to their colleagues.
more >>


Thursday Complexity Post - Brain Architecture Supports Subjective Experience

News Item

How does the infinitely complex system of interacting networks with 100 billion neurons and 60 trillion synapses in the human brain allow us to think, feel, remember and develop social emotions and moral perspectives?
more >>


emerging, Winter, 2006 Edition - The MRSA Issue

News Item

Every year, two million patients acquire infections while being treated in US hospitals, and a growing number of the infection-causing microbes are resistant to antibiotics. In this special issue read about MRSA, the cause of 126,000 hospitalizations and thousands of deaths every year, and what a pioneering group of hospitals is doing, using the social change process Positive Deviance, to prevent the spread of MRSA.
more >>


Thursday Complexity Post - Avoid Infectious Fashion

News Item

Decorated designer scrubs maybe in vogue among health care fashionistas, but infection control experts say no hospital garb should be worn outside of work.
more >>


Thursday Complexity Post - Positive Deviance Aids Battle Against Microbes

News Item

Jerry Sternin explained the concept of Positive Deviance to audiences at the Said Business School in Oxford, England, recently, and his message may have had special resonance with people who worry about burgeoning infections rates in British hospitals.
more >>


Plexus Institute, with support of a Robert Wood Johnson Foundation grant, is working to fight deadly antibiotic resistant infections in healthcare facilities

News Item

Plexus Institute has received a grant from the Robert Wood Johnson Foundation to support a new initiative to save lives and protect patients by preventing Methicillin-Resistant Staphylococcus Aureus (MRSA) infections in healthcare facilities. Hospital-associated infections have been a problem in the United States for over 30 years. According to the CDC, in hospitals alone, hospital-associated infections account for an estimated 2 million infections, 90,000 deaths and $4.5 billion in excess healthcare costs annually. Many of those infections are resistant to antibiotics; MRSA is the most common cause of these infections. Plexus now a nationwide network of partner hospitals working on an initiative to use positive deviance, a behavioral change process, to halt the spread of MRSA infections.
more >>


Thursday Complexity Post - Positive Deviants

News Item

How do you bridge the gap between what is and what could be? Jerry Sternin, who pioneered social applications of Positive Deviance, describes some creative pathways to that bridge in "Your Company's Secret Change Agent," a Harvard Busiess Review article he wrote with consultant and author Richard Tanner Pascale. Are some people in the organization doing things differently and better? Learn from them. When managers try to impose change designed by outside experts, they are apt to face resistance and rejection. When indigenous successes of "positive deviants" are brought into the mainstream, helpful changes are enthusiastically embraced.
more >>


emerging, August, September, October 2004 Edition

News Item

This issue of emerging explores ipositive deviance, a new approach to social and behavioral change pioneered by Jerry and Monique Sternin. The process was created by the Sternins in their work in developing countries on such intractable issues as childhood malnutrtion in Vietnam, neonatal mortablity in the mountainous regions of Pakistan, and female genital cutting in Egypt. The issue also includes reviews of two books, Weaving Complexity and Business and The Wisdom of Crowds.
more >>


Featured Theme

Healthcare

Here you will find resources relating to complexity science and healthcare. These resources encompass how a complexity science perspective is leading to new insights into the operation of healthcare organizations, the work of improving quality and patient safety, the physiologic dynamics of health and illness, the care of patients, and health services research.

Resource List

Healthcare

  1. Staff-Driven Cultural Transformation Diminishes MRSA.

  2. Positive Deviance: Useful Methodology to Prevent Hospital Acquired Infections.

  3. Understanding Healing Relationships in Primary Care.

  4. RWJF Final Report on PD MRSA Prevention Partnership.

  5. Notes & Reflections on Positive Deviance Informed Prevention Effort at Hospital El Tunal, Bogota, Colombia.

  6. Notes & Reflections on Positive Deviance Informed Prevention Effort at Hospital El Tunal, Bogota, Colombia.

  7. Pathways to Prevention.

  8. On the Edge: Nursing in the Age of Complexity.

  9. From Invisible to Visible: Learning to See and Stop MRSA at Billings Clinic .

  10. Healthcare and Open Space Technology.

  11. Survivor's Guide for Primary Care Physicians, A .

  12. Role of conversation in health care interventions, The: enabling sensemaking and learning .

  13. How Improving Practice Relationships Among Clinicians and Nonclinicians Can Improve Quality in Primary Care.

  14. Positive Deviance: A New Strategy for Improving Hand Hygiene Compliance .

  15. Power of Relationships for High-Quality Long-Term Care, The .

  16. Latest Advances in Complexity Science.

  17. Case Study Research: The View From Complexity Science.

  18. Letting Go, Gaining Control: Positive Deviance and MRSA Prevention.

  19. Multifractality in human heartbeat dynamics.

  20. Multiple organ dysfunction syndrome: Exploring the paradigm of complex nonlinear systems.

  21. Nonlinear Conversations.

  22. Non-linear dynamics for clinicians: chaos theory, fractals, and complexity at the bedside.

  23. Physicians and Decisions: A Simple Rule for Increasing Connections in Hospitals.

  24. Physionet.

  25. PlexusCalls: A Community Tackles Youth Violence & Drug Use.

  26. PlexusCalls: Alzheimer's, Dementia, Complexity.

  27. PlexusCalls: Communication, Medicine, Jazz.

  28. PlexusCalls: Community approach to preventing AIDS.

  29. Primary Care Practice: Uncertainty & Surprise.

  30. Rey Laboratory for Nonlinear Dynamics in Medicine.

  31. School-Based Community Family Therapy for Adolescents at Risk.

  32. Self-Organization and Emergence: A Complexity Science Foundation for the Saint Luke's Hospital Stroke Center.

  33. Loss of 'Complexity' and Aging: Potential Applications of Fractals and Chaos Theory to Senescence.

  34. MRSA Issue of emerging.

  35. Complicated and Complex Systems: What Would Successful Reform of Medicare Look Like?.

  36. WHO Global Strategy for Containment of Antimicrobial Resistance .

  37. John Stelling Presentation on Antimicrobial Resistance.

  38. WHONET Survey of Laboratories and Publications - 2006.

  39. Do What You Can, With What You Have, Where You Are: A Quest to Eliminate MRSA at the VA Pittsburgh Healthcare System.

  40. PlexusCalls:"Too Beautiful" – Our Father's Last Days.

  41. Edgeware: Lessons From Complexity Science for Health Care Leaders.

  42. Dynamic Patterns: The Self-Organization of Brain and Behavior.

  43. High-performing and low-performing nursing homes: A view from complexity science.

  44. Nursing Homes as Complex Adaptive Systems.

  45. RN Participation in Organizational Decision Making and Improvements in Resident Outcomes.

  46. Managing Health Care Organizations: Where Professionalism Meets Complexity Science.

  47. Complexity Science and Health Care Management.

  48. Health Care Organizations as Complex Adaptive Systems.

  49. Fractal Response of Physiological Signals to Stress Conditions, Environmental Changes, and Neurodegenerative Diseases.

  50. Applying Complexity Science to Health and Healthcare.

  51. Beyond Structural Reductionsim in Biology: Complex Routes to Medical Applications.

  52. Chaos and Fractals in Human Physiology.

  53. Chaos and the Limits of Modern Medicine.

  54. Clinical evaluation: constructing a new model for post-normal medicine.

  55. Complex Systems Analysis: A Tool For Shock Research.

  56. Complexity as a Management Tool.

  57. Complexity for Clinicians.

  58. Complexity in Primary Care Group.

  59. Complexity Science & Health Care Research.

  60. Complexity Science and Chronic Disease.

  61. Complexity Science Series.

  62. Complexity, Chaos & Nonlinear Dynamics in Health and Disease: Homeostasis Revisited.

  63. Creating Healthcare Environments Where Nurses Thrive.

  64. Crossing the Quality Chasm: A New Health System for the 21st Century.

  65. Diabetes Control: A Complexity Perspective.

  66. Dynamical" Vs. "Genetic" Disease: What Do Complex Rhythms Reveal About Pathophysiology.

  67. Enhancing the Informal Curriculum of a Medical School: A Case Study in Organizational Change-For Baltimore Conference Attendees.

  68. Fractal Physiology.

  69. Fractal Variability Versus Pathologic Periodicity: Complexity Loss and Stereotypy In Disease.

  70. TQM, Chaos and Complexity.

  71. Too Beautiful: Insights for the End-of-Life Process.

  72. Understanding Change in Primary Care Practice Using Complexity Theory.

  73. Hyperstructures and the Biology of Interpersonal Dependence.

  74. When the Task is Accomplished, Can We Say We Did It Ourselves? A Quest to Eliminate MRSA at the Veterans Health Administration's Hopsitals in Pittsburgh.

  75. Insights from Complexity Science for the Practice of Medicine.

  76. Where Medicine Went Wrong: Rediscovering the Path to Complexity.

  77. Jazz and the Art of Medicine: Improvisation in the Medical Encounter.

  78. Life at the Edge of Chaos - Health Care Applications of Complexity Science.

  79. Women's Health and Complexity Science.

  80. Linearity, Complexity and Well-being.

  81. Managing for Success in Health Care Delivery.

  82. Mergers versus Emergers: Structural Change in Health Care Systems.

  83. Merging, De-merging, and Emerging at Deaconess Billings Clinic.

  84. Ending the End-of-Life Communication Impasse: A Dialogic Intervention.

  85. Edgeplace.

  86. More We Than Me: How the Fight Against MRSA Led to a New Way of Collaborating at Albert Einstein Medical Center.

  87. Complex Healthcare Systems and Information Technology: The Benefits of Computational Modeling and Simulation in Predicting Performance Outcomes.

  88. Organizations as Machines, Organizations as Conversations: Two Core Metaphors and their Consequences.

  89. Lessons From the Field: How to Successfully Coach a Positive Deviance Initiative.

  90. Which Nursing Home Would You Put Your Mother In?.

  91. Complexity Science Primer, A.

  92. New Theoretical Foundation for Relationship-centered Care, A.

  93. Clinical Applications of a Systems Approach, The.

  94. Community of the Self, The.

  95. Fifth Wave: Psychotherapy and Complexity, The.

  96. Limits of Reductionism in Medicine: Could Systems Biology Offer an Alternative?, The.

  97. Origin of Disease and Health, Heart Waves: The Single Solution to Heart Rate Variability and Ischemic PreconditioningThe Origin of Disease and Health, Heart Waves: The Single Solution to Heart Rate Variability and Ischemic Preconditioning, The.

  98. Power of Positive Deviance, The.

  99. Practice of Medicine is in the Interactions- A Day with Robert A. Lindberg, MD, The.

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