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Health Quality

The Plexus Institute PD MRSA Prevention Partnership involves collaboration among a network of hospitals, PD facilitators, Positive Deviance Initiative, CDC, and Delmarva Foundation/Maryland Patient Safety Center. The Partnership is committed to pioneering the use Positive Deviance in MRSA prevention. Here you will find resources on PD and MRSA along with stories about the efforts in hospitals to eliminate MRSA transmissions through the active and genuine engagement of staff.

Eliminating MRSA Infections Plexus MRSA Bundle: The HOW of Staff Engagement and Culture Change (ppt) or smaller pdf with notes.

Inviting EveryoneInviting Everyone: Healing Healthcare through Positive Deviance by Arvind Singhal PhD, Prucia Buscell, Curt Lindberg DMan

Positive Deviance (PD) is an approach to social change that enables communities and organizations to discover the wisdom they already have, and then to act on it. The premise of PD is that in every community there are certain individuals or groups whose uncommon practices or strategies enable them to find better solutions to problems than neighbors and peers who have access to the same resources. PD is led by people in the community who help identify and spread the successful practices. Ideas for change are more likely to be accepted and adopted when they are based on existing local wisdom than they are when outside exports try to impose them.

"The Positive Deviance movement is changing the landscape of how we achieve transformation and change in systems." Peter Block, Author, Community: The Structure of Belonging.

Jasper Palmer from Albert Einstein Medical Center demonstrates his method of gown/glove removal.

Beryl Institute video on Defining Patient Experience

Download the Defining Patient Experience slide


The MRSA Reduction blog - An Indiana Transforming Healthcare Research Initiative blog

Additional Articles:

RWJF Final report Plexus PD MRSA Project (pdf) - Curt Lindberg, Jon Lloyd, and Prucia Buscell, 2008

Positive Deviance and Hospital Acquired Infection (ppt) - Curt Lindberg, 2009

PD Informed Prevention: Hospital El Tunal, Bogota (pdf) - Curt Lindberg and Carlos Urrea, 2009

MRSA Issue of Emerging (pdf) - Prucia Buscell, 2006

More We Than Me: New Collaboration at Einstein Med (pdf) - Prucia Buscell, 2008

Learning to See and Stop MRSA at Billings Clinic (pdf) - Arvind Singhal and Prucia Buscell, 2009

MRSA Cost Calculator:



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