Focus on MRSA

PDI's featured web content will focus on MRSA during the month of February. This page includes links to all of the MRSA related content on the PDI website, including articles, presentations, projects, and more.  

 MRSA: Wisdom Series

• Buscell P, McCandless K, Singhal A. Saving Lives by Changing Relationships: Positive Deviance for MRSA Control and Prevention in a U.S. Hospital.  Positive Deviance Wisdom Series, Number 3, 2009.

MRSA: Voices From the Field

MRSA: Stories From the Field

MRSA: PD Champion

MRSA Projects

• MRSA Eradication and Prevention in the VA Pittsburgh Healthcare System (VAPHS)
• MRSA Reduction in Canadian Hospitals
• MRSA Reduction in Colombian Hospitals
• Reduction of MRSA Infections in Hospitals in Indiana
• Reduction of MRSA Infections in Hospitals in Maryland
• Reduction of MRSA Infections in Hospitals in Massachusetts
• The Plexus Institute and PDI Collaborate to Reduce (MRSA) Infections in US Hospitals

MRSA Manuals

Title: MRSA Field Guide: Maryland Patient Safety Center 2007

MRSA Reflections

Reflections from Jon Lloyd, MD: Deviating Positively to Foster Change in Social & Bio Systems

Reflections from Margaret Toth, MD:

06/20/08 - I See The Solution Differently Now: In this Reflection Margaret explains a response she wrote when asked a question about the risks involved with physicians not washing their hands. Margaret's response, which she recognizes as being a much different response from one she would have previously given, recognized that hand washing does not just apply to physicians and should not be the only consideration when discussing MRSA prevention. MRSA prevention, Margaret emphasizes, involves every person who comes in contact with the care environment and involves the entire community.

07/11/08 - Stories: Margaret shares stories that lie at the heart of Positive Deviance, including a story about a new physician from New Mexico who was surprised and horrified to discover that she was unknowingly carrying MRSA on her stethoscope. Margaret also shares a story that Jerry Sternin often told about Nasrudin and the donkeys.

MRSA Presentations

• MRSA: This presentation by the Delmarva Foundation shows the how use of PD approach is used to stop the spread and acquisition of MRSA.

• MRSA:This presentation by Michael Gardam is entitled, "Positive Deviance: A Culture
  Change Management Approach to Reducing Health Care Acquired Infections" and addresses the use of PD to reduce MRSA in the Canadian healthcare system.

 MRSA Publications

• APIC. Guide to the Elimination of Methicillin-Resistant Staphylococcus aureus (MRSA) Transmission in Hospital Settings. APIC March 2007

• Bradley, Elizabeth, et al. "Research in action: using positive deviance to improve quality of health care." Implementation Science 4:25 (2009): 1-11. Print.

• Buscell, P., "The MRSA Issue", Emerging, winter, pp. 1-24. 2006.

• Buscell, P. More We Than Me: How the fight against MRSA led to a new way of collaborating at Albert Einstein Medical Center. Plexus Institute. Deeper Learning. 2008; Vol 1, Issue 5.

• Buscell, P. Pathways to Prevention. Prevention Strategist. 2008; p 41-45.

• DELMARVA Foundation. Regaining Control of MRSA Matching the Solution to Problem by Applying a Social Change Approach.

• Krebs, Valdis, Holley, June. Building Smart Communities Through Network Weaving. 2002.

• Lindberg, C., Lloyd, J, & Buscell, P."RWJF Final Report", Plexus Institute, October 2008

• Lindberg, Curt, Patricia Norstrand, Mark Munger, Christine DeMarsico, and Prucia Buscell."Letting Go, Gaining Control: Positive Deviance and MRSA Prevention." Clinical Leader  2.2 (2009): 60-67. Print.

• Lloyd, J., Buscell, P., & Lindberg, C. 2008, "Staff-Driven Cultural Transformation Diminishes MRSA", Prevention Strategist, Spring, pp. 10-15.

• Macklis M.D, Roger. Successful Patient Safety Initiatives: Driven from Within. Group Practice Journal vol.50 (10) November/December. 2001. (Link to: Group_practice_journal.pdf)

• Marra A., Reis Guastelli L., Manuela Pereira de Arau´ jo C., et.al. Positive Deviance: A New Strategy for Improving Hand Hygiene Compliance. Infection Control and Hospital Epidimiology 31(1): 12-20, January 2010.

• Singhal, A, Buscell, P. From Invisible to Visible. Plexus Institute. 2009.

• Singhal, A, Greiner, K. Do What You Can With What You Have Where You Are. Plexus Institute Deeper Learning. 2007; Vol 1 Issue 4.

• Singhal A, McCandless K, Buscell P, Lindberg C. Spanning Silos and Spurring Coversations: positive deviance for reducing infection levels in hospitals. Performance 2 (3): 78-83, 2009.

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