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CDC Analysis Finds Unique Social and Behavior Intervention Helps Reduce MRSA Rates Up to 62% in Study Hospitals
Date:3/23/2009

or community, there are people who solve problems better than peers who have exactly the same resources. The PD process engages frontline hospital staff in discovering and spreading those practices. In other words, PD seeks to engage every person in the health care environment to identify what makes it possible for everyone who comes in contact with patients to take effective infection-control measures at all times.

Primary funding for the PD MRSA Prevention Partnership came from RWJF's Pioneer Portfolio, which supports innovative ideas that may lead to breakthrough improvements in the future of health and health care.

The three hospitals (Billings Clinic, Billings, MT; Albert Einstein Medical Center, Philadelphia, PA; and University of Louisville Hospital, Louisville, KY) that were included in the Partnership and the CDC analysis each undertook activities that included: screening all patients admitted to a pilot unit for MRSA; isolating all patients who tested positive; and rigorously adhering to hand hygiene and contact precautions. The PD approach was included to help all staff members find the best ways to carry out these goals and identify and eliminate barriers to achieving them in their particular institutions.

"Proven infection prevention practices have been known for years, yet most health care organizations have been unable to achieve consistently high rates of adherence to these practices. As a consequence, MRSA has become pervasive in almost all hospitals in this country," says Curt Lindberg, DMan, chief learning and science officer of Plexus. "This is the first time the 'what' of proven infection prevention practices has been combined with the 'how' of positive deviance. The results achieved by the hospitals demonstrate the power of this novel combination."

Although each hospital's approach to reducing MRSA infections through PD was different, as is the nature of t
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SOURCE The Robert Wood Johnson Foundation
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