New Approach to Controlling SuperbugsVirtual Learning Session 1Discovering Positive Deviance<br />
Meet Our Team<br />Michael Gardam<br />Erika Bailey<br />Leah Gitterman<br />Liz Rykert<br />Mohammad Salhia<br />Linda Mo...
The Premise Of Positive Deviance<br /> No matter how seemingly intractable a problem, in every community there are indi...
Why focus on a behaviour change approach?<br />Current “top down” approaches have had limited success<br />Traditional “be...
Sharing best practices<br />Solutions imported from external sources results in “social immune response” in the same way t...
PD and MRSA<br />US pilot project<br />Implementation of PD followed by 20 month follow up period<br />No attempt to decol...
Examples from Healthcare<br />Hook story<br />Transportation cards<br />Nursing student Hand Hygiene video<br />http://www...
Quinte Health Visitor Board<br />Making the invisible visible at<br /> Vancouver General<br />Improv at Toronto Western Ho...
The power of storytelling<br />One death is a tragedy; one million is a statistic. <br />Stories can capture the complexit...
This is about…<br />Creating sustainable change<br />Helping culture to shift<br />Identifying existing and/or uncommon pr...
Who have the knowledge?<br />≈<br />
4%<br />Problems known to top managers<br />9%<br />Problems known to middle managers<br />74%<br />Problems known to supe...
100%<br />74%<br />9%<br />4%<br />
TAKE<br />Talk amongst yourselves<br />Think about someone you know who you suspect might be a positive deviant…<br />What...
Tell us your stories<br />
Positive Deviance-the 6 D’s<br />Define: the problem and what a successful outcome looks like <br />Determine: if there ar...
How does it work?<br />Invite those who are interested<br />Front-line staff must be there (the “Gurus”)<br />Create condi...
Who is included?<br />Everybody who touches the problem<br />Get the right people around the table<br />Who isn’t here?<br...
4 Phases of Implementation<br />Getting Started (Months 1-2)<br />Engaging the Organization (Month 3)<br />Fuelling Change...
Getting Started<br />You have to decide how to “kick off” this process in your facility<br />Examples:<br />UHN<br />US ex...
Take 15 Talk amongst yourselves<br />What would this look like in your organization?<br />How would you launch it?<br />An...
3 clicks to join a <br />breakout session<br />
Tell us your stories<br />
Minimum Specifications<br />Actively seek involvement beyond usual suspects<br />Adapt and build as unit(s) develops momen...
Minimum Specifications<br />Use inquiry based processes “DAD’s”<br />Feed back and rapidly act on suggestions or communica...
PD Tools<br />Kick offs <br />Improvisation<br />Sharing Stories<br />Discovery and Action Dialogues<br />Social Network A...
Resources<br />www.stopsuperbugs.com<br />Faculty office hours: every Monday from 1-2pm<br />www.positivedeviance.ca<br />...
www.stopsuperbugs.com<br />
Nacs ls1 wave2_final
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Nacs ls1 wave2_final

Published on: Mar 3, 2016
Published in: Education      Health & Medicine      Business      
Source: www.slideshare.net


Transcripts - Nacs ls1 wave2_final

  • 1. New Approach to Controlling SuperbugsVirtual Learning Session 1Discovering Positive Deviance<br />
  • 2. Meet Our Team<br />Michael Gardam<br />Erika Bailey<br />Leah Gitterman<br />Liz Rykert<br />Mohammad Salhia<br />Linda Morgan<br />Marc Van der Woerd<br />Paige Reason<br />Jessica Ip<br />Susan McDonald<br />Katie Procter<br />
  • 3. The Premise Of Positive Deviance<br /> No matter how seemingly intractable a problem, in every community there are individuals whose uncommon practices/behaviours enable them to find better solutions to problems than their neighbours who have access to the same resources.<br />
  • 4. Why focus on a behaviour change approach?<br />Current “top down” approaches have had limited success<br />Traditional “best practice” approach has been disappointing<br />We need to acknowledge that we are human!<br />
  • 5. Sharing best practices<br />Solutions imported from external sources results in “social immune response” in the same way that our body triggers an immune defense response<br />NEW IDEA<br />
  • 6. PD and MRSA<br />US pilot project<br />Implementation of PD followed by 20 month follow up period<br />No attempt to decolonize patients<br />26-62% reduction in MRSA clinical infections<br />1 site had an 80% drop in MRSA infections<br />SHEA 2009<br />
  • 7. Examples from Healthcare<br />Hook story<br />Transportation cards<br />Nursing student Hand Hygiene video<br />http://www.youtube.com/watch?v=rBBSF0GHziQ<br />Vancouver General: HH rates<br />Toronto East: cleaning equipment, antibiotic stewardship<br />
  • 8. Quinte Health Visitor Board<br />Making the invisible visible at<br /> Vancouver General<br />Improv at Toronto Western Hospital<br />
  • 9. The power of storytelling<br />One death is a tragedy; one million is a statistic. <br />Stories can capture the complexity of the situation.<br />
  • 10. This is about…<br />Creating sustainable change<br />Helping culture to shift<br />Identifying existing and/or uncommon practices <br />Developing new behaviours to overcome barriers<br />Acting your way into a new way of thinking<br />
  • 11. Who have the knowledge?<br />≈<br />
  • 12. 4%<br />Problems known to top managers<br />9%<br />Problems known to middle managers<br />74%<br />Problems known to supervisors<br />100%<br />Problems known to front line managers<br />The Awareness Iceberg<br />
  • 13. 100%<br />74%<br />9%<br />4%<br />
  • 14. TAKE<br />Talk amongst yourselves<br />Think about someone you know who you suspect might be a positive deviant…<br />What are they doing? What makes you recognize their behaviour as unusual or different? <br />
  • 15. Tell us your stories<br />
  • 16. Positive Deviance-the 6 D’s<br />Define: the problem and what a successful outcome looks like <br />Determine: if there are any individuals who already exibit desired behaviour<br />Discover: uncommon practices/behaviours<br />Design: activities enabling others to access and practice new behaviours<br />Discern: effectiveness of activities or project through ongoing monitoring and evaluation <br />Disseminate<br />
  • 17. How does it work?<br />Invite those who are interested<br />Front-line staff must be there (the “Gurus”)<br />Create conditions for people to discover and adopt their own solutions<br />Identify and analyze the positive deviants<br />Create ways to spread peer to peer<br />Track and publish results<br />
  • 18. Who is included?<br />Everybody who touches the problem<br />Get the right people around the table<br />Who isn’t here?<br />“nothing about me without me”<br />
  • 19. 4 Phases of Implementation<br />Getting Started (Months 1-2)<br />Engaging the Organization (Month 3)<br />Fuelling Change (Months 4-12)<br />4. Making Sense and Diffusing (Month 12+)<br />
  • 20. Getting Started<br />You have to decide how to “kick off” this process in your facility<br />Examples:<br />UHN<br />US experience<br />CPSI study sites<br />
  • 21. Take 15 Talk amongst yourselves<br />What would this look like in your organization?<br />How would you launch it?<br />Anybody you know who might be interested?<br />Front line, middle management, senior management?<br />
  • 22. 3 clicks to join a <br />breakout session<br />
  • 23. Tell us your stories<br />
  • 24. Minimum Specifications<br />Actively seek involvement beyond usual suspects<br />Adapt and build as unit(s) develops momentum<br />Track progress and feed back to community<br />Follow existing science/evidence based practice<br />
  • 25. Minimum Specifications<br />Use inquiry based processes “DAD’s”<br />Feed back and rapidly act on suggestions or communicate why they cant be acted upon<br />Create conditions to enable others to share practices<br />Allow for a periodic “booster” shot<br />Cultivate ownership<br />
  • 26. PD Tools<br />Kick offs <br />Improvisation<br />Sharing Stories<br />Discovery and Action Dialogues<br />Social Network Analysis<br />Ethnographic mapping<br />
  • 27. Resources<br />www.stopsuperbugs.com<br />Faculty office hours: every Monday from 1-2pm<br />www.positivedeviance.ca<br />www.positivedeviance.org<br />The Power of Positive Deviance<br />Inviting everyone: Healing Healthcare through Positive Deviance<br />
  • 28. www.stopsuperbugs.com<br />

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