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            "title": "The Positive Deviance Phenomenon of Leading Successful Strategic Change",
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            "abstractNote": "The high failure rates of strategic change threaten organizational sustainability. The focus of this phenomenological study was to explore how the positive deviance phenomenon and strategies manifest through the lived experience of successful Canadian financial services strategic change leaders. The conceptual framework included the potential business performance gains attributed to Sternin and Sternin's positive deviance concept and Lewin's change management theory. Twenty-two Canadian leaders, with an average of 19 years leading change, participated in semistructured telephone interviews. A systematic inductive analysis was employed to identify emergent themes in the data, which resulted in 4 dimensions of leading successful strategic change: leaderful identity, deep skill set, strategic behaviors, and organizational context. These dimensions culminated in the Leading Successful Strategic Change: The 4 Factor Formula. In a change-resistant organization, the 4 Factor Formula leader can influence successful change and shift industries, communities, and countries forward. Findings might serve as a road map for individual and applied business course development and selection criteria for senior leaders. Future research may confirm transferability of the 4 Factor Formula to other business applications. The practical reservoir of actionable findings and resources supports a leadership development path for executing sustainable positive social change.",
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                    "tag": "Change management",
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                    "tag": "Concept analysis"
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                {
                    "tag": "Innovation"
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                    "tag": "North America"
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                    "tag": "Organizational sustainability"
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                    "tag": "POS"
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                {
                    "tag": "Positive Deviance"
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                {
                    "tag": "Positive organizational scholarship"
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                    "tag": "Qualitative"
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            "title": "Sustained Reduction in the Clinical Incidence of Methicillin‐Resistant Staphylococcus aureus Colonization or Infection Associated with a Multifaceted Infection Control Intervention",
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                    "creatorType": "author",
                    "firstName": "Katherine",
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                    "creatorType": "author",
                    "firstName": "Robert R.",
                    "lastName": "Muder"
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                    "creatorType": "author",
                    "firstName": "Rajiv",
                    "lastName": "Jain"
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                    "lastName": "Cunningham"
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                {
                    "creatorType": "author",
                    "firstName": "Jon",
                    "lastName": "Lloyd"
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                    "firstName": "Jonathan",
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                    "firstName": "Val",
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            "abstractNote": "Objective.  To assess the impact and sustainability of a multifaceted intervention to prevent methicillin‐resistant Staphylococcus aureus (MRSA) transmission implemented in 3 chronologically overlapping phases at 1 hospital. Design.  Interrupted time‐series analyses. Setting.  A Veterans Affairs hospital in the northeastern United States. Patients and participants.  Individuals admitted to acute care units from October 1, 1999, through September 30, 2008. To calculate the monthly clinical incidence of MRSA colonization or infection, the number of MRSA‐positive cultures obtained from a clinical site more than 48 hours after admission among patients with no MRSA‐positive clinical cultures during the previous year was divided by patient‐days at risk. Secondary outcomes included clinical incidence of methicillin‐sensitive S. aureus colonization or infection and incidence of MRSA bloodstream infections. Interventions.  The intervention—implemented in a surgical ward beginning October 2001, in a surgical intensive care unit beginning October 2003, and in all acute care units beginning July 2005—included systems and behavior change strategies to increase adherence to infection control precautions (eg, hand hygiene and active surveillance culturing for MRSA). Results.  Hospital‐wide, the clinical incidence of MRSA colonization or infection decreased after initiation of the intervention in 2001, compared with the period before intervention (P = .002), and decreased by 61% (P < .001) in the 7‐year postintervention period. In the postintervention period, the hospital‐wide incidence of MRSA bloodstream infection decreased by 50% (P = .02), and the proportion of S. aureus isolates that were methicillin resistant decreased by 30% (P < .001). Conclusions.  Sustained decreases in hospital‐wide clinical incidence of MRSA colonization or infection, incidence of MRSA bloodstream infection, and proportion of S. aureus isolates resistant to methicillin followed implementation of a multifaceted prevention program at one Veterans Affairs hospital. Findings suggest that interventions designed to prevent transmission can impact endemic antimicrobial resistance problems.",
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            "rights": "Copyright © 2011 The University of Chicago Press",
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