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active surveillance, cultural transformation, MRSA, positive deviance



  1. Bonuel, Nena MSN, RN, CCRN, CNS, ACNS-BC
  2. Byers, Pat RM, M(ASCP) CIC
  3. Gray-Becknell, Thelma MSN, RN


Hospitals across the United States and around the world are fighting the escalation of drug-resistant infections. In response to this costly and life-threatening problem, facilities are engaging in vigorous programs to prevent its occurrence and spread. This article presents one hospital's fight against methicillin-resistant Staphylococcus aureus by implementing a facility-wide program aimed at changing and standardizing the culture within the hospital.