The use of positive deviance approach to improve health service delivery and quality of care: a scoping review.

Ayelign Mengesha Kassie; Elizabeth Eakin; Biruk Beletew Abate; Aklilu Endalamaw; Anteneh Zewdie; Eskinder Wolka; Yibeltal Assefa

Review

The use of positive deviance approach to improve health service delivery and quality of care: a scoping review.

April 24, 2024

Kassie AM, Eakin E, Abate BB, et al. BMC Health Serv Res. 2024;24(1):438.

View more articles from the same authors.

Positive deviance (PD) in healthcare is an approach to learn from individuals or groups who are performing well above the norm in similar circumstances. This review identified 125 articles on PD. Studies focused on a variety of challenges such as hand hygiene and healthcare-associated infections. Before researchers and leaders embark on learning from positive deviants, a clear definition of PD and relevant performance measures must be identified.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Medical errors and quality of care: from control to commitment.

June 14, 2006

Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study.

July 22, 2020

Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events.

April 6, 2022

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Families as partners in hospital error and adverse event surveillance.

March 8, 2017

Crowding in the Emergency Department: Challenges for the Care of Children.

March 15, 2023

Structural racism and the COVID-19 experience in the United States.

July 7, 2021

Preventing home medication administration errors.

March 14, 2022

Complexity and challenges of the clinical diagnosis and management of Long COVID.

November 30, 2022

Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas.

July 26, 2023

Medical harm: patient perceptions and follow-up actions.

December 10, 2014

Impact of laws aimed at healthcare-associated infection reduction: a qualitative study.

September 30, 2015

Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications.

April 29, 2015

The association of the nurse work environment and patient safety in pediatric acute care.

January 16, 2019

Evaluating the implementation and impact of a pharmacy technician-supported medicines administration service designed to reduce omitted doses in hospitals: a qualitative study.

June 12, 2019

Cardiac surgery errors: results from the UK National Reporting and Learning System.

February 16, 2011

Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association.

August 21, 2013

A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families.

July 11, 2018

Randomized controlled evaluation of an insulin pen storage policy.

February 14, 2018

Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019.

January 4, 2021

The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.

March 29, 2023

"Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses.

March 22, 2023

Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia.

March 8, 2023

Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control.

March 1, 2023

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Expert consensus on currently accepted measures of harm.

September 9, 2020

Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey.

September 2, 2020

An examination of medical malpractice claims involving physician trainees.

August 19, 2020

Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention.

August 12, 2020

How accurately do older adult emergency department patients recall their medications?

August 12, 2020

Lessons learned from medical malpractice claims involving critical care nurses.

August 5, 2020

The safety of health care for ethnic minority patients: a systematic review.

July 29, 2020

Gender biases in estimation of others' pain.

April 28, 2021

Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke.

April 21, 2021

Improving peripherally inserted central catheter appropriateness and reducing device-related complications: a quasiexperimental study in 52 Michigan hospitals.

April 14, 2021

Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals.

March 24, 2021

Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography.

March 17, 2021

Toward the development of the perfect medical team: critical components for adaptation.

March 17, 2021

The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.

March 10, 2021

Extended work shifts and neurobehavioral performance in resident-physicians.

March 10, 2021

How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study.

January 27, 2021

Virtual urgent care quality and safety in the time of Coronavirus.

January 20, 2021

Assessment of physician sleep and wellness, burnout, and clinically significant medical errors.

January 13, 2021

Conducting safety research safely: a policy-based approach for conducting research with peer review protected material.

January 13, 2021

Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems.

January 13, 2021

Identifying trigger concepts to screen emergency department visits for diagnostic errors.

December 16, 2020

Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study.

December 16, 2020

The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment.

July 14, 2021

Resident and family engagement in medication management in aged care facilities: a systematic review.

July 7, 2021

A systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality and patient safety.

June 30, 2021

Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year period.

June 30, 2021

Older patients' engagement in hospital medication safety behaviours.

June 16, 2021

Interprofessional and intraprofessional communication about older people's medications across transitions of care.

May 26, 2021

Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit.

November 17, 2021

Survey of nurses' experiences applying The Joint Commission's medication management titration standards.

November 3, 2021

Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care.

October 27, 2021

The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi-experimental study.

October 20, 2021

Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices.

October 20, 2021

Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals.

October 6, 2021

Physician task load and the risk of burnout among US physicians in a national survey.

December 2, 2020

Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach.

December 2, 2020

I-PASS illness diversity identifies patients at risk for overnight clinical deterioration.

December 2, 2020

Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy.

November 25, 2020

Computer-based simulation to reduce EHR-related chemotherapy ordering errors.

November 18, 2020

Safer prescribing for hospitalized older adults with an electronic health records‐based prescribing context.

October 28, 2020

Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania.

October 7, 2020

The morbidity and mortality conference: opportunities for enhancing patient safety.

February 9, 2022

A safety maturity model for technology-induced errors.

February 9, 2022

Using smart IV infusion pumps outside of patient rooms.

February 2, 2022

Indication alerts to improve problem list documentation.

January 26, 2022

Potentially inappropriate prescribing and its associations with health-related and system-related outcomes in hospitalised older adults: a systematic review and meta-analysis.

January 19, 2022

Racial and ethnic differences in emergency department pain management of children with fractures.

April 22, 2020

Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study.

December 22, 2021

Systematic review of the impact of physician implicit racial bias on clinical decision making.

May 5, 2017

Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study.

December 8, 2008

An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.

December 8, 2021

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety.

September 15, 2021

Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids.

August 25, 2021

From implementation to sustainment: a large-scale adverse event disclosure support program generated through embedded research in the Veterans Health Administration.

August 18, 2021

Personal formularies of primary care physicians across 4 health care systems.

August 4, 2021

Developing perioperative Covid-19 testing protocols to restore surgical services.

July 22, 2020

A description of medical malpractice claims involving advanced practice providers.

July 15, 2020

Family support role in hospital rapid response teams: a scoping review.

April 13, 2022

How health systems decide to use artificial intelligence for clinical decision support.

April 6, 2022

Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults.

March 30, 2022

Antibiotic prescribing errors in patients discharged from the pediatric emergency department.

March 30, 2022

Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020.

March 30, 2022

The second victim: a contested term?

December 1, 2021

Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidelity simulation.

January 31, 2024

What and when to debrief: a scoping review examining interprofessional clinical debriefing.

January 24, 2024

Sleep deprivation and medication administration errors in registered nurses- a scoping review.

December 20, 2023

Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention.

November 15, 2023

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Gender bias in risk management reports involving physicians in training - a retrospective qualitative study.

November 9, 2022

What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review.

November 2, 2022

Why is patient safety a challenge? Insights from the Professionalism Opinions of Medical Students' research.

November 2, 2022

Documenting the indication for antimicrobial prescribing: a scoping review.

November 2, 2022

Notes on healing after a missed diagnosis.

October 19, 2022

Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care.

October 19, 2022

Related Resources

Managers' perceptions of the factors affecting resident and patient safety work in residential settings and nursing homes: a qualitative systematic review.

May 1, 2024

Unveiling the hidden struggle of healthcare students as second victims through a systematic review.

April 24, 2024

Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices.

April 22, 2024

Patient Safety Research Summaries.

April 9, 2024

Patient Safety Primers

National Patient Safety Goals

March 27, 2024

Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review.

March 27, 2024

Risk management and patient safety in the artificial intelligence era: a systematic review.

March 27, 2024

2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report.

March 20, 2024

Prioritizing Patient Safety Through Quality Measurement.

February 28, 2024

Standardizing medication reconciliation in a pediatric emergency department.

February 14, 2024

Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives.

January 31, 2024

The impact of rationing nursing care on patient safety: a systematic review.

January 24, 2024

Neonatal near-miss audits: a systematic review and a call to action.

January 10, 2024

Challenge Competition: Impact of Patient Safety Tools.

December 12, 2023

The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews.

December 6, 2023

Healthcare wants to fly as high as the aviation industry. Can it?

November 8, 2023

Contextual factors influencing the implementation of a multifaceted intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative case study.

November 1, 2023

Toxic leadership and its relationship with outcomes on the nursing workforce and patient safety: a systematic review.

October 25, 2023

Factors determining safety culture in hospitals: a scoping review.

October 25, 2023

Learning from latent safety threats identified during simulation to improve patient safety.

October 11, 2023

What can safety cases offer for patient safety? A multisite case study.

October 11, 2023

Global Knowledge Sharing Platform for Patient Safety.

September 20, 2023

In search of an international multidimensional action plan for second victim support: a narrative review.

September 13, 2023

Annual Speak Up Data Reports.

September 6, 2023

Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety.

August 16, 2023

Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series.

August 9, 2023

Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence.

August 2, 2023

Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative.

August 2, 2023

Incivility in healthcare: the impact of poor communication.

August 2, 2023

Adverse Events Toolkit: Medical Record Review Methodology.

July 26, 2023

See More About The Topic

Medical Complications

The use of positive deviance approach to improve health service delivery and quality of care: a scoping review.

National Patient Safety Goals

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The use of positive deviance approach to improve health service delivery and quality of care: a scoping review.

National Patient Safety Goals

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site