Combating infections at Maine Medical Center: Insights into complexity-informed leadership from positive deviance

@article{Lindberg2013CombatingIA,
  title={Combating infections at Maine Medical Center: Insights into complexity-informed leadership from positive deviance},
  author={Curt Lindberg and Marguerite Schneider},
  journal={Leadership},
  year={2013},
  volume={9},
  pages={229 - 253}
}
A case study of how the organizational change process known as Positive Deviance was used to fight healthcare-associated infections at Maine Medical Center highlights the human and social aspects of leadership in a complex adaptive system. It illustrates that leadership can shape self-organization in a manner that facilitates creative, productive, desirable outcomes. We found influential roles of anxiety, attachment, and relationships in facilitating organizational leadership. We describe how… 

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References

SHOWING 1-10 OF 105 REFERENCES

Exploring Leadership in Multi-sectoral Partnerships

This article explores some critical aspects of leadership in the context of multi-sectoral partnerships. It focuses on leadership in practice and asks the question, `How do managers experience and

The Practice of Leadership in the Messy World of Organizations

This article examines the practice of leadership in organizations characterized by ambiguous authority relationships. Drawing on three empirical case studies illustrative of a long-term research

Nobody in charge: Distributed change agency in healthcare

In this qualitative study of service improvements in the treatment of prostate cancer at an acute hospital, Grange, change roles were distributed more widely, with responsibilities `migrating' among a large informal cast supporting four central characters.

Leadership: Time for a New Direction?

After reviewing the literature on leadership that culminated in what has been described as the ‘New Paradigm’, this article discusses the research which has led to the development of what might be

Why Hospitals Don't Learn from Failures: Organizational and Psychological Dynamics That Inhibit System Change

The importance of hospitals learning from their failures hardly needs to be stated. Not only are matters of life and death at stake on a daily basis, but also an increasing number of U.S. hospitals

Inviting Everyone: Healing Healthcare through Positive Deviance

Inviting Everyone tells how people using the social change process Positive Deviance significantly reduced health care-associated infections in the US and overseas and improved patient safety, quality of care, and work place relationships.

From leadership-as-practice to leaderful practice

Consistent with views that see leadership emerging from social practices rather than from the external mind, this paper contributes to an emerging movement in leadership studies known as
...