Identification and strengthening of positive deviance: An efforts to reduce the incidence of malaria in Selayar islands

Arsunan, Arsin A.; Syamsiar, S. Russeng; Muhammad, Akbar Nurdin; Elisafitri, Rezki; Aries, Tina Pulubuhu Dwia; Nilawati, Usman Andi; Aisyah, .

doi:10.1016/j.enfcli.2019.07.153

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…A&F informed by this data seems to be more successful when it is collegial, constructive and actionable. Thus, the application of PD to thoracic surgery—a concept first developed in Vietnam, then global public health, and since used to improve performance across a number of healthcare settings27–32—provides an ideal method to identify positive outliers who can help guide a path for underperformers without abasement. Indeed, much of the discussion during multicentre seminars highlighted practice variation within and between institutions.…”

Section: Discussionmentioning

confidence: 99%

Multicentre positive deviance to reduce adverse events and length of stay after pulmonary resection

et al. 2023

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BackgroundPostoperative adverse events (AEs) following pulmonary resection enormously impact patient well-being, length of stay (LOS) and healthcare costs. Standardised AE data collection can be used to identify positive outliers demonstrating positive deviance (PD) who may be helpful to inform the best practice. Here, we describe our initial experience of a novel quality improvement process using PD to reduce LOS and AEs.MethodsAE rates and LOS were collected from four centres (2014–2020) using a common dictionary. Surgeons repeatedly participated in 60 to 90 min seminars consisting of the following process: identify outcome and procedure targeted, review relevant best evidence literature, view all data anonymised by surgeon or centre (if multicentre), choose and reveal identity of best performance PD outliers, who discuss their management principles while all receive self-evaluation reports, followed by collegial discussion to generate consensus recommendations, voted by all. We assessed overall impact on AEs and LOS using aggregate data in a before/after analysis.ResultsA total of 131 surgeons (average 12/seminar) participated in 11 PD seminars (8 local and 3 multicentre), yielding 85 consensus recommendation (average 8/seminar). Median LOS following lobectomy decreased from 4.0 to 3.0 days (p=0.04) following local PD seminars and from 4.0 to 3.5 days (p=0.11) following multicentre seminars. Trends for reductions in multiple AE rates were also observed.ConclusionWhile limited by the longitudinal design, these findings provide preliminary support for this data-driven, collegial and actionable quality improvement process to help standardise and improve patient care, and merits further more rigorous investigation.

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Section: Discussionmentioning

confidence: 99%

Multicentre positive deviance to reduce adverse events and length of stay after pulmonary resection

et al. 2023

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“…Studied in Mexico by Machado-Machado [19], the relative contribution of climate and socio-ecological factors was investigated by including 11 climatic variables on temperature and precipitation but only four socioecological variables in models, resulting in climatic variables having more influence on dengue transmission than socioecological factors. Relative contributions of climatic and socioecological factors were also analyzed in Singapore, where the relative risk of dengue due to population growth was 6 times higher than the relative risk associated with climate alone [20], [21], [22].…”

Section: Discussionmentioning

confidence: 99%

Correlation Study between Elevation, Population Density, and Dengue Hemorrhagic Fever in Kendari City in 2014–2018

Istiqamah

Arsin

Salmah

et al. 2020

Open Access Maced J Med Sci

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BACKGROUND: The incidence of dengue hemorrhagic fever (DHF) has experienced rapid development throughout the world in recent decades. Indonesia was reported as the 2nd country with the largest DHF cases among 30 endemic countries. Dengue virus can develop properly based on certain regional conditions. The elevation is an important factor that can affect the presence of dengue vector mosquitoes. High population density contributes to dengue transmission by increasing the contact between infected mosquitoes and human hosts. AIM: This study aimed to determine the correlation between elevation and population density with the incidence of dengue in Kendari City in 2014–2018. METHODS: This research is an observational analytic study with ecological study design. Data incidence of DHF in 2014–2018, elevation and population density were respectively obtained from the Health Office of Kendari City, Meteorology, Climatology and Geophysics Agency of Kendari City, Statistics Agency of Kendari City. The analysis of the data used in the study is univariate and bivariate analysis. Bivariate analysis using Pearson correlation test was performed. RESULTS: The results showed that the correlation between elevation and DHF (p = 0.014, r = 0.339) and the correlation between population density and DHF (p = 0.186). CONCLUSION: It can be concluded that there is significant correlation with positive direction between elevation and the DHF, and there is no significant correlation between population density and DHF incidence in Kendari City in 2014–2018.

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The Positive Deviance Approach On The Incidence Of Malaria In Endemic Areas; Literature Review

Nurdin,

Russeng,

Arsin

et al. 2024

J. of Law and Sust. Develop.

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Background: This literature review study is motivated by the empirical phenomenon of malaria incidence which is becoming more serious from time to time. The incidence of malaria has a social impact in the form of public unrest due to the fast course of the disease and can cause death in a short time, as well as an economic impact, namely an increase in the state budget for the treatment of malaria. Purpose: This literature is intended to identify and describe evidence related to the positive deviation (PD) malaria control model as a new strategy in accelerating malaria reduction. Theoritical Framework: This research was conducted using a theoretical framework collected from various sources using the Lawrence Behavior Theory approach. In this theory it is explained that there are 3 main things that influence behavior and behavior change, namely predisposing factors, enabling and reinforcing factors. These three factors influence the potential knowledge, attitudes and practices of malaria control in endemic areas. In practice, a communication model is applied, including behavioral intention through a three-burner approach Methods: The literature review method was conducted using the 2015 Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines by searching comprehensive peer-reviewed articles from three computerized bibliographic databases: Scopus, PubMed, and EBSCO. Strengthening the reporting of observational studies in Epidemiology (STROBE) checklist used as a guide to assess the quality of the studies reviewed. Findings: The results of the review articles are in the form of Positive Deviance (PD) approach method of solving health problems, especially malaria and assisting the government in malaria control programs in people living in endemic areas. Practical Implication: Through this positive deviance approach method, the community is encouraged to identify, recognize, and know things related to the causes of malaria, malaria transmission, and steps to prevent malaria in the community.

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Identification and strengthening of positive deviance: An efforts to reduce the incidence of malaria in Selayar islands

Cited by 3 publications

References 10 publications

Multicentre positive deviance to reduce adverse events and length of stay after pulmonary resection

Multicentre positive deviance to reduce adverse events and length of stay after pulmonary resection

Correlation Study between Elevation, Population Density, and Dengue Hemorrhagic Fever in Kendari City in 2014–2018

The Positive Deviance Approach On The Incidence Of Malaria In Endemic Areas; Literature Review

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