Testing Spread and Implementation of Novel Methicillin Resistant Staphylococcal Aureus (MRSA)-Reducing Practices

The purpose of this study is to implement strategies for improved efficiency and waste
reduction ("Toyota Lean") and positive deviance, a social behavioral change process,
utilizing frontline healthcare personnel to reduce infection bloodstream infection and MRSA
infection in outpatient dialysis care. In two outpatient dialysis units, dialysis unit
healthcare staff will be educated in Toyota lean techniques and conduct periodic "discovery
and action" dialogues to identify and implement care process changes to reduce infection.
Outcomes to be monitored will include incidence of bloodstream infections and MRSA
infections of all types. Data will be assessed at quarterly intervals using interrupted time
series analysis.