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From Invisible to Visible - Positive Deviance Initiative

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that depicts the cultural transformation occurring<br />

at Billings Clinic is one that shows the ever-rising<br />

usage of isolation gowns.<br />

“When you look closely at this graph you can see<br />

that despite having current and scientifically<br />

sound policies and guidelines in place, people<br />

were not following those recommendations and<br />

were not wearing gowns when caring for patients<br />

with drug-resistant bacteria. Just when we were<br />

beginning our Discovery and Action dialogues<br />

and most noticeably, when we began<br />

Improvisational theatre learning sessions, you see<br />

a dramatic increase in gown use. Usage is up<br />

because people have self-discovered the need <strong>to</strong><br />

wear them, and they’re acting on it,” she says.<br />

“What we’re seeing here is real culture change.”<br />

■<br />

“What we’re seeing here is real culture change.”<br />

34

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