Figure - PMC

Skip to main content

An official website of the United States government

Here's how you know

Here's how you know

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

View full-text article in PMC

. 2026 Jan 28;18(1):e102482. doi: 10.7759/cureus.102482

Search in PMC
Search in PubMed
View in NLM Catalog
Add to search

Copyright © 2026, Panda et al.

This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

PMC Copyright notice

4a: Interviewing guards; 4b: Interviewing hospital attendants/housekeeping (HA/HK) staff; 4c: Interviewing resident doctors; 4d: IAS championship award distribution to nursing staff; 4e: IAS championship award distribution to neonatal intensive care unit (NICU); 4f: IAS championship award distribution to resident doctors.

Gamification of stewardship: The IAS championship was a motivational intervention. This figure captures the IAS competition, a strategic initiative designed to incentivize clinical excellence and adherence to the institutional IAS practice. By transforming compliance and clinical knowledge into a competitive framework, the Institutional Action Plan (IAP) model fosters a culture of "Positive Deviance," where top-performing departments and individuals are recognized as institutional benchmarks. This incentivization is a key driver for behavioral change and the long-term sustainability of the stewardship program.