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Title: Problems and promises of innovation: why healthcare needs to rethink its love/hate relationship with the new
Authors: Dixon-Woods, Mary
Amalberti, Rene
Goodman, Steve
Bergman, Bo
Glasziou, Paul
First Published: Apr-2011
Publisher: BMJ Publishing Group
Citation: BMJ Quality and Safety, 2011, 20 (suppl. 1), i47-i51.
Abstract: Innovation is often regarded as uniformly positive. This paper shows that the role of innovation in quality improvement is more complicated. The authors identify three known paradoxes of innovation in healthcare. First, some innovations diffuse rapidly, yet are of unproven value or limited value, or pose risks, while other innovations that could potentially deliver benefits to patients remain slow to achieve uptake. Second, participatory, cooperative approaches may be the best way of achieving sustainable, positive innovation, yet relying solely on such approaches may disrupt positive innovation. Third, improvement clearly depends upon change, but change always generates new challenges. Quality improvement systems may struggle to keep up with the pace of innovation, yet evaluation of innovation is often too narrowly focused for the system-wide effects of new practices or technologies to be understood. A new recognition of the problems of innovation is proposed and it is argued that new approaches to addressing them are needed.
DOI Link: 10.1136/bmjqs.2010.046227
ISSN: 2044-5415
Type: Article
Rights: This paper was published as BMJ Quality and Safety, 2011, 20 (suppl. 1), i47-i51. It is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License. It is also available from Doi: 10.1136/bmjqs.2010.046227
Appears in Collections:Published Articles, Dept. of Health Sciences

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