ArticleBMJ quality & safety2011
Problems and promises of innovation: why healthcare needs to rethink its love/hate relationship with the new.
Article in BMJ quality & safety, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
41 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Revolutionising health and social care: innovative solutions for a brighter tomorrow - a systematic review of the literature.BMC health services research · 2024Pooled it
- What is the impact of innovation on output in healthcare with a special focus on treatment innovations in radiotherapy? A literature review.The British journal of radiology · 2017Pooled it
- Triage, treatment and transfer of patients with stroke in emergency department trial (the TImplementation science : IS · 2016Trial
- Telephone triage in urgent unscheduled primary care in 16 European countries: a cross-national questionnaire-based expert study.Scandinavian journal of primary health care · 2026Article
- Powering Up: a qualitative evaluation of the art and science of meaningful co-production for health equity.BMJ paediatrics open · 2026Article
- Article
- Article
- Patient perspectives on access to oncology innovations: protocol for a systematic meta-aggregation review.BMJ open · 2025Article
- Bringing evolutionary cancer therapy to the clinic: a systems approach.NPJ systems biology and applications · 2025Review
- Creating pragmatic, rapid-cycle, evidence-based innovation: The Kaiser Permanente Northern California Delivery Science and Applied Research (DARE) program.Learning health systems · 2025Article
- Article
- AI Through Ethical Lenses: A Discourse Analysis of Guidelines for AI in Healthcare.Science and engineering ethics · 2024Article
- A snapshot on a journey from frustration to readiness-A qualitative pre-implementation exploration of readiness for technology adoption in Public Health Protection in Ireland.PLOS digital health · 2024Article
- Sustaining e-health innovations in a complex hospital environment: learning through evidence.Frontiers in digital health · 2024Article
- Implementing PCR testing in general practice-a qualitative study using normalization process theory.BMC health services research · 2023Article
- Article
- Leading Transformation in Medical Education Through Extended Reality.Advances in experimental medicine and biology · 2023Article
- Exploring factors of uneven use of telehealth among outpatient pharmacy clinics during COVID-19: A multi-method study.Research in social & administrative pharmacy : RSAP · 2022Article
- Towards early and broad evaluation of innovative surgical devices: integrating evidence synthesis, stakeholder involvement, and health economic modeling into the clinical research stages of the IDEAL framework.BMJ surgery, interventions, & health technologies · 2022Review
- The WOMEN-UP Solution, a Patient-Centered Innovative e-Health Tool for Pelvic Floor Muscle Training: Qualitative and Usability Study during Early-Stage Development.International journal of environmental research and public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.