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Facilitating innovation in the clinical setting: a pathway for operationalizing accountability
Randi Zlotnik Shaul1, Maria McDonald, Jacob C Langer
1The Hospital for Sick Children and Joint Centre for Bioethics, Department of Pediatrics, University of Toronto, Toronto, Ontario.
Healthcare Quarterly (Toronto, Ont.)
|June 26, 2009
Summary
Healthcare institutions need a structured approach for surgical innovation. A new pathway balances ethical values, legal standards, and scientific rigor to support innovation while ensuring accountability and resource management.
Area of Science:
- Healthcare innovation
- Surgical procedures
- Quality improvement
Background:
- Healthcare institutions face challenges operationalizing innovation while managing risks, accountability, and resources.
- Existing frameworks often struggle to balance ethical considerations, legal standards, and scientific rigor with the need to foster innovation.
- Preserving innovators' enthusiasm is crucial for advancing healthcare quality.
Purpose of the Study:
- To describe a novel, policy-entrenched pathway for managing the introduction of innovative surgical procedures.
- To outline the development process of this interdisciplinary innovation pathway.
- To provide a model for healthcare institutions seeking to operationalize surgical innovation effectively.
Main Methods:
- Development of an interdisciplinary team at the Hospital for Sick Children.
- Creation of a policy-entrenched pathway for surgical innovation management.
- Inclusion of steps for ethical review, legal compliance, risk minimization, and accountability.
Main Results:
- A comprehensive pathway for managing surgical innovation has been established.
- The pathway integrates ethical, legal, and scientific considerations.
- The development process involved an interdisciplinary approach.
Conclusions:
- The developed pathway provides a structured approach to surgical innovation.
- This model supports the ethical and legal introduction of new procedures.
- It aims to foster innovation while maintaining scientific rigor and accountability in healthcare.
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