Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: Dr Berwick1 viewed
dissemination of innovation as a social process. We have several questions,
however, about his recommendations. How and by whom will "sound innovations"
be identified in a timely manner? How are innovators and early adopters chosen?
The underlying assumption is that such individuals can be prospectively selected
in all relevant areas—a daunting task.
Enzmann DR, Sayre J. Disseminating Health Care InnovationDisseminating Health Care Innovation. JAMA. 2003;290(11):1454-1455. doi:10.1001/jama.290.11.1454-a