In an age of rapidly advancing technological changes, Dr Casler has done us a great service by reminding otolaryngologists of the history of safety measures instituted by the US Congress through the FDA. Compliance with these regulations can be burdensome but the ultimate outcome is a safer environment for patients, and for that we should be grateful.
The article is more descriptive than prescriptive and I eagerly await "version 2," which hopefully will urge us to place the patient's best interest foremost and to eschew our preoccupation with the return on investment. Too frequently today, in my opinion, one is left to wonder if the patient has fallen to third place in priority—behind the plan's or practice's bottom line and the practitioner's notoriety.
Ward NO. Safety First. Arch Otolaryngol Head Neck Surg. 2003;129(6):677. doi:10.1001/archotol.129.6.677