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The issue of dissemination of novel surgical procedures, regardless of whether they use new technology, is an important one. Patient safety should be the centerpiece of the mechanism by which diffusion occurs. As Parsons and colleagues pointed out in their article for JAMA Surgery,1 current systems for the adoption of novel procedures are not formalized nor are they consistent across practices. Designing a new adoption system that ensures quality of care is a laudable but formidable task. Such a system must remove industry influence on surgeons and hospitals and allow procedures to stand on their own and be objectively tested before widespread use.
Allaf ME, Partin AW. Robotic Prostatectomy Diffusion Safety ConcernsReality or Just Illusion?. JAMA Surg. 2014;149(8):852. doi:10.1001/jamasurg.2014.41