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- Title
Oversight in Surgical Innovation: A Response to Ethical Challenges.
- Authors
Gupta, Saksham; Muskens, Ivo S.; Fandino, Luis Bradley; Hulsbergen, Alexander F. C.; Broekman, Marike L. D.
- Abstract
Background: Surgical innovation has advanced outcomes in the field, but carries inherent risk for surgeons and patients alike. Oversight mechanisms exist to support surgeon-innovators through difficulties associated with the innovation process.Methods: A literature review of ethical risks and oversight mechanisms was conducted.Results: Oversight mechanisms range from the historical concept of surgical exceptionalism to departmental, hospital, and centralized committees. These fragmentary and non-standardized oversight mechanisms leave surgeon-innovators and patients open to significant risk of breaching the ethical principles at the core of surgical practice. A systematized approach that mitigates these risks while maintaining the independence and dignity of the surgical profession is necessary. We propose an oversight framework that incorporates multiple structures tailored toward the ethical risk introduced by different forms of innovation.Discussion: We summarize ethical risks and current regulatory structures, and we then use these findings to outline an oversight framework that may be applied to surgical practice.
- Subjects
SURGERY; SURGEONS; MEDICAL innovations; MEDICAL technology; MEDICAL care
- Publication
World Journal of Surgery, 2018, Vol 42, Issue 9, p2773
- ISSN
0364-2313
- Publication type
Article
- DOI
10.1007/s00268-018-4565-2