Diffusion of Surgical Innovations, Patient Safety, and Minimally Invasive Radical Prostatectomy

J. Kellogg Parsons, Karen Messer, Kerrin Palazzi, Sean P. Stroup, David C. Chang · 2014 · JAMA Surgery

Summary. Minimally invasive radical prostatectomy using the da Vinci robot spread rapidly across U.S. hospitals starting in 2006, but early adoption was associated with worse patient safety outcomes compared to open surgery. Patients undergoing the new procedure in 2005–2007 faced double the risk of safety incidents. The study shows that surgical innovations diffuse without adequate safeguards, exposing patients to harm during the learning phase.

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Parsons, J. K., Messer, K., Palazzi, K., Stroup, S. P., & Chang, D. C.. (2014). Diffusion of Surgical Innovations, Patient Safety, and Minimally Invasive Radical Prostatectomy. JAMA Surgery. https://doi.org/10.1001/jamasurg.2014.31

@article{parsons-2014-diffusion-surgical-innovations-patient-safety,
  title   = {Diffusion of Surgical Innovations, Patient Safety, and Minimally Invasive Radical Prostatectomy},
  author  = {J. Kellogg Parsons and Karen Messer and Kerrin Palazzi and Sean P. Stroup and David C. Chang},
  journal = {JAMA Surgery},
  year    = {2014},
  doi     = {10.1001/jamasurg.2014.31},
  url     = {https://doi.org/10.1001/jamasurg.2014.31}
}

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Details

DOI: 10.1001/jamasurg.2014.31
Countries: United States
Regions: North America
Categories: rural-healthcare, innovation-theory, general-innovation
Added: 2026-04-28