Zusammenfassung
Zurzeit unterliegt die moderne Chirurgie einem deutlichen Wandel im Sinne der Einführung moderner Technologien und innovativer Techniken. Die robotisch-assistierte Chirurgie oder moderne Techniken der Visualisierung stellen die Chirurgie vor bisher ungeahnte Herausforderungen hinsichtlich möglicher und sinnvoller Einsatzgebiete. Soll eine Innovation nicht lediglich als „Machbarkeitsbeweis“ und Zeichen des ungebremsten Fortschrittes eine interessante Singularität bleiben, sondern einen festen Platz im Rahmen standardisierter Therapieabläufe bekommen, bedarf es fester Regularien, welche den Weg von der Innovation hin zur Einführung in die Klinik flankieren. Dieser Übersichtsartikel soll Defizite der bis dato praktizierten Modelle der Einführung neuer Technologien in die Klinik kritisch beleuchten und neue Aspekte und Wege aufzeigen, welche die Einführung von Innovationen im Hinblick insbesondere auf die Patientensicherheit verbessern können.
Abstract
Modern surgery is currently undergoing a significant change in the sense of the introduction of modern technologies and innovative techniques. Robotic-assisted surgery and modern techniques of visualization confront surgery with unprecedented challenges with respect to possible and meaningful areas of application for these innovations. If an innovation is not to remain only an interesting singularity as proof of feasibility and a sign of unchecked progress but is to have a fixed place within the framework of standardized treatment processes, firm regulations are required which flank the path from innovation to introduction into clinical practice. This overview article critically examines the deficits of the currently practiced models of introducing new technologies into the clinical practice and discusses new aspects that can improve the introduction of innovations with particular respect to patient safety.
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M. Bahra und J. Pratschke geben an, dass kein Interessenkonflikt besteht.
Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.
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Bahra, M., Pratschke, J. Innovationen in der Chirurgie – wie können neue Technologien sicher in die Klinik eingeführt werden?. Chirurg 91, 553–560 (2020). https://doi.org/10.1007/s00104-020-01195-7
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DOI: https://doi.org/10.1007/s00104-020-01195-7