{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T18:31:43Z","timestamp":1777573903921,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[1998,3,1]],"date-time":"1998-03-01T00:00:00Z","timestamp":888710400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eval Health Prof"],"published-print":{"date-parts":[[1998,3]]},"abstract":"<jats:p>Proper evaluation of clinical innovations and of the process of their diffusion is essentialfor the development of sound health care policy. This case study examines transcutaneous oxygen monitoring in neonatal intensive care, a procedure that was rapidly adopted in the late 1970s as a scientific breakthrough of great promise, then all but abandoned within a decade in favor of pulse oximetry, a still more recent technology. The study incorporates the results of interviews with representatives of industry as well as biomedical researchers and clinicians involved with these devices. Factors in technology diffusion are analyzed, with special attention to those susceptible to change by policy makers. Participants in the diffusion process also include nurses, hospital administrators, the legal profession, the news media, and the public, but the pivotal roleand hence ultimate responsibility-is seen to be that of the physician. The discussion is presented in the context of a proposed \"ethics of evidence \" pertinent to medical decision making.<\/jats:p>","DOI":"10.1177\/016327879802100101","type":"journal-article","created":{"date-parts":[[2007,3,10]],"date-time":"2007-03-10T22:32:47Z","timestamp":1173565967000},"page":"3-26","source":"Crossref","is-referenced-by-count":4,"title":["Responsibility for Clinical Innovation"],"prefix":"10.1177","volume":"21","author":[{"given":"Valerie","family":"Mike","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfred N.","family":"Krauss","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gail S.","family":"Ross","sequence":"additional","affiliation":[{"name":"Cornell University Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1998,3,1]]},"reference":[{"key":"atypb1","first-page":"1","volume-title":"The New York Times","author":"Altman, L. K.","year":"1976"},{"key":"atypb2","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1542\/peds.83.1.122","volume":"83","author":"American Academy of Pediatrics, Task Force on Transcutaneous Oxygen Monitors","year":"1989","journal-title":"Pediatrics"},{"key":"atypb3","volume-title":"To do no harm: DES and the dilemmas of modern medicine","author":"Apfel, R. J.","year":"1984"},{"key":"atypb4","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1542\/peds.79.5.663","volume":"79","author":"Bancalari, E.","year":"1987","journal-title":"Pediatrics"},{"key":"atypb5","volume-title":"Effective care in pregnancy and childbirth (2 vols.)","author":"Chalmers, I.","year":"1989"},{"key":"atypb6","volume-title":"Medicine and its technology: An introduction to the history of medical instrumentation","author":"Davis, A. B.","year":"1981"},{"key":"atypb7","doi-asserted-by":"crossref","unstructured":"Eberhard, P., Hammacher, K. & Mindt, W. (1973). Methode zur kutanen Messung des Sauerstoffpartialdruckes. Biomedizinische Technik, 18, 216-221.","DOI":"10.1515\/bmte.1973.18.6.216"},{"key":"atypb8","first-page":"176","volume-title":"Assessing medical technologies","author":"Fineberg, H.","year":"1985"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199204163261603"},{"key":"atypb10","volume-title":"A directory of medical devices, trade names and manufacturers","author":"Health Devices Sourcebook","year":"1989"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1080\/21548331.1976.11706949"},{"key":"atypb12","series-title":"The National Foundation-March of Dimes Birth Defects Original Article Series","volume-title":"Continuous transcutaneous blood gas monitoring","author":"Huch, A.","year":"1979"},{"key":"atypb13","volume-title":"Continuous transcutaneous monitoring: Advances in experimental medicine and biology","author":"Huch, A.","year":"1986"},{"key":"atypb14","volume-title":"Continuous transcutaneous blood gas monitoring","author":"Huch, R.","year":"1983"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1007\/BF00586844"},{"key":"atypb16","volume-title":"Assessing medical technologies","author":"Institute of Medicine of the National Academy of Sciences","year":"1985"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(92)90168-M"},{"key":"atypb18","volume-title":"The imperative of responsibility: In search of an ethics for the technological age","author":"Jonas, H.","year":"1984"},{"key":"atypb19","first-page":"123A","volume":"27","author":"Krauss, A. N.","year":"1990","journal-title":"Pediatric Research"},{"key":"atypb20","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1542\/peds.73.1.82","volume":"73","author":"Lucey, J. F.","year":"1984","journal-title":"Pediatrics"},{"key":"atypb21","volume-title":"The official directory of hospital suppliers","author":"Medical Device Register","year":"1989"},{"key":"atypb22","first-page":"101","volume":"9","author":"Mike, V.","year":"1989","journal-title":"Research in Philosophy & Technology"},{"key":"atypb23","first-page":"115","volume-title":"Acceptable evidence: Science and values in risk management","author":"Mike, V.","year":"1991"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.1007\/BF00435637"},{"key":"atypb25","doi-asserted-by":"publisher","DOI":"10.2307\/3106419"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(95)00222-7"},{"key":"atypb27","volume-title":"Selling science: How the press covers science and technology","author":"Nelkin, D.","year":"1987"},{"key":"atypb28","first-page":"1156","volume":"269","author":"Pellegrino, E. D.","year":"1993","journal-title":"Journal of the American Medical Association"},{"key":"atypb29","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199204163261609"},{"key":"atypb30","volume-title":"An historical index to FDA 510(k) filings by product category","author":"Product Development Directory","year":"1988"},{"key":"atypb31","volume-title":"Medicine and the reign of technology","author":"Reiser, S. J.","year":"1978"},{"key":"atypb32","first-page":"810","volume":"93","author":"Rodriguez, L. R.","year":"1994","journal-title":"Pediatrics"},{"key":"atypb33","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1542\/peds.79.2.283","volume":"79","author":"Rooth, G.","year":"1987","journal-title":"Pediatrics"},{"key":"atypb34","volume-title":"History of blood gas monitoring","author":"Severinghaus, J. W.","year":"1987"},{"key":"atypb35","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.16.3.195"},{"key":"atypb36","doi-asserted-by":"publisher","DOI":"10.2307\/3350435"},{"key":"atypb37","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-198110000-00001"},{"key":"atypb38","volume-title":"Retrolental fibroplasia: A modem parable","author":"Silverman, W. A.","year":"1980"},{"key":"atypb39","doi-asserted-by":"publisher","DOI":"10.1136\/adc.61.5.522"},{"key":"atypb40","first-page":"63","volume-title":"Medical innovation and bad outcomes: Legal, social, and ethical responses","author":"Tarlov, A. R.","year":"1987"},{"key":"atypb41","volume-title":"Opportunities in transcutaneous, blood gas, and electrolyte monitoring","author":"The Wilkerson Group; formerly Channing, Weinberg &amp; Co., Inc.","year":"1982"},{"key":"atypb42","volume-title":"Biochemical monitoring: A strategic business assessment","author":"The Wilkerson Group; formerly Channing, Weinberg &amp; Co., Inc.","year":"1987"}],"container-title":["Evaluation &amp; the Health Professions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/016327879802100101","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/016327879802100101","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:20:53Z","timestamp":1777404053000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/016327879802100101"}},"subtitle":["A Case Study in Neonatal Medicine"],"short-title":[],"issued":{"date-parts":[[1998,3]]},"references-count":42,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1998,3]]}},"alternative-id":["10.1177\/016327879802100101"],"URL":"https:\/\/doi.org\/10.1177\/016327879802100101","relation":{},"ISSN":["0163-2787","1552-3918"],"issn-type":[{"value":"0163-2787","type":"print"},{"value":"1552-3918","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,3]]}}}