Precaution, governance and the failure of medical implants
The ASR(TM) hip in the UK
Bibliographic Data
| ID | 8248587 |
|---|---|
| Authors | M Wienroth (0000-0002-9722-3918, Northumbria University, corresponding author), Pamela Mccormack (0000-0002-0172-1753, Newcastle University), Pauline McCormack, Thomas J Joyce, TJ Joyce (0000-0002-8497-5790, Newcastle University) |
| Year | 2014 |
| Volume | 10 |
| Issue | 1 |
| Pages | 19-19 |
| Publication date | 2014-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Life Sciences Society and Policy (JOURNAL) |
| Journal identifiers | ISSN: 2195-7819 • E-ISSN: 2195-7819 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1186/s40504-014-0019-2 |
| PMID | 26573983 |
| OpenAlex | W2150717895 |
| Language | EN |
| Citations received | 3 |
| References cited | 39 |
Hip implants have provided life-changing treatment, reducing pain and improving the mobility and independence of patients. Success has encouraged manufacturers to innovate and amend designs, engendering patient hopes in these devices. However, failures of medical implants do occur. The failure rate of the Articular Surface Replacement metal-on-metal hip system, implanted almost 100,000 times world-wide, has re-opened debate about appropriate and timely implant governance. As commercial interests, patient hopes, and devices' governance converge in a socio-technical crisis, we analyse the responses of relevant governance stakeholders in the United Kingdom between 2007 and 2014. We argue that there has been a systemic failure of the governance system entrusted with the safety of patients fitted with medical implants. Commercial considerations of medical implants and the status quo of medical implant governance have been given priority over patient safety despite the availability of significant failure data in an example of uncertainty about what constitutes appropriate precautionary action
Business · Clinical governance · Corporate governance · Health care · Implant · Implant failure · Medical device · Operations management · Political science · Status quo · Engineering · Health Systems, Economic Evaluations, Quality of Life · Law · Medicine · Orthopaedic implants and arthroplasty · Orthopedic Infections and Treatments · Finance · Surgery
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The Precautionary Principle in the Risk Management of Modern Biotechnology
Power, expertise and the limits of representative democracy
Differentiating Agency Independence
Introduction
Agency growth between autonomy and accountability
The View From Here
European Experiments
| Unique citing works | 3 |
|---|---|
| Citations per year | 0,43 |
| Citation span | 2019 - 2024 (6) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |