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Within paper, We seek a critical reappraisal of the role of innovation in quality enhancement in healthcare. Using a range of disciplinary points of views(Rather than offering a diverse literature review), We identify the trade off problems together with innovation, And we challenge students, Companies and institutions to recognise and confront the paradoxes of innovation.First paradox of invention: Uptake of the suspect, Rejection of the goodThe first paradox of innovation is the notorious problem that some new practices enjoy rapid uptake and diffusion throughout health systems, Even while they are of limited benefit or unproven efficacy, Or stand for risks to patients, While other items that could secure better outcomes for patients never make it to the bedside.Reasons why unproven innovations are sometimes rapidly adopted and implemented are becoming better understood.1 Some are rather like consumer fads a new technology or therapy generates the excitement of newness and 'must have' even before evidence base has been firmly established.

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