Adoption of scientific innovations, including drugs, devices, and techniques, is critical to the advancement of safe and efficacious healthcare. Often, however, disconnects between scientific evidence and clinical practice are observed with less supported innovations being widely adopted and those with stronger data underused. Popularized by the soci-ologist Rogers1,2 in 1962, the diffusion of innovations theory is used to explain the spread of ideas or practices among social systems, including academic disciplines. The attractiveness of diffusion theory is that it goes beyond the innovation to under-stand the influence of communication channels, time, and the social system. In healthcare, adoption of a new innovation or technology depends heavily on the interaction between the innovation and the adoption system. The complexities of how an innovation is introduced into clinical practice are exem-plified by the story of transradial intervention (TRI). Severa

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