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Primum non nocere (Classical Latin: [ˈpriːmũː noːn nɔˈkeːrɛ]) is a Latin phrase that means "first, do no harm". The phrase is sometimes recorded as primum nil nocere. [better source needed]
- So Why The Confusion?
- Is "First, Do No Harm" Even Possible?
- How Practical Is "First, Do No Harm"?
- The Bottom Line
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Admittedly, there is similar language found in both places. For example, here's a line from one translation of the Hippocratic Oath: "I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit of my patients, and abstain from whatever is deleterious and mischievous." Yes, the pledger commits to avoi...
The idea that doctors should, as a starting point, not harm their patients is an appealing one. But doesn't that set the bar rather low? Of courseno physician should set out to do something that will only be accompanied by predictable and preventable harm. We don't need an ancient ancestor, however well-respected, or an oath to convince us of that!...
Imagine the following situations: 1. Your diagnosis is clear — say, strep throat — and there's an effective treatment available that carries only minor risks. Here, "first, do no harm" is not particularly relevant or useful. 2. Your diagnosis isn'tclear and the optimal course of testing or treatment is uncertain — for example, you have back pain or...
The fact is that when difficult, real-time decisions must be made, it's hard to apply the "first, do no harm" dictum because estimates of risk and benefit are so uncertain and prone to error. But it isa reminder that we need high-quality research to help us better understand the balance of risk and benefit for the tests and treatments we recommend....
Learn the origin and meaning of the "first, do no harm" principle in medicine, and why it may not be as practical as it seems. Explore how doctors balance the risks and benefits of tests and treatments, and when they should not harm their patients.
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Jan 30, 2024 · UNHCR upholds the principle of do no harm, which means taking measures to prevent and alleviate any adverse consequences of its actions on the affected populations. This principle is part of the four fundamental humanitarian principles of humanity, impartiality, neutrality, and independence.
Jun 4, 2020 · Nonmaleficence is the obligation of a physician not to harm the patient. This simply stated principle supports several moral rules − do not kill, do not cause pain or suffering, do not incapacitate, do not cause offense, and do not deprive others of the goods of life.
- Basil Varkey
- 10.1159/000509119
- 2020
- Med Princ Pract. 2021 Feb; 30(1): 17-28.
Jan 2, 2008 · The three basic principles are (1) respect for persons, (2) beneficence, and (3) justice. In this context, the principle of beneficence is understood as an abstract norm that includes derivative rules such as "Do no harm," "Balance benefits against risks," and "Maximize possible benefits and minimize possible harms."
Oct 1, 2015 · The users of Do No Harm, who are the real “authors” of this Guide, report on how they have been able to engage with the social dynamics of their environments in the ongoing processes of their work to ensure that harm is not unwittingly done.
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Sep 11, 2023 · “First, do no harm” is the most fundamental principle of any health care service. No one should be harmed in health care; however, there is compelling evidence of a huge burden of avoidable patient harm globally across the developed and developing health care systems. This has major human, moral, ethical and financial implications.
