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PRIMUM NON NOCERE: Medicine's Culture of Dealing with and Denial of the Occurrence of Medical Harm
Linköping University, Department of Culture and Communication, Centre for Applied Ethics.
2017 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

The hippocratic principle "primum non nocere" (above all do no harm) has always been and still is the strong foundation of medical conduct. For a long time healthcare professionals created the image of infallibility of medicine. Even within the "closed" hierarchies mistakes and malpractice were never openly discussed. This paper first investigates reasons for medical mistakes and introduces the legislation when malpractice occurs. Secondly ethical questions concerning medical mistakes are discussed through the lens of Beauchamp and Childress' principles of biomedical ethics (nonmaleficence, beneficence, respect for autonomy, justice). Thirdly, an ethically defensible strategy to deal with failure and malpractice is proposed. This proposal stresses how to improve the patient-physician communication by involving patients' experiences in order to increase patient safety and lower costs in the healthcare system. In regard to tackling medical harm there is the strong recommendation to follow four directives: open disclosure and explanation, adequate restorative and/or compensatory actions, fair and square apologies and information about strategies to avoid recurrence.

Place, publisher, year, edition, pages
2017. , p. 35
Keywords [en]
failure, malpractice, nonmaleficence, patient safety, risk management, patient involvement, reconciliation, cost reduction
National Category
Ethics
Identifiers
URN: urn:nbn:se:liu:diva-154396ISRN: LIU‐CTE‐AE‐EX‐‐17/06‐‐SEOAI: oai:DiVA.org:liu-154396DiVA, id: diva2:1287405
Subject / course
Master in Applied Ethics
Supervisors
Examiners
Available from: 2019-02-11 Created: 2019-02-11 Last updated: 2019-02-11Bibliographically approved

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Ethics

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf