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what is the origin of do no harm

by Prof. Hollis Cruickshank Published 3 years ago Updated 2 years ago

"First do no harm" is a popular saying that derives from the Latin phrase, "primum non nocere" or "primum nil nocere." The term is particularly popular amongst those involved in the field of healthcare, medicine, or bioethics, and among popular accounts of the medical field, since it is a basic principle taught in ...Oct 20, 2019

Is 'first do no harm' part of the Hippocratic Oath?

– Translation by W.H.S. Jones. It is often said that the exact phrase "First do no harm" ( Latin: Primum non nocere) is a part of the original Hippocratic oath. Although the phrase does not appear in the AD 245 version of the oath, similar intentions are vowed by, "I will abstain from all intentional wrong-doing and harm".

Is published by first do no harm?

The Independent Medicines and Medical Devices Safety Review, chaired by Baroness Julia Cumberlege, has today published its report.Titled ‘First Do No Harm’, it comes after a two-year review of harrowing patient testimony and a large volume of other evidence concerning three medical interventions: Primodos, sodium valproate and pelvic mesh.

Do no harm or do some good?

Public health scientists writing in the journal BMJ Global Health challenged the claim made by lockdown sceptics that the “cure is worse than the disease”, arguing that no country which ... Russia and some parts of the US which imposed few Covid ...

Do no harm but do know harm?

“Do no harm” may be given as an excuse for not acting. But harm results from the lack of action as well. In the extreme, a lack of action equals neglect. It is a mistake to think that doing no harm is a passive duty — it is an affirmative obligation that requires constant diligence.

Where did the phrase do no harm originate?

And in fact, although "first, do no harm" is attributed to the ancient Greek physician Hippocrates, it isn't a part of the Hippocratic Oath at all. It is actually from another of his works called Of the Epidemics.

What is the concept of do no harm?

"Do no harm" is to avoid exposing people to additional risks through our action. • "Do no harm" means taking a step back from an intervention to look at the broader context and mitigate potential negative effects on the social fabric, the economy and the environment.

What is Latin for first do no harm?

to the editor: In the Latin phrases that get tossed about by physicians, “primum non nocere” (“first, do no harm”) is perhaps the best recognized. “Primum non nocere” is a Hippocratic albatross that today's physicians have come to understand subconsciously in its appropriate context.

Who first said primum non nocere?

Thomas SydenhamRather than being of ancient origin as usually assumed, the specific expression, and its even more distinctive associated Latin phrase, has been traced back to an attribution to Thomas Sydenham (1624–1689) in a book by Thomas Inman (1860), Foundation for a New Theory and Practice of Medicine.

Does the Hippocratic Oath say first do no harm?

It is often said that the exact phrase "First do no harm" (Latin: Primum non nocere) is a part of the original Hippocratic oath. Although the phrase does not appear in the AD 245 version of the oath, similar intentions are vowed by, "I will abstain from all intentional wrong-doing and harm".

Do No Harm meaning in ethics?

Do no harm is a principle of bioethics that is also commonly used in areas such as sustainability. The principle is typically interpreted to mean that your actions should not cause injury or injustice to people. The principle, in its strictest sense, can also be applied to inactions.

Has Do No Harm been removed from the Hippocratic Oath?

"A solemn promise: Of solidarity with teachers and other physicians. Of beneficence (to do good or avoid evil) and non-maleficence (from the Latin 'primum non nocere', or 'do no harm') towards patients. (In fact the well-known "first do no harm" phrase does not feature in the classical Hippocratic Oath.)

What is the original Hippocratic Oath?

"I swear to fulfill, to the best of my ability and judgment, this covenant: I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.

Is the Hippocratic Oath still used?

For many doctors the 2,400-year-old Hippocratic Oath is still relevant to their practice. Whether the Hippocratic Oath is still relevant to those who practice modern medicine depends on who you ask. Some doctors say it's time to retire the oath, traditionally recited as medical school tradition.

Did Hippocrates Write the Hippocratic Oath?

The Hippocratic Oath is one of the oldest and most widely known codes of ethics. The original text is attributed to Hippocrates, a Greek physician commonly credited with beginning the practice of medicine as a rational science.

What is the meaning of primum non nocere?

first, do no harm: first, do no harm.

What does the phrase above all do no harm means?

Drucker expands this to mean that the leader must consider the possible harm that any act might cause the mission, the organization, its members, or society and he considers this to be the ultimate guide for the leader in ethical conduct in business.

Who said "Do no harm"?

And in fact, although "first, do no harm" is attributed to the ancient Greek physician Hippocrates, it isn’t a part of the Hippocratic Oath at all. It is actually from another of his works called Of the Epidemics.

Why is it so hard to apply the first do no harm dictum?

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.

Why would we stop ordering mammograms?

We might stop ordering mammograms, because they could lead to a biopsy for a non-cancerous lump.

Can you tell if a test or treatment will do no harm?

So you can’t tell ahead of time whether a test or treatment will "do no harm.". Your diagnosis is serious — for example, an inoperable cancer — and treatment can only cause harm. Here, the "first, do no harm" mandate is irrelevant again. The only reasonable course of care is to offer comfort, support, and relief of suffering.

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What Does 'First Do No Harm' Mean?

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"First do no harm" is a popular saying that derives from the Latin phrase, "primum non nocere" or "primum nil nocere." The term is particularly popular amongst those involved in the field of healthcare, medicine, or bioethics, and among popular accounts of the medical field, since it is a basic principle taught in healthcare-pro…
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History of The Hippocratic Oath

  • The Hippocratic oath is part of an outline of essential ethics in medicine which is described in ancient Greek literature. Hippocrateswas a Greek physician who lived on the island of Cos between about 460-370 BCE. He wrote many medical texts and is considered one of the most important figures in ancient Greek medicine. He is generally credited with writing the original Hip…
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The Original Purpose of The Oath

  • Healers in Athenian society were known as Asclepiads and they belonged to a guild (koinon), to which they inherited their right of membership from their fathers. Hippocrates' father and grandfather before him were members of the guild on Cos. Then, doctors were itinerant specialists who carried their skills from city to city, setting up surgeries. Rather than a promise …
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Hippocratic Oath in Modern Usage

  • Although "first do no harm" does not actually come from the Hippocratic oath verbatim, it can be argued that it does come from that text in essence. That is, similar ideas are conveyed in the text of the Hippocratic Oath. Take, for example, this related section which has been translated as: In reading the Hippocratic oath, it is apparent that not harming the patient is explicit. However, it is …
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of The Epidemics

  • A closer version to the succinct "do no harm" does come (possibly) from Hippocrates, however. "Of the Epidemics" is a part of the Hippocratic Corpus, which is a collection of ancient Greek medical texts written between 500 and 400 BCE. Hippocrates was never proven to be the author of any of these works, but the theories do follow closely with Hippocrates' teachings. Regarding …
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The Hippocratic Oath

  • At many medical schools, but by no means all, a version of the Hippocratic oath is given to the student on graduation or read to the students in the first year. Different countries have different customs about the oath. In French medical schools, it is common to have the student sign the oath on graduation. In the Netherlands, students must swear to it verbally. At graduation, some …
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Sources

  • Crawshaw, Ralph. "The Hippocratic Oath [with Reply]." BMJ. BMJ: British Medical Journal, T. H. Pennington, C. I. Pennington, et al., Vol. 309, No. 6959, JSTOR, October 8, 1994. Jones, Mary Cadwalader. "The Hippocratic Oath." The American Journal of Nursing. Vol. 9, No. 4, JSTOR, January 1909. Nittis, Savas. "The Authorship and Probable Date of the Hippocratic Oath." The Jo…
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