‘First, do no harm’: shifting the paradigm towards a culture of health

Over the past 17 years since the release of the Institute of Medicine report ‘To Err is Human’,<sup>1</sup> health services and agencies around the world have increasingly focused on improving the safety and quality of health care. Historically, the commitment by health care professional...

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Autor principal:	Karen Luxford
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2016
Materias:	quality safety patient experience culture of health Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/0e6f4582182447df8a3d2f814d977bd6
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id	oai:doaj.org-article:0e6f4582182447df8a3d2f814d977bd6
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spelling	oai:doaj.org-article:0e6f4582182447df8a3d2f814d977bd62021-11-15T04:21:49Z‘First, do no harm’: shifting the paradigm towards a culture of health2372-0247https://doaj.org/article/0e6f4582182447df8a3d2f814d977bd62016-11-01T00:00:00Zhttps://pxjournal.org/journal/vol3/iss2/2https://doaj.org/toc/2372-0247Over the past 17 years since the release of the Institute of Medicine report ‘To Err is Human’,<sup>1</sup> health services and agencies around the world have increasingly focused on improving the safety and quality of health care. Historically, the commitment by health care professionals to ‘first do no harm’ has produced a focus on the absence of interventions that may cause adverse outcomes. This clinical approach links to the Hippocratic Oath which includes the promise "to abstain from doing harm". The Oath reminds clinicians to first consider the possible harm that any intervention might do. This approach to interactions with patients leads to an emphasis on the ‘absence of harm’ rather than a focus on the ‘creation of health’. To improve the care of patients, a paradigm shift is required in the health care services from a ‘disease-based intervention’ model to a supportive ‘health’ model. Just as ‘health’ is not the absence of illness, preventing patient harm is not simply avoiding interventions. To ‘first do no harm’ health services need to actively improve their focus on health and the entire patient experience.Karen LuxfordThe Beryl Institutearticlequalitysafetypatient experienceculture of healthMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	quality safety patient experience culture of health Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	quality safety patient experience culture of health Medicine (General) R5-920 Public aspects of medicine RA1-1270 Karen Luxford ‘First, do no harm’: shifting the paradigm towards a culture of health
description	Over the past 17 years since the release of the Institute of Medicine report ‘To Err is Human’,<sup>1</sup> health services and agencies around the world have increasingly focused on improving the safety and quality of health care. Historically, the commitment by health care professionals to ‘first do no harm’ has produced a focus on the absence of interventions that may cause adverse outcomes. This clinical approach links to the Hippocratic Oath which includes the promise "to abstain from doing harm". The Oath reminds clinicians to first consider the possible harm that any intervention might do. This approach to interactions with patients leads to an emphasis on the ‘absence of harm’ rather than a focus on the ‘creation of health’. To improve the care of patients, a paradigm shift is required in the health care services from a ‘disease-based intervention’ model to a supportive ‘health’ model. Just as ‘health’ is not the absence of illness, preventing patient harm is not simply avoiding interventions. To ‘first do no harm’ health services need to actively improve their focus on health and the entire patient experience.
format	article
author	Karen Luxford
author_facet	Karen Luxford
author_sort	Karen Luxford
title	‘First, do no harm’: shifting the paradigm towards a culture of health
title_short	‘First, do no harm’: shifting the paradigm towards a culture of health
title_full	‘First, do no harm’: shifting the paradigm towards a culture of health
title_fullStr	‘First, do no harm’: shifting the paradigm towards a culture of health
title_full_unstemmed	‘First, do no harm’: shifting the paradigm towards a culture of health
title_sort	‘first, do no harm’: shifting the paradigm towards a culture of health
publisher	The Beryl Institute
publishDate	2016
url	https://doaj.org/article/0e6f4582182447df8a3d2f814d977bd6
work_keys_str_mv	AT karenluxford firstdonoharmshiftingtheparadigmtowardsacultureofhealth
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‘First, do no harm’: shifting the paradigm towards a culture of health

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