Primum non nocere

Primum Non Nocere: A Foundational Ethical Maxim in Healthcare

Primum non nocere (Classical Latin: [ˈpriːmuː noːn noːˈtʃeːrɛ]) is a revered principle in medicine, which translates to "first, do no harm" in English. This fundamental precept underscores the importance of prioritizing patient safety and ethical considerations in healthcare decisions.

AMA Code of medicine, emphasizing the importance of ethical practice.

Origins and Etymology

The phrase, which has its roots in ancient Latin, is occasionally documented as primum nil nocere. Both versions highlight the significance of preventing harm and ensuring well-being in clinical settings.

Principles and Interpretation

Non-maleficence

Derived from "primum non nocere," non-maleficence is a central tenet of bioethics. Healthcare students worldwide are instilled with its importance, emphasizing:

• The paramountcy of not inflicting harm intentionally.
• Making judicious choices even if benefits are uncertain.
• Recognizing the potential adversities of interventions.

Taking the oath in medicine emphasizes the commitment to do no harm.

Applications in Modern Medicine

The principle is a reminder for healthcare professionals to:

• Assess the risks and benefits of treatments.
• Prioritize patient well-being over experimental or uncertain outcomes.
• Recognize that inaction or choosing not to intervene may sometimes be the best course of action.

Global Acceptance and Implementation

The adage "first, do no harm" transcends cultures and is integral to healthcare practices worldwide. It advocates for:

• Holistic patient care.
• Continual reflection on the outcomes of medical interventions.
• Building a trust-based relationship between patients and healthcare providers.

See Also

• Hippocratic Oath
• Medical Ethics
• Patient Safety
• Bioethics

References

Primum non nocere Resources
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