Medical Harm: Historical, Conceptual and Ethical Dimensions by Virginia Ashby Sharpe, Alan I. Faden

By Virginia Ashby Sharpe, Alan I. Faden

It truly is expected that as much as 13 percentage of health facility admissions end result from the adversarial results of analysis or therapy, and that just about seventy percentage of iatrogenic problems are preventable. the duty to 'do no damage' has been valuable to clinical behavior given that precedent days, but iatrogenic ailment has now become well-known as an important danger consider overall healthiness care supply. This booklet integrates historical past, philosophy, clinical ethics and empirical information to ascertain the concept that and phenomenon of scientific damage. concerns lined contain appropriateness of care, applicable threat and practitioner responsibility, and the booklet concludes with options for restricting iatrogenic damage. crucial examining for scientific ethicists, physicians and people concerned about overall healthiness care coverage and management, this stimulating and hugely readable e-book might be of curiosity to all companies of wellbeing and fitness care, and plenty of in their sufferers.

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Additional info for Medical Harm: Historical, Conceptual and Ethical Dimensions of Iatrogenic Illness

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53 Bowman JG, p. 4 (see No. 51). Medical epistemology, medical authority and shifting interpretations of beneficence and nonmaleficence When Ernest Codman identified patient benefit as the ultimate standard and measure of the quality of care, he provided no explicit argumentation to justify his claim. Most likely, he saw it as self evident since his position reflected one of the most fundamental ethical commitments of medicine since the time of Hippocrates. The Hippocratic referents for the obligation to benefit the patient (beneficence) and to avoid patient harm (nonmaleficence) are found in the Oath and the Epidemics.

21 Mizrahi T. Managing medical mistakes: ideology, insularity and accountability among internists in-training. Soc Sci Med 1984; 19:135-146. 22 DeVille KA. Medical Malpractice in Nineteenth-Century America: Origins and Legacy. New York: NYU Press, 1990, p. 69. 23 DeVille KA, p. 3 (see No. 22). 24 Small v. Howard 128 Mass 131 (1880). 25 Starr P, p. I l l (see No. 1). 26 Konold DE, p. 49 (see No. 4). 27 Starr P, p. I l l (see No. 1). 28 Konold DE, p. 49 (see No. 4). 29 Crossen HS. Abdominal surgery without detached pads or sponges.

It did so through a reductionist epistemology that emphasized the nature of disease entities rather than the concatenation of environmental, social, and constitutional factors that were traditionally held to influence health. The new epistemology also stressed the universal applicability of physiological and biochemical laws over the idiosyncrasies of individualized treatment. This resulted in a movement away from general (holistic) practice to specialized practice oriented to particular diseases, disorders, or organ systems.

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