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Healthcare Leaders: First, Do No Harm

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Healthcare Leaders, “First, Do No Harm”
The phrase “Primum non nocere” is Latin for “First, Do No Harm”, has been part of the Hippocratic Oath taken by healthcare leaders for centuries and has been a keystone of ethical practice in medicine (Rich, Singleton, & Wadhwa, 2013, p.171). It might be thought of as the first and earliest code of quality in medicine. The Oath is one of the oldest imperative documents, goes into more detail of quality care (Rich, Singleton, & Wadhwa, 2013, p.171). Healthcare leaders are responsible for business decisions, including decisions that impact the healthcare environment. Healthcare leaders may be held to an even higher standard of accountability than commercial industry leaders because of their commitment to …show more content…
In order to achieve zero harm, healthcare organizations must first commit to the process of becoming a high reliability institution. The Joint Commission has developed a framework for hospitals that incorporate high reliability healthcare (The Joint Commission, 2013). The Joint Commission is urging healthcare leaders to use a framework that it has developed to advance their organizations through phases of advancement, eventually creating environments in which there is zero patient harm (The Joint Commission, 2013). According to the joint commission, healthcare organizations must commit to transparency, promote and reward error reporting, and take opportunities to improve. They have tested its high reliability framework in seven hospitals by using the questionnaire to assess their own …show more content…
Transformation is not an accident. Healthcare leaders can design experiences that will both transform and maintain the transformed state (Joshi, Ransom, Nash, & Ransom, 2014, p. 365). Examples include the following actions: Personally interview a patient who has experienced serious harm in the institution, along with the patient’s family members, and listen carefully to the impact of the event on that patient’s life; personally interview staff of the at the sharp end of error that caused serious harm; listen to a patient every day; read and reread both Institute of Medicine (ION) reports; learn and use quality improvement methods; view and discuss the video “First, Do No Harm” with the healthcare team; and performance regular rounds with the care team (Joshi, Ransom, Nash, & Ransom, 2014, p.

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