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Primum non nocere

Primum non nocere (Classical Latin: [ˈpriːmũː noːn nɔˈkeːrɛ]) is a Latin phrase that means "first, do no harm". The phrase is sometimes recorded as primum nil nocere.[1][2]

Non-maleficence, which is derived from the maxim, is one of the principal precepts of bioethics that all students in healthcare are taught in school and is a fundamental principle throughout the world. Another way to state it is that, "given an existing problem, it may be better not to do something, or even to do nothing, than to risk causing more harm than good." It reminds healthcare personnel to consider the possible harm that any intervention might do. It is invoked when debating the use of an intervention that carries an obvious risk of harm but a less certain chance of benefit.[citation needed]

Non-maleficence is often contrasted with its complement, beneficence. Young and Wagner argued that, for healthcare professionals and other professionals subject to a moral code, in general beneficence takes priority over non-maleficence (“first, do good,” not “first, do no harm”) both historically and philosophically.[3] Indeed, beneficence is the Hippocratic priority both in the Oath and in Epidemics I, which "First do no harm" and "Primum non nocere" reverse quite contrarily to Hippocratic and other classical authorities.[4]

  1. ^ Google book search, 1800–1970
  2. ^ "Primum Nil Nocere". Psychology Today. January 23, 2014. Retrieved 2025-01-09.
  3. ^ Young, Michael; Wagner, Angela (2023), "Medical Ethics", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID 30570982, retrieved 2023-11-24
  4. ^ Suss, Richard A. (November 21, 2024). "First Do No Harm Is Proverbial, Not Hippocratic". OSF Preprints. doi:10.31219/osf.io/c23jq.

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