Thursday, August 6, 2009

Six degrees of separation

There is something in the saying that the road to hell is paved with good intentions.

And perhaps the axiom I should now follow is

First do no harm.

Another way to state it is that "given an existing problem, it may be better to do nothing than to do something that risks causing more harm than good." It reminds the physician and other health care providers that they must 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. Since at least 1860, the phrase has been for physicians a hallowed expression of hope, intention, humility, and recognition that human acts with good intentions may have unwanted consequences.

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