MEDICAL HARM: HISTORICAL, CONCEPTUAL AND ETHICAL DIMENSIONS OF IATROGENIC ILLNESS
ALAN I. FADEN, VIRGINIA A. SHARPE,
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Número de páginas 280
It is estimated that up to thirteen percent of hospital admissions result from the adverse effects of diagnosis or treatment, and that almost seventy percent of iatrogenic complications are preventable. The obligation to 'do no harm' has been central to medical conduct since ancient times, yet iatrogenic illness - literally, illness or injury that is induced by the physician - has now come to be recognized as a significant risk factor in health care delivery. The authors examine the emerging concept of iatrogenic illness in the context of historical developments in medical science, practice and legislation, particularly in the United States. They integrate history, philosophy, medical ethics, and empirical data to examine the concept and phenomenon of medical harm, covering such issues as appropriateness of care, acceptable risk, and practitioner accountability. There are chapters on nosocomial infection, adverse drug effects, and unnecessary surgery, and the book concludes with recommendations for limiting iatrogenic harm. Essential reading for medical ethicists, physicians, and those involved in health care policy and administration, this stimulating and highly readable book will be of interest to all providers of health care, and many of their patients.