PRIMUM NON NOCERE

When still a medical student first, easy way to do smth outstanding flat compared to a doctor, say, the engineers of civil engineering. This is taken flat in extreme cases when each 'failed' in their work. Civil engineering engineers who are responsible be caught in the rain to build bridges with cemoohan and bear the burden of suffering that bridge collapse not long after the project finished. At the other is a doctor who can not save the life of patients not long after he signed. Unlike the engineers who endure hardship before, the doctors still get thanks from the family and the companion taulan patients who have died. But, again, this is just a flat course.

Illustration above does not mean the absence of the charges against safety in the medical world. Even among medical professionals, always buzzed diktum of Hippocrates (about 460-377 BCE), which became the world's first medical principle, primum non nocere. The slogan of this latin can more or less defined as "What is important is not harmful" in every aspect, both socially and economically. In this case, the medical professionals are required to put the interests of patients above the interests of others. This principle is often disandingkan with the motto "Suprema Lex Aegroti Salus" which means the patient safety is the highest law. Interaction with medical professionals demanding customers trust and loyalty that can not be ditawar again. So it appears one slogan that relevant in this case the form of "Uberrima fides", which means loyalty above everything.

In diktum "Primum non nocere" are three implications of the one with the other into a mutual one chain that is not separated. First, that medical professionals must recognize the fact that they are able to do all sesuatunya better. That is, there is always a continuous space to do the repairs. The second level is to find ways, how improvements can be made. The latter, of course, accept responsibility for the task. Keyword in this case is quality control.

In the context of hospital services, for example, quality control processes are required to be involved customers. Model closed meeting that the process of putting customers in the dark do not know what time it is not anymore. Customers now no longer a patient is the Javanese "pasrah bongkokan" or "pejah gesang monggo kemawon," passively accept any course of treatment providers. The kritisnya customer orientation in view of them in the search for 'value'.

Value here is intended as a 'function' and the results of the examination or medical treatment along with supporting (medical output) and the service they received compared with the cost of which must be certified. All are subjective, based on the perception of each person. Can be expensive for someone cheaper means for the other.
Aspects of self-service refers to a complex process. Francis W. Body in the Journal of the American Medical Association stated that the relationship between medical professionals and their clients should form a personal aspect of the correct time, sympathy, and mutual understanding. Essential quality that should not be behind the concern is that humane. Concern that make customers feel be humane. Value is the parameters in selecting service providers, which dipersepsikan as providers of quality and in accordance with the customer's ability to pay for them.

Perceptions of quality is obtained based on information and experience they have. Information about how easy it is spread in the current climate of openness, such as this. Moreover, not in this era have a role that customers no longer single? Patients such as not only a role as the victim told conditions faced when meeting with a doctor. Patients have the right to get clear information related to what the significance. Customers must have clear information about the procedures that must be diikutinya so they can decide their own actions to be taken, according asasinya rights. When necessary, the customer is entitled to take another opinion as an alternative (second opinion).

Clarity is important information for customers in considering the ratio between the benefits and risks that will dihadapainya. Not infrequently, there is an error, infection, and risk terpaparnya occur because of medical professionals and customers there are problems with communication. Differences in language into one of the kendalanya, as part of the reluctance to proactive customer trends and some professionals who pursue the target. In fact, the patient is a fool because of illegal activities have become a medical professional duty to educate its customers are slowly but surely.

Customers are less and less involved to get enough information that tends to get less effective treatment. As a result of fewer customers to know what should be done to prevent the occurrence of problems such as the risk of occurrence of allergy, infection, injury or even death. So that if problems occur during this praktisinya who answerable. But often sistemlah that often make all this happen, including the culture of the organization. For that, pengkambinghitaman certainly not a wise action and does not complete the problems. More is needed redesigned the old system into the new system that better cultural organization with a more conducive.

Thus, the actual share of each party have a responsibility in supporting the safety of patients. Medical professionals will not be able to bear alone, and they are not in a position as holder of the single authority. No wonder now if this voice subscribers also have distinctive strengths in relation to the regulation, either through business associations and representatives in the legislative institutions as they are quite related to his interests. In addition to roles that have been mentioned above, customers also have a role as an agent in the dissemination of information from mouth to mouth (words of mouth) is effective. This last role becomes more strategic if it is associated with the strict regulation in the medical industry ad commercial.

To improve patient safety and in particular the quality of services in general, modernization of equipment is important, but that is not less important is to provide first-rate. The withdrawal of services provided to people who we love such as our own mothers. Among experts bioetika principles such as the service is known as the Papworth Principle. In this case, the authors have acronym MOTHER that this author has not been long noted in the National Seminar VII Hospital Perhimpunan Indonesia. MOTHER acronym made up of medical services (Medical services), dedication (Outstanding Dedication), taking the time (Time awareness), the humane treatment and full respect (Humanity treatment and respect), empathy, sympaty and understanding, and a reasonable price (Reasonable cost).