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Bedside manner and something more? … Medicine is the art and science of healing. It encompasses a range of health care practices evolved to maintain and restore human health by the prevention and treatment of illness. Contemporary medicine applies health science, biomedical research, and medical technology to diagnose and treat injury and disease, typically through medication, surgery, or some other form of therapy. The word medicine is derived from the Latin ars medicina, meaning the art of healing. Though medical technology and clinical expertise are pivotal to contemporary medicine, successful face-to-face relief of actual suffering continues to require the application of ordinary human feeling and compassion, known in English as " bedside manner." Bedside manner is a term describing how a healthcare professional handles a patient. A good bedside manner is typically one that reassures and comforts the patient. Vocal tones, body language, openness, presence, and concealment of attitude may all affect bedside manner. Poor bedside manner leaves the patient feeling unsatisfied, worried, alone, or frightened. Bedside manner becomes difficult when a healthcare professional explains to the patient the true diagnosis, while keeping the patient from being alarmed. Patient safety is a relatively recent initiative in healthcare, emphasizing the reporting, analysis and prevention of medical error and adverse healthcare events. The frequency and magnitude of avoidable adverse events was not well known until the 1990s, when reports in several countries revealed a staggering number of patient injuries and deaths each year. Patient safety initiatives include application of lessons learned from business and industry, advancing technologies, education of providers and the public, disclosure of errors, and economic incentives. A large number of organizations internationally promote patient safety issues. Unforeseen bad outcomes of medical treatment cause harm to patients; Greek healers knew this in the 4th Century B.C., when the Hippocratic Oath pledged to " prescribe regimens for the good of my patients according to my ability and my judgment and never do harm to anyone." However, despite an increasing emphasis on the scientific basis of medical practice in Europe and the United States in the late 19th Century, data on adverse outcomes were hard to come by and the various studies commissioned collected mostly anecdotal events. In the United States, the public and the medical specialty of anesthesia were shocked in April 1982 by the ABC television program 20/20 entitled The Deep Sleep. Presenting accounts of anesthetic accidents, the producers stated that, every year, 6, 000 Americans die or suffer brain damage related to these mishaps. In 1983, the British Royal Society of Medicine and the Harvard Medical School jointly sponsored a symposium on anesthesia deaths and injuries, resulting in an agreement to share statistics and to conduct studies. By 1984 the American Society of Anesthesiologists had established the Anesthesia Patient Safety Foundation. The APSF marked the first use of the term " patient safety" in the name of professional reviewing organization. Although anesthesiologists comprise only about 5% of physicians in the United States, anesthesiology became the leading medical specialty addressing issues of patient safety. Likewise in Australia, the Australian Patient Safety Foundation was founded in 1989 for anesthesia error monitoring. Both organizations were soon expanded as the magnitude of the medical error crisis became known.
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