國際護士會回應美國護士被判過失殺人罪 | ICN

護士需要在安全的組織中工作,那裏有防止錯誤的措施,而且鼓勵他們在無責文化中宣佈錯誤,從錯誤中吸取教訓,並在系統中建立額外的安全做法和責任。

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The International Council of Nurses (ICN) says it is grateful that the sentence given to United States nurse RaDonda Vaught following a medical error, was less harsh than had been feared. However ICN warns the prosecution would not make healthcare safer for patients: rather it would make it more difficult to learn from mistakes and prevent errors in the future. Ms Vaught was sentenced to three years on probation in a case which has been followed by nurses around the world.

Ms Vaught, a former Tennessee intensive care nurse who made a drug administration error in 2017 that killed 75 year-old patient Charlene Murphey, was found guilty of criminally negligent homicide and impaired adult abuse on 25 March 2022.

The American Nurses Association (ANA) has been supporting Ms. Vaught through the case and submitted a letter to the court expressing the legal reasons from a professional nursing perspective for leniency. ICN’s statement of 30 March condemning the criminalisation of medical errors was formally brought as an exhibit before the court to be considered before sentencing.

Responding to the sentencing of Ms Vaught on 13 May, ICN President Pamela Cipriano said nurses around the world will see themselves in Ms Vaught and ICN was grateful that the views of ANA and ICN were considered by the court. However Dr Cipriano said criminalising a nurse’s mistake, would weigh heavily on the nursing profession and could reverse years of progress on improving patient safety. It is well known that most errors result from systems failings, not careless individuals.

Dr Cipriano said: “Nurses need to work in safe organisations, where measures are in place to prevent mistakes , and where they are encouraged to declare errors within a no-blame culture that takes the lessons from errors and builds additional safety practices and accountability into systems in response. To find a nurse guilty of negligent homicide for a medical error creates a potential threat to practice that could lead to more healthcare workers covering up errors and result in missed opportunities for improving patient safety. It is a step backwards that could also create a situation where many nurses and other health workers will stop practising, rather than face the prospect of jail time if they were to make a mistake. We thank our ICN member ANA for the support they have given Ms Vaught.”

The World Health Organization, in collaboration with ICN, has developed a Global Patient Safety Action plan, which recognises that a safe organisation is one where there is a no-blame culture of openness and transparency.


全文翻譯(僅供參考)

國際護士理事會(ICN)表示,它對美國護士RaDonda Vaught在發生醫療錯誤後被判處的刑罰沒有人們擔心的那麼嚴厲表示感謝。然而,國際護士理事會警告説,起訴不會使患者的醫療保健更加安全:相反,它將使人們更難從錯誤中學習,並在未來防止錯誤。沃特女士被判處三年緩刑,這一案件受到了全世界護士的關注。

沃特女士是田納西州的一名前重症監護護士,她在2017年犯了一個給藥錯誤,導致75歲的病人Charlene Murphey死亡,她在2022年3月25日被認定犯有刑事過失殺人罪和虐待受損成年人罪。

美國護士協會(ANA)在此案中一直支援沃特女士,並向法院提交了一封信,從專業護理的角度表達了寬大處理的法律理由。ICN于3月30日發表聲明,譴責將醫療事故刑事化,並作為證據正式提交給法庭,以便在判刑前考慮。

ICN主席Pamela Cipriano在回應5月13日對Vaught女士的判決時説,全世界的護士都會在Vaught女士身上看到自己的影子,ICN感謝法院考慮了ANA和ICN的意見。然而,Cipriano博士説,將護士的錯誤定為刑事犯罪,將給護理行業帶來沉重的壓力,並可能逆轉多年來在改善病人安全方面取得的進展。眾所週知,大多數錯誤是由系統故障造成的,而不是由粗心的個人造成的。

Cipriano博士説。"護士需要在安全的組織中工作,那裏有防止錯誤的措施,而且鼓勵他們在無責文化中宣佈錯誤,從錯誤中吸取教訓,並在系統中建立額外的安全做法和責任。認定一名護士因醫療錯誤而犯有過失殺人罪,對實踐造成了潛在的威脅,可能會導致更多的醫護人員掩蓋錯誤,並導致錯過改善病人安全的機會。這是一種倒退,也可能造成許多護士和其他衛生工作者停止執業,而不是在他們犯錯時面臨坐牢的前景。我們感謝我們的ICN成員ANA對沃特女士的支援"。

世界衛生組織與ICN合作,制定了一個全球患者安全行動計劃,該計劃認為,一個安全的組織是一個開放和透明的無責文化。

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