【醫療刑事法】洗腎透析管鬆脫致死案:護理人員之刑事過失【學習式判解評析】 試閱
Death Caused by Hemodialysis Tubing Connector Detachment: Criminal Negligence in Nursing Staff
病患於接受血液透析治療過程中,血液透析用之血液迴路管回血端之導管接頭鬆脫,病患之子見病患臉色異常蒼白,告知護理師,護理師始前往處理。病患因該導管接頭鬆脫,不斷滲血,後因低血容性休克而死亡,護理師遂遭檢察官起訴業務過失致死罪。地方法院認為護理師疏未將導管接頭鎖緊,自有過失;然高等法院認為導管鬆脫未必是護理師疏未鎖緊所致,惟護理師疏未時時注意病患,致未能立即處理其滲血情形而有過失。護理師上訴至最高法院,惟遭最高法院駁回,本件判決結果,終告確定。本文由兩位作者評析法院之見解,就護理師對病患危險結果之客觀預見可能性、客觀結果迴避可能性與作為可能性、是否構成業務過失傷害與系統性錯誤等議題,提出協同與不同意見。
While a patient was receiving hemodialysis treatment, the tubing connector of hemodialysis machine became loose. Patient’s son saw the face of patient became pale, and he notified nurse. The nurse then went to handle it, but patient finally died of hypothalamic shock because of continuous bleeding caused by loose tubing connector. The nurse was prosecuted by the crime of negligently causing the death of another in the performance of her occupational activities. The district court found the nurse negligent, because she did not tightly lock the tubing connector. However, the high court found the nurse negligent, not because that the she did not tightly lock the tubing connect, but because that she did not pay close attention to patient’s condition. The nurse appealed to the Supreme Court, but it was dismissed by the Supreme Court. Two authors comment on this decision with special reference to whether the patient’s death is foreseeable and avoidable, whether the defendant is guilty and the issue of system error in this case.
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