美国护士因致命的制剂错误被判疏忽和过失杀人罪

that Vaught did not properly monitor Murphey after she was injected with the wrong drug.

Murphey, 75, of Gallatin, Tennessee, was admitted to Vanderbilt for a brain injury. At the time of the error, her condition was improving, and she was being prepared for discharge from the hospital, according to courtroom testimony and a federal investigation report. Murphey was prescribed a sedative, Versed, to calm her before being scanned in a large, MRI-like machine.

Vaught was tasked to retrieve Versed from a computerized medication cabinet but instead grabbed a powerful paralyzer, vecuronium. According to an investigation report filed in her court case, the nurse overlooked several warning signs as she withdrew the wrong drug — including that Versed is a liquid but vecuronium is a powder — and then injected Murphey and left her to be scanned. By the time the error was discovered, Murphey was brain-dead.

During the trial, prosecutors painted Vaught as an irresponsible and uncaring nurse who ignored her training and abandoned her patient. Assistant District Attorney Chad Jackson likened Vaught to a drunken driver who killed a bystander, but said the nurse was "worse" because it was as if she was "driving with [her] eyes closed."

"The immutable fact of this case is that Charlene Murphey is dead because RaDonda Vaught could not bother to pay attention to what she was doing," Jackson said.

Vaught's attorney, Peter Strianse, argued that his client made an honest mistake that did not constitute a crime and became a "scapegoat" for systemic problems related to medication cabinets at Vanderbilt University Medical Center in 2017.

But Vanderbilt officials countered on the stand. Terry Bosen, Vanderbilt's pharmacy medication safety officer, testified that the hospital had some technical problems with medication cabinets in 2017 but that they were resolved weeks before Vaught pulled the wrong drug for Murphey.

In his closing statement, Strianse targeted the reckless homicide charge, arguing that his client could not have "recklessly" disregarded warning signs if she earnestly believed she had the right drug and saying that there was "considerable debate" over whether vecuronium actually killed Murphey.

During the trial, Dr. Eli Zimmerman, a Vanderbilt neurologist, testified it was "in the realm of possibility" Murphey's death was caused entirely by her brain injury. Additionally, Davidson County Chief Medical Examiner Feng Li testified that although he determined Murphey died from vecuronium, he couldn't verify how much of the drug she actually received. Li said a small dose may not have been lethal.

"I don't mean to be facetious," Strianse said of the medical examiner's testimony, "but it sort of sounded like some amateur 'CSI' episode — only without the science."

Vaught did not testify. On the second day of the trial, prosecutors played an audio recording of Vaught's interview with law enforcement officials in which she admitted to the drug error and said she "probably just killed a patient."

During a separate proceeding before the Tennessee Board of Nursing last year, Vaught testified that she allowed herself to become "complacent" and "distracted" while using the medication cabinet and did not double-check which drug she had withdrawn despite multiple opportunities.

“I know the reason this patient is no longer here is because of me,” Vaught told the nursing board, starting to cry. “There won’t ever be a day that goes by that I don’t think about what I did.”

正文译者（仅供参考）

RaDonda Vaught 是一名前医护人员，因 2017 年因致命的抗生素不堪重负错误而被刑事起诉，在经过为期三天的判处死刑后，在各省市各地的医护人员开展了为期三天的判处死刑后，他于周五被判犯有不堪重负无视婴幼儿和疏忽有罪。

根据纳什维尔沿海地区检察长政府机关提供的量刑最新，尼克因疏忽而随之而来三到六年的监禁，作为未事先重罪的合意，将随之而来一到两年的过失有罪。DA 发言人史蒂夫库珀利普却说，尼克定于 5 年底 13 日被判刑，她的缓刑可能则会同时继续执行。

尼克因鲁莽有罪被判无罪。刑事疏忽强盗是鲁莽强盗下的一项较轻的控告。

Vaught 的判处死刑受到各省市医护人员和医疗各个领域人员的融洽关切，他们中所的或许责怪这可能则会应运而生一个将医疗不堪重负错误定为刑事犯罪的正因如此。医疗差错通常由各个领域使用权理事则会或民事法庭处理，像 Vaught 案件这样的刑事诉讼极度罕见。

握有超过 600,000 名成员的 Facebook 眼科小组 Show Me Your Stethoscope 的创始者 Janie Harvey Garner 责怪，如果医护人员们披露自己的不堪重负错误或相近不堪重负错误，这则会导致迳行波动，这则会对质量导致不利影响的产妇眼科。

“医疗保健总竟然相反了，”她在判决后却说。“你没法再相信人们则会却说没用，因为他们则会自责。”

尼克现年 38 岁，来自密苏里州吉他手佩奇，于 2019 年拘捕，并被控与 2017 年 12 年底年底底在范德比尔特私立大学医学院去世的夏琳·艾伦 (Charlene Murphey) 有关的鲁莽有罪和不堪重负无视一名受损成年人。控告尼克在针头了不堪重负错误的抗生素后未适当监控艾伦。

来自密苏里州努伦的 75 岁的艾伦因帕金森氏症而被范德比尔特毕业生。根据法庭物证和联邦调查年度报告，在不堪重负错误时有发生时，她的身体状况正要好转，她正要准备好痊愈。艾伦被开了一种止痛药 Versed，让她平静下来，然后在一台类似 MRI 的大型微电脑中所开展读取。

Vaught 的任务在在计算机化的抗生素帷中所取回 Versed，但实质上的是一种强大的麻痹剂维库硒硫。根据在她的法庭案件件中所提交的一份调查年度报告，这位医护人员忽略了几个警告信号，因为她撤回了不堪重负错误的抗生素——包括 Versed 是一种凝胶，但维库硒硫是一种固体——然后给艾伦针头了艾伦，让她接纳读取。当不堪重负错误被挖掘出时，艾伦已经脑活着亡。

在判处死刑后曾，检察长将尼克描绘成一个无理、冷漠的医护人员，无视了她的锻炼并抛弃了她的产妇。现职沿海地区检察长迦纳霍利将尼克比作一名胡乱车上杀活着一名旁观者，但表示医护人员“更糟糕”，因为她好像“闭着额头开车”。

霍利却说：“这个法庭上的恒定全然是，夏琳·艾伦已经活着了，因为拉东达·尼克懒得注意她在来作什么。”

Vaught 的律师 Peter Strianse 据悉，他的合意犯了一个不构成犯罪的诚实不堪重负错误，并于 2017 年成为范德比尔特私立大学医学院抗生素帷之外持续性化解办法的“统统”。

但范德比尔特私立大学的司员在看台上开展了反驳。范德比尔特的当铺抗生素安全司 Terry Bosen 质问却说，该疗养院在 2017 年在抗生素帷之外普遍存在一些新科技化解办法，但在 Vaught 为艾伦拉错抗生素前几周，这些化解办法就得不到了化解。

在他的最后陈述中所，萨多韦安斯针对鲁莽强盗控告，据悉如果她真的相信自己握有适当的抗生素，他的合意不可能“鲁莽地”无视警告信号，并却说关于维库硒硫是否真的杀活着了艾伦普遍存在“较大的争论”。

在判处死刑后曾，范德比尔特的心理学家 Eli Zimmerman 哈佛大学质问却说，艾伦的活着完全是由她的帕金森氏症造成的，“在可能性范围内”。此外，戴维森县现职法医冯莉质问却说，虽然他确定艾伦活着于维库硒硫，但他无法证实她实际服用了多少抗生素。李却说，小剂量可能不则会致命。

“我想要开玩笑，”萨多韦安斯谈到法医的物证时却说，“但这听出去有种业余的‘CSI’情节——只是未全面性。”

尼克未质问。在判处死刑的第二天，检察长播放了尼克与执法司员面谈的录音，其中所她宣称了抗生素不堪重负错误，并却说她“可能将要杀活着了一名产妇”。

上次在密苏里州眼科理事则会的另一次诉讼中所，尼克质问却说，她在使用药帷时让自己变得“自满”和“偏偏”，尽管有多次机则会，她未仔细检查她撤回了哪种抗生素。

“我知道这个产妇不再在这里的原因是因为我，”尼克告诉眼科理事则会，开始忍不住。“总竟然不则会竟然我不去想我来作了什么。”

THE END

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