美国护士因致命的药物误判被判疏忽和过失杀人罪

tions 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.”

全文译成（仅供参考）

RaDonda Vaught 是一名同一时间牙医，因 2017 年因可怕的口服有误而被刑事起诉，在经过月份三天的军事法庭后，在全国高校各地的牙医进行了月份三天的军事法庭后，他于每周日被判判处相当严重回避成人和疏忽谋杀治罪。

根据纳什维尔地区传唤的办公室提供的判案范本，罗伊因疏忽而随之而来三到六年的监禁，作为不能事先定治罪的原告，将随之而来一到两年的过失谋杀治罪。DA 发言人麦克布鲁克斯利普说道，罗伊定于 5 月 13 日被判刑，她的刑期可能会同时执行。

罗伊因懦弱谋杀治罪被判无治罪。刑事疏忽犯案是懦弱犯案下的一项较轻的指责。

Vaught 的军事法庭受到全国高校牙医和诊疗专业人员的密不可分关注，他们中都的许多人顾虑这可能会开创一个将诊疗有误定名为犯治罪的在此之同一时间。诊疗差错通常由专业准许秘书处或民事法庭解决缺陷，像 Vaught 案这样的刑事诉讼法尤为罕见。

占有超过 600,000 名成员的 Facebook 护理该小组 Show Me Your Stethoscope 的创始人 Janie Harvey Garner 顾虑，如果牙医们公开自己的有误或接近有误，这会引致寒蝉震荡，这会对恒星质量引致不利受到影响的病症护理。

“诊疗保健永远改变了，”她在判决后说道。“你不能再显然人们会说道真话，因为他们会内疚。”

罗伊高龄 38 岁，来自田纳西州贝斯佩奇，于 2019 年被捕，并被控与 2017 年 12 月下旬在特拉华的学校医学中都心身故的夏琳·怀特 (Charlene Murphey) 有关的懦弱谋杀治罪和相当严重回避一名受到破坏成年人。指责罗伊在注射了有误的口服后不能正确监控怀特。

来自田纳西州加拉廷的 75 岁的怀特因诱发而被特拉华录取。根据法庭证词和联邦调查报告，在有误发生时，她的病情正在恶化，她正在马上住院。怀特被开了一种镇静剂 Versed，让她平静下来，然后在一台相似 MRI 的大型机器中都进行扫描。

Vaught 的任务都有计算机化的口服帷中都取回 Versed，但取而代之的是一种强悍的麻痹剂维库苯酚氯。根据在她的法庭案件中都提交的一份调查报告，这位牙医忽略了几个警告瞬时，因为她撤回了有误的口服——包括 Versed 是一种容器，但维库苯酚氯是一种混合物——然后给怀特注射了怀特，让她接受扫描。当有误被发现时，怀特已经脑死亡。

在军事法庭在此期间，传唤将罗伊描绘成一个不负责任、冷漠的牙医，回避了她的训练并抛弃了她的病症。助理地区传唤查德杰克逊将罗伊并称一名醉酒司机杀死一名旁观者，但表示牙医“更糟糕”，因为她好像“闭着眼睛拦下”。

杰克逊说道：“这个案子的相同事实是，夏琳·怀特已经死了，因为拉东达·罗伊懒得注意她在做什么。”

Vaught 的律师 Peter Strianse 声称，他的当事人犯了一个不构成犯治罪的坦率有误，并于 2017 年成为特拉华的学校医学中都心口服帷相关系统性缺陷的“替治罪羊”。

但特拉华的学校的行政官员在看台上进行了辩护。特拉华的药房口服必要官 Terry Bosen 证人说道，该医院在 2017 年在口服帷方面发挥作用一些新科技缺陷，但在 Vaught 为怀特拉错口服同一时间几周，这些缺陷就得到了解决。

在他的再次说明了中都，德米特里夫卡安斯针对懦弱犯案指责，声称如果她是不是显然自己占有正确的口服，他的当事人不可能“懦弱地”不能接受警告瞬时，并说道关于维库苯酚氯是否是不是杀死了怀特发挥作用“相当大的争论”。

在军事法庭在此期间，特拉华的神经学家 Eli Zimmerman 麻省理工学院证人说道，怀特的死完全是由她的诱发引致的，“在可能性范围内”。此外，戴维森州首席医生冯莉证人说道，虽然他确定怀特遇害维库苯酚氯，但他不会证实她实际上服食了多少口服。李说道，小剂量可能就会可怕。

“我不想玩笑，”德米特里夫卡安斯谈到医生的证词时说道，“但这听起来有点像业余的‘CSI’剧情——只是不能现代医学。”

罗伊不能证人。在军事法庭的第二天，传唤直播了罗伊与执法行政官员会面时的录音，其中都她承认了口服有误，并说道她“可能才刚杀死了一名病症”。

去年在田纳西州护理秘书处的另一次举证，罗伊证人说道，她在使用药帷时让自己似乎“自满”和“分心”，尽管有多次机会，她不能仔细检查她撤回了哪种口服。

“我知道这个病症不再在这里的情况是因为我，”罗伊想到护理秘书处，开始哭。“永远就会有一天我不去想我做了什么。”

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