錯藥量病人昏睡 醫生裁專業失德 4小時1粒變每小時4粒

(明報)2010年8月12日 星期四 05:10
【明報專訊】兒科專科醫生林金滔因診所助理寫錯藥物服用指示，令病人按指示在1小時內先後服了8粒感冒藥，隨即昏睡6小時，林金滔昨日被醫務委員會裁定專業失德，由於是初犯及有悔意，醫委會給予輕判，僅刊憲譴責。

按指示1小時先後服8粒藥

案情指出，林金滔於2008年12月22日在其淘大花園    診所向患感冒的病人陳冬梅處方「Chlorminol」，他於病歷表上寫明服藥次數為「每日4次、每次1粒、相隔4小時」，但診所助理周小姐錯誤於藥袋寫上「每日4次、每次4粒、相隔1小時」。病人根據藥袋指示，在1小時內服用兩次共8粒（每粒2毫克）藥丸，感到極疲倦，隨即昏睡6小時。

控方在醫務聆訊表示，被告林金滔給予錯誤服藥指示，會令病人服用過多藥物。被告承認控罪，他表示曾檢查藥袋指示，但未察覺錯誤；被告的代表律師亦同意被告如未有確保藥袋指示正確，可構成專業失德。

醫委會表示，醫生基於專業責任應確保處方的藥物和指示正確。醫委會於判辭表示，根據藥典，「Chlorminol」其中一種成分「Chlorpheniramine」，每人每日的最高攝取量為24毫克，案中病人如依照藥袋指示，可能在4小時內合共服用32毫克，超出上限。被告未有確保藥袋指示正確，已構成專業失德。鑑於被告有悔意，於初級偵訊委員會和醫務聆訊表現誠實；被告亦屬初犯，將來重犯可能不大，醫委會根據醫生註冊條例，輕判刊憲譴責被告。

醫委會：醫生應作最後把關

被告律師求情時指出，被告於1992年已獲專科資格；病人當日只服食共16毫克藥物，低於攝取上限，而病人經檢查後健康未有受損，被告亦向病人的丈夫道歉。另外，被告已向診所護士發放指引，希望加強監察，其後未有同類事情再發生；涉事診所助理已於今年2月取得診所助理證書。被告亦獲診所助理的母親、區議員、病人和同事撰求情信。

醫務委員會主席麥列菲菲於裁決後再次強調，醫生不可只依賴護士處方藥物，應作最後把關。

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