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药剂师责任

Pharmacist liability.

作者信息

Sveska K J

机构信息

Kitch, Saurbier, Drutchas, Wagner & Kenney, P.C., Detroit MI 48226.

出版信息

Am J Hosp Pharm. 1993 Jul;50(7):1429-36.

PMID:8362880
Abstract

The various legal theories under which pharmacists may be found liable are reviewed. The pivotal element in determining pharmacist malpractice is the study that was owed to the patient. A pharmacist's principal duties to the patient are to dispense the correct drug and to label it correctly; failure to fulfill either of these responsibilities had led to successful claims of malpractice. There have been only a few cases in which the court ruled that the pharmacist had a duty to warn the patient about a potential adverse drug effect or interaction. However, as the role of the pharmacist expands, more courts may begin to find pharmacists liable for failing to warn the patient under specific circumstances. Pharmacists have a heightened duty to warn the patient about potential problems associated with nonprescription drugs that they recommend. A pharmacist may escape liability if there was a lack of proximate cause. Similarly, the defenses of contributory or comparative negligence and voluntary assumption of risk are based on some conduct by the plaintiff that negates or modifies the pharmacist's negligence. Statutes of limitation can also exclude liability. Courts have not found pharmacists liable under strict liability theories. A breach of warranty claim has rarely been successful. Pharmacists could be found liable for negligent selection of therapeutic alternatives but probably not for injuries allegedly caused by correctly selected equivalent agents. Although no cases have been reported, pharmacists could be subjected to negligence-based liability for nondistributive pharmaceutical services. As pharmacists assume more responsibilities, pharmacist malpractice law will expand.

摘要

本文回顾了药剂师可能被认定负有责任的各种法律理论。确定药剂师医疗事故的关键因素是对患者应尽的注意义务。药剂师对患者的主要职责是正确配发药品并正确贴标签;未能履行任何一项职责都可能导致医疗事故索赔成功。只有少数案例中,法院裁定药剂师有义务就潜在的药物不良反应或相互作用向患者发出警告。然而,随着药剂师角色的扩大,更多法院可能会开始认定药剂师在特定情况下未向患者发出警告应承担责任。药剂师有更高的义务就他们推荐的非处方药相关的潜在问题向患者发出警告。如果缺乏近因,药剂师可能会免除责任。同样,共同过失或比较过失以及风险自担的抗辩是基于原告的某些行为,这些行为否定或减轻了药剂师的过失。诉讼时效也可以排除责任。法院尚未根据严格责任理论认定药剂师负有责任。违反保证的索赔很少成功。药剂师可能因疏忽选择治疗方案而被认定负有责任,但对于据称由正确选择的等效药物引起的伤害可能不承担责任。虽然尚未有相关案例报道,但药剂师可能因非配药药学服务而承担基于过失的责任。随着药剂师承担更多责任,药剂师医疗事故法将会扩展。

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