營造具法律風險管理的照護職場

Creating Nursing Workplaces That Appropriately Manage Legal Risk

"健康照護體系的各部門，護理人員都佔最大族群，護理人員是所有醫事人員中，接觸個案距離最近，次數最頻繁者；人體的複雜性、個別性，讓照護行為具有高度風險性。護理人員的執業行為必須是安全、有能力、合乎倫理，且遵循法律與規定者。據統計，護理人員訴訟事件的前三項為：專業作為32.5％（professional conduct）、業務範疇24.8％（scope of practice）、文件記錄的錯誤或漏失9.7％（documentation error or omission；Colorado Nurses Association & Nurses Service Organization, 2020）。近十年興起的智慧醫療，其潛在風險為可能會危及病人隱私、安全，或照護專業的標準；此外，也可能使法律產業面臨轉型或革命（Neary & Chen, 2017），因此法律風險管理就尤顯重要。"

Nursing professionals constitute the largest occupational group in all healthcare system departments, and are the healthcare professionals who work most closely and frequently with patients. The complexity and variability of the human body make nursing a high-risk occupation. The practice behaviors of nursing professionals must be safe, competent, and ethical, and must comply with relevant laws and regulations. Based on statistics published by the Colorado Nurses Association and the Nurses Service Organization (2020), professional conduct (32.5%), scope of practice (2.8%), and documentation error or omission (9.7%) are the three most-common categories of litigation faced by nurse practitioners. Smart medicine, which has emerged in the past decade, poses potential risks to patient privacy, safety, and professional nursing-care standards and holds the potential to significantly transform or even revolutionize the legal industry (Neary & Chen, 2017). Therefore, legal risk management is of particular importance to the nursing profession.