Justia Medical Malpractice Opinion Summaries

A pregnant patient was admitted to a medical center, where she suffered an anaphylactic reaction to medication administered for a streptococcus infection. Her treating physician and hospital staff provided various treatments but did not administer epinephrine, a standard treatment for anaphylaxis. The patient’s child was born with severe brain injuries, which the plaintiff alleged were caused by the anaphylactic episode and the defendants’ failure to use epinephrine. The plaintiff sued the physician and medical entities for healthcare liability, contending that the physician’s decision not to use epinephrine fell below the standard of care and that the hospital staff was negligent in monitoring.After an initial trial ended in a defense verdict but was set aside due to evidentiary errors, a second jury trial again resulted in a verdict for the defendants. Following the second trial, it was discovered that a juror had, during deliberations, conducted personal research by reading an EpiPen warning label at home and shared its contents with the other jurors. The plaintiff moved for a new trial, arguing this extraneous information affected the verdict. The Circuit Court for Knox County denied the motion, ruling the plaintiff had not proven by clear and convincing evidence that the jury was influenced by the information.On appeal, the Tennessee Court of Appeals reversed, holding the trial court had applied the wrong legal standard and that prejudice should be presumed when jurors are exposed to extraneous, material information. The defendants then sought review.The Supreme Court of Tennessee held that, in civil cases involving the constitutional right to a jury trial, courts must use a burden-shifting framework: the party challenging a verdict must first prove by a preponderance of the evidence that the jury was exposed to material extraneous information, which triggers a rebuttable presumption of prejudice. The party defending the verdict must then show there is no reasonable possibility the information altered the verdict. The Court vacated the decision of the Court of Appeals and remanded for the trial court to apply this framework. View "Collier ex rel. Chayce C. v. Roussis" on Justia Law

A patient filed a medical malpractice action after a surgery was performed on her uninjured foot instead of her injured foot. The surgeon settled and was dismissed from the case prior to trial, and the case against the hospital proceeded to a jury trial. The jury awarded the patient substantial economic and noneconomic damages, apportioning 65% of the fault to the hospital and 35% to the surgeon. The hospital moved to reduce the noneconomic damages to the statutory cap, and the patient challenged the constitutionality of this cap.The District Court of Williams County held that the statutory cap on noneconomic damages was constitutional and reduced the noneconomic damages accordingly. The court apportioned fault and entered an amended judgment in favor of the patient, reflecting the statutory cap and including interest and costs. The hospital paid the full amount of the amended judgment, and the patient accepted payment and filed a satisfaction of judgment, though the satisfaction did not strictly comply with statutory requirements. Later, the patient filed a notice of appeal, challenging the constitutionality of the statutory cap, and the hospital filed a conditional cross-appeal regarding allocation of damages.The Supreme Court of North Dakota determined that by accepting full payment of the amended judgment and filing a satisfaction—without reserving any right to appeal—the patient waived her right to appeal. The court clarified that in non-divorce cases, voluntarily accepting the full amount of a judgment without expressly preserving any appellate issues constitutes waiver of the right to appeal. As a result, both the patient’s appeal and the hospital’s cross-appeal were dismissed. The court expressly abrogated any contrary rule suggested by the earlier decision in Tyler v. Shea, 4 N.D. 377, 61 N.W. 468 (1894). View "Cowan v. Slann" on Justia Law

A woman died after complications from surgery to remove an ovarian cyst, during which her bowel was perforated. Following the procedure, she received post-operative care from several doctors, who were later sued by her husband and daughter. The plaintiffs, acting as statutory wrongful death plaintiff and administrator of the estate, brought claims for wrongful death, conscious pain and suffering, and medical expenses. Several defendants settled before trial, but Dr. Leigh, Dr. Shirley, and their practice went to trial. The jury awarded substantial damages: $29,250,000 for the value of the decedent’s life, $2,500,000 for pain and suffering, and $1,715,176 for medical expenses.After the verdict, the defendants moved for a new trial and to reduce (“remit and amend”) the judgment based on a statutory cap on noneconomic damages in medical malpractice cases (OCGA § 51-13-1(b)). The State Court of Bibb County denied the new trial but granted the motion to remit, reducing the wrongful death award to $350,000 under the statutory cap, while leaving pain and suffering and medical expenses unchanged.The Supreme Court of Georgia reviewed the case. It held that the trial court did not abuse its discretion by permitting the defendants to invoke the damages cap for the first time in post-trial motions. The court reaffirmed Atlanta Oculoplastic Surgery, P.C. v. Nestlehutt, concluding that Georgia’s constitutional right to a jury trial prohibits applying OCGA § 51-13-1(b)’s cap to noneconomic damages for pain and suffering in medical malpractice actions. Statutory construction principles, in light of Nestlehutt, prevent the cap from being applied to a verdict that includes such damages. The Supreme Court vacated the trial court’s reduction of the wrongful death award and remanded for consideration of an unresolved excessiveness argument. View "CLARK v. LEIGH" on Justia Law

A woman died in a hospital after giving birth by cesarean section, having suffered a rare and severe complication known as placenta accreta spectrum, which led to a massive hemorrhage. She underwent an emergency hysterectomy and was transferred to the intensive care unit for postoperative management. Her condition deteriorated, resulting in respiratory and cardiac arrest, and she died the following morning. Her fiancé, acting as administrator of her estate, and a conservator for her children, brought a medical malpractice and wrongful death lawsuit against multiple medical providers and the hospital. Most defendants settled before trial, leaving only one doctor and a medical staffing agency as defendants.In the Superior Court of Rockdale County, the plaintiffs presented expert testimony alleging breaches of the standard of care by the remaining defendants. The jury found both liable and awarded $42 million in total damages: $10 million for pain and suffering to the estate and $32 million for wrongful death to the children. The trial court entered judgment accordingly, denied the defendants’ post-trial motions for a new trial, and refused to apply Georgia’s statutory cap on noneconomic damages, finding it unconstitutional and waived due to the defendants’ failure to raise it earlier. The court also granted the plaintiffs’ request for attorney fees under OCGA § 9-11-68, awarding over $11 million.The Supreme Court of Georgia reviewed the case. It held that the trial court did not abuse its discretion in excluding certain defense expert testimony or in granting the challenged jury instruction, as the defendants had affirmatively waived any instructional error. The court affirmed that the statutory cap on noneconomic damages could not constitutionally be applied to the judgment. Finally, it upheld the award of attorney fees, finding that the plaintiffs’ settlement offer complied with statutory requirements and the trial court did not abuse its discretion in determining the amount. The judgment was affirmed. View "CAYAMCELA v. ADVOCACY TRUST, LLC" on Justia Law

A patient suffered an injury during knee surgery in March 2022 and, together with his wife, filed a medical malpractice lawsuit against the operating surgeon and the orthopedic clinic in January 2023. Iowa law requires medical malpractice plaintiffs to serve a certificate of merit affidavit within sixty days after the defendant’s answer to the lawsuit. The plaintiffs served a certificate of merit within the deadline. However, the document was not sworn before an authorized officer and did not include the phrase “penalty of perjury” as required by Iowa statutes. Over a year later, the plaintiffs served an amended certificate that met the affidavit requirements, but it was well past the statutory deadline.After the defendants answered and discovery proceeded for more than a year, the defendants moved to dismiss in the Iowa District Court for Polk County, arguing that the timely certificate did not comply with statutory requirements. The district court found that the initial certificate was neither a true affidavit nor a permissible substitute under the relevant statutes. The court also concluded that the late-filed, proper affidavit could not cure the statutory violation because it was not filed within the required sixty days and there was no extension by agreement or motion. The district court dismissed the case.The Iowa Supreme Court reviewed the appeal. It held that substantial compliance with the certificate of merit affidavit requirement means providing either a true affidavit executed before an authorized person or a statement under penalty of perjury within sixty days. The plaintiffs failed to do either within the deadline, and their later submission could not cure the defect. The court also rejected arguments that the defendants had waived the affidavit requirement or that the statutory scheme violated the Iowa Constitution. The decision of the district court was affirmed. View "Rarick v. Smidt" on Justia Law

After a woman was injured in a car accident and treated at a hospital, an X-ray suggested a lung nodule, and her medical records recommended a chest CT scan for further investigation. No CT scan was ordered or performed, and she was released. Almost two years later, after suffering a femur fracture, a CT scan at a different hospital revealed cancer, and she subsequently passed away. Her husband and children, representing themselves and her estate, brought a wrongful-death medical malpractice suit against the hospital and multiple providers, alleging failure to properly follow up on the lung nodule.In the Iowa District Court for Scott County, the plaintiffs timely served certificates of merit as required by Iowa Code section 147.140, but these certificates were neither notarized nor included a statement that they were signed under penalty of perjury. Following the Iowa Supreme Court’s decision in Miller v. Catholic Health Initiatives-Iowa, Corp., the defendants moved to dismiss, arguing the certificates did not satisfy statutory requirements. The plaintiffs resisted, providing new expert statements but maintaining these were not amendments. The district court granted the defendants’ motion to dismiss with prejudice. After the death of one of the original plaintiffs, his son was appointed as executor and administrator for the estates. Notices of appeal were filed, initially signed by the non-lawyer administrator.The Supreme Court of Iowa first determined that the estates’ appeal should not be dismissed due to the unauthorized practice of law in filing the notice of appeal, since counsel promptly appeared and continued representation. On the substantive issue, the court was evenly divided on whether the district court correctly dismissed the suit for noncompliance with section 147.140. As a result, the dismissal was affirmed by operation of law. The motion to dismiss the appeal was denied, but the district court judgment was affirmed. View "Willhoite v. Genesis Health System" on Justia Law

The appellant filed a lawsuit alleging medical malpractice and gross negligence against several healthcare providers and associated entities. The Superior Court of the District of Columbia dismissed the complaint, finding it barred by the statute of limitations and for failure to state a claim. After the dismissal, the appellant sought to file a notice of appeal but missed the standard thirty-day deadline, asserting that he did not receive timely notice of the dismissal order due to administrative errors, including misdirected court communications. He filed a motion for leave to late file his notice of appeal, claiming excusable neglect or good cause due to these circumstances.Upon review of the appellant’s motion, the Superior Court denied the request. The court relied on D.C. App. R. 4(a)(7), which allows reopening the time to appeal under limited circumstances, including a fourteen-day deadline after notice of the judgment. Because the motion was filed more than fourteen days after the appellant learned of the judgment, the trial court found it untimely under this provision. The court also cited potential prejudice to appellees from having to defend a “frivolous” appeal.The District of Columbia Court of Appeals vacated the Superior Court’s decision and remanded for further proceedings. The appellate court held that the trial court erred by applying the timing requirements of Rule 4(a)(7) when the motion was properly brought under Rule 4(a)(5), which provides a different standard for extensions based on excusable neglect or good cause and does not impose the same fourteen-day limit. The appellate court further clarified that the merits of the underlying case and the ordinary burden of defending an appeal are not relevant factors in assessing such motions. View "Newton v. Grajny" on Justia Law

The case involved a medical negligence and wrongful death claim arising from care provided to a resident at a county-owned skilled nursing facility in Nebraska. The plaintiffs, the decedent’s personal representative and surviving spouse, alleged that substandard care by the facility’s staff caused fatal injuries. The suit was initiated against several entities purportedly associated with the facility, but only two remained as defendants after some were dismissed for procedural reasons.After the complaint was filed in the District Court for Merrick County, the primary remaining defendant, identified as Litzenberg Memorial Long Term Care, moved to dismiss the case. The defendant argued that the complaint failed to demonstrate compliance with the Political Subdivisions Tort Claims Act’s presuit notice requirement, claiming that notice was not properly served on the appropriate official. Before the court ruled on the motion to dismiss, the plaintiffs sought leave to amend their complaint to clarify factual allegations regarding compliance with presuit notice and to correct the defendant’s name. The proposed amendment included details suggesting that the Merrick County clerk was an appropriate recipient for notice, and asserted that the defendant should be estopped from contesting notice due to representations made by the clerk.The district court denied the motion for leave to amend and granted the motion to dismiss, finding the amendment would be futile because the notice had not been properly served. On appeal, the Nebraska Supreme Court determined that under the applicable procedural rule, the plaintiffs were entitled to amend their complaint once as a matter of course prior to any responsive pleading. The court held that filing a motion for leave to amend did not waive this right. Consequently, the Supreme Court reversed the district court’s judgment and remanded the case for further proceedings, directing that the plaintiffs be allowed to amend their complaint. View "Cyboron v. Merrick County" on Justia Law

A patient underwent surgery on September 4, 2020, and died twelve days later. Her estate and children brought a medical malpractice suit against the surgeon and hospital, alleging negligence. The defendants sought dismissal, arguing the plaintiffs had not satisfied Iowa’s certificate of merit requirements under Iowa Code section 147.140(1), which mandates a supporting expert affidavit early in medical malpractice litigation. The district court denied the motion to dismiss.The defendants then sought interlocutory review from the Iowa Supreme Court. The Iowa Supreme Court reversed the district court’s denial, finding the plaintiffs had not complied with the statutory affidavit requirement, and remanded with instructions to dismiss the case with prejudice. Following the remand, the plaintiffs attempted to file dismissals without prejudice before and after the district court’s order of dismissal with prejudice. Despite these filings, the district court entered a dismissal with prejudice as directed by the Iowa Supreme Court. The plaintiffs then filed a new lawsuit asserting the same claims against the same defendants. The defendants moved to dismiss this second action, citing claim preclusion (res judicata) and the statute of limitations. The Iowa District Court for Clinton County dismissed the second action.On appeal, the Iowa Supreme Court affirmed the dismissal. The court held that its prior mandate required dismissal with prejudice, and any attempt by the plaintiffs to dismiss without prejudice was contrary to that mandate and thus ineffective. The court found that the elements of claim preclusion were satisfied: the parties and claims were identical to the prior action, and there was a final judgment on the merits. Accordingly, the second lawsuit was barred. The Iowa Supreme Court affirmed the district court’s dismissal on claim preclusion grounds. View "Shontz v. Mercy Medical Center-Clinton, Inc." on Justia Law

Susan Cox, a resident of Albion, Washington, died from an alleged overdose of medications prescribed by her primary care physician, Dr. Patricia Marciano. Susan’s husband, Mark Cox, and her estate initiated a wrongful-death and survivor action against Dr. Marciano and Gritman Medical Center after Susan’s death. The Coxes had lived in Washington, while Dr. Marciano and Gritman are based in Idaho, with all medical treatment having taken place in Idaho. However, at Susan’s request, her prescriptions were regularly transmitted by Dr. Marciano and Gritman to pharmacies in Washington, and Gritman engaged in marketing and accepted patients from the Washington area.The United States District Court for the Eastern District of Washington dismissed the action for lack of personal jurisdiction over the Idaho-based defendants, holding that Washington’s long-arm statute did not reach them and the exercise of jurisdiction would violate due process. The district court also denied the plaintiffs’ request for jurisdictional discovery relating to general personal jurisdiction over Gritman, and did not address the issue of venue.On appeal, the United States Court of Appeals for the Ninth Circuit reversed the district court’s dismissal. The Ninth Circuit held that the district court’s exercise of personal jurisdiction over Dr. Marciano and Gritman Medical Center was proper under both Washington’s long-arm statute and the Due Process Clause. The court found that the defendants had sufficient minimum contacts with Washington, as they cultivated relationships with Washington residents and regularly transmitted prescriptions to Washington pharmacies in compliance with Washington law. The court also held that venue was proper in the Eastern District of Washington because a substantial part of the events underlying the claims occurred there. The Ninth Circuit remanded the case for further proceedings and affirmed the dismissal only as to one defendant who was conceded to be properly dismissed. View "COX V. GRITMAN MEDICAL CENTER" on Justia Law