Justia Medical Malpractice Opinion Summaries

While detained in jail after allegedly assaulting his father, the plaintiff experienced a severe mental-health crisis. Medical staff from Hennepin Healthcare System evaluated him, but he was uncooperative and refused treatment. Over several weeks, his condition deteriorated, exhibiting erratic behavior, withdrawal, and ultimately refusing to eat or communicate. Dr. Sloan, a psychiatrist, initially assessed him as not an immediate danger and attributed his symptoms to substance withdrawal, opting for continued monitoring rather than immediate psychiatric hospitalization. When the plaintiff’s health worsened, Dr. Sloan transferred him to an acute psychiatric ward, where his condition improved with medication. After discharge, delays in transferring him to the Minnesota Security Hospital for long-term care, controlled by the Minnesota Department of Human Services, left him in jail for more than a year. During this time, Dr. Sloan continued to treat him, including obtaining a court order for forced medication when he again refused treatment.The United States District Court for the District of Minnesota denied Dr. Sloan’s motion to dismiss, holding that the plaintiff’s complaint plausibly alleged deliberate indifference to his serious medical needs and thus denying qualified immunity at the motion-to-dismiss stage.The United States Court of Appeals for the Eighth Circuit reviewed the denial of qualified immunity de novo. The court concluded that the plaintiff’s complaint did not plausibly allege deliberate indifference by Dr. Sloan, finding that her actions constituted medical judgment and, at most, medical negligence—not deliberate disregard for the plaintiff’s medical needs. The court also noted that delays in transferring the plaintiff were not attributable to Dr. Sloan, and that she continued to treat him during those periods. The Eighth Circuit reversed the district court’s denial of qualified immunity and remanded for entry of judgment in favor of Dr. Sloan on the deliberate-indifference claim. View "Doe v. Hennepin Healthcare System, Inc." on Justia Law

The case centers on the tragic death of a young woman who was murdered by her former romantic partner shortly after he was discharged from a psychiatric hospital. The partner had previously expressed homicidal ideations toward her, both to medical staff and law enforcement, and was involuntarily committed under Connecticut law for psychiatric disabilities and being a danger to others. After a brief stay, he was discharged from the psychiatric facility with no further supervision or warning provided to either the victim or law enforcement. The plaintiff, administratrix of the victim’s estate, sued the mental health care provider, alleging both ordinary negligence and medical malpractice for failing to protect the victim from a known risk.The Superior Court in the judicial district of Hartford granted the provider’s motion to strike, finding that all claims sounded in medical malpractice since the alleged negligence involved medical judgment relating to diagnosis and treatment. Relying on Jarmie v. Troncale, the court concluded that, under Connecticut law, medical malpractice actions can only be brought by patients, and since the victim was not a patient, the claims were barred. The court also determined that Connecticut does not recognize gross negligence as a separate cause of action.On appeal, the Supreme Court of Connecticut reviewed the trial court’s decision. The Supreme Court held that some allegations did implicate medical malpractice and were barred, but others, liberally construed, sounded in ordinary negligence. These included claims that the provider actually knew of a substantial risk of imminent harm to an identifiable third party and failed to take reasonable steps to protect or warn her. The Court, for the first time, recognized a limited duty: a mental health care provider who knows a patient poses a substantial risk of imminent harm to an identifiable third party must take reasonable steps to protect that party, which may include warning or controlling the patient. The judgment was reversed in part and remanded for further proceedings on the ordinary negligence claims. View "Ashworth v. Branford" on Justia Law

After experiencing ongoing struggles with gender identity, a young adult sought a double mastectomy and was informed by the surgical clinic that a letter from a mental health practitioner was required to proceed. The petitioner requested this letter from her therapist, who had previously counseled her on unrelated matters. The therapist provided a letter recommending the surgery on February 22, 2021. Their therapeutic relationship ended on May 14, 2021. The petitioner underwent surgery on June 11, 2021, subsequently suffered medical complications, and later regretted the procedure. In 2023, she filed suit against the therapist and the therapist’s employer, alleging negligence and fraud in the issuance of the recommendation letter, and sought to hold the employer vicariously and directly liable.The case was first adjudicated in a Texas district court, where the respondents sought summary judgment, arguing that the petitioner’s claims were time-barred by the two-year statute of limitations for health care liability claims under Section 74.251(a) of the Texas Civil Practice and Remedies Code. The district court granted summary judgment and severed the claims, making the decision final as to the therapist and her employer. On appeal, the Court of Appeals for the Second District of Texas affirmed, holding that the statute of limitations began to run on the date the recommendation letter was provided.The Supreme Court of Texas reviewed the case and concluded that the lower courts erred in their interpretation of the statute of limitations. The Court held that, under Section 74.251(a), a claim is timely if filed within two years of the completion of the relevant health care treatment or the occurrence of the tort. Here, treatment concluded on May 14, 2021, and the alleged injury occurred on June 11, 2021, when the surgery was performed. Because the petitioner gave notice of her claims within two years of these events, her suit was not time-barred. The judgment of the court of appeals was reversed and remanded for further proceedings. View "ALDACO v. WOOD" on Justia Law

Four women incarcerated at the Huron Valley Correctional Facility in Michigan suffered from persistent, painful rashes between 2016 and 2019. Despite repeated complaints, medical staff—contracted through Corizon Health—failed to diagnose scabies, instead providing ineffective treatments and attributing the condition to environmental factors like improper laundering. It was only after an outside dermatologist intervened that scabies was correctly identified, prompting prison-wide treatment efforts. However, these efforts were delayed and, in some cases, inadequate, resulting in prolonged suffering for the affected inmates.After their experiences, the four women filed suit in the United States District Court for the Eastern District of Michigan against multiple defendants, including high-level Michigan Department of Corrections officials and Wayne State University medical officers, alleging Eighth Amendment violations and state-law negligence. The district court found that the women’s complaint plausibly alleged “clearly established” Eighth Amendment violations by all defendants and denied the officials’ request for qualified immunity. The court also rejected a claim of state-law immunity, finding that the officials could be the proximate cause of the inmates’ injuries under Michigan law.On appeal, the United States Court of Appeals for the Sixth Circuit reviewed the district court’s denials. The Sixth Circuit held that existing precedent did not “clearly establish” that the non-treating prison officials’ reliance on contracted medical providers was so unreasonable as to violate the Eighth Amendment. Thus, it reversed the district court’s denial of qualified immunity on the federal damages claims. However, the appellate court affirmed the denial of state-law immunity, finding the plaintiffs adequately pleaded proximate cause under Michigan law. The case was remanded for further proceedings consistent with these holdings. View "Machelle Pearson v. MDOC" on Justia Law

A patient was hospitalized after contracting COVID-19 and, as his condition worsened, was transferred between several hospitals in Kentucky and Indiana. During his treatment, he was intubated, placed on a ventilator, and medically immobilized. While under this care, he developed a severe bed sore that progressed to necrotizing fasciitis. Despite ongoing treatment, he ultimately died, with his death certificate listing multiple causes including cardiopulmonary arrest and sepsis. His estate claimed that negligence in the treatment of the bed sore caused his death and filed a proposed medical malpractice complaint against more than eighty healthcare providers.The case began when the estate filed its complaint with the Indiana Department of Insurance, while a medical-review panel was being requested. Before the panel was constituted, the providers moved for summary judgment in Vanderburgh Superior Court, arguing they were immune from liability under Indiana’s Healthcare Immunity Act, Premises Immunity Act, and the federal PREP Act. The trial court granted summary judgment for the providers, finding that statutory immunity applied and that the court, not the medical-review panel, could decide the immunity issue. The estate appealed, and the Indiana Court of Appeals reversed, holding that the question of immunity required expert input from the medical-review panel, especially regarding causation.The Indiana Supreme Court granted transfer, vacating the Court of Appeals’ decision. It held that the trial court could make a preliminary determination on statutory immunity without waiting for a medical-review panel’s opinion, since the facts relating to the connection between the patient’s COVID-19 treatment and his injury were undisputed for summary judgment purposes. The court further held that the providers were immune from civil liability under both state and federal law, as the patient’s injuries arose from treatment provided in response to the COVID-19 emergency. The court affirmed summary judgment for the providers. View "Estate of Waggoner v. Anonymous Health System, Inc." on Justia Law

Michael Hickson, who had become severely disabled following cardiac arrest and anoxic brain injury in 2017, was hospitalized multiple times for recurring infections but recovered from several serious episodes. In June 2020, while hospitalized for pneumonia, sepsis, and suspected COVID-19, his doctors at St. David’s Healthcare assessed him as having a 70% chance of survival. Despite this, he was placed on hospice care and a do-not-resuscitate order was issued, with medical staff indicating that his inability to walk or talk equated to a poor quality of life. Life-sustaining treatment, including food and fluids, was withdrawn, even as his condition temporarily improved. Michael’s family, led by his wife Melissa Hickson, sought answers and attempted to visit him, but were repeatedly denied access and information. Michael ultimately passed away, and subsequent public statements by the hospital disclosed protected health information and cast aspersions on Melissa’s fitness as a guardian.The United States District Court for the Western District of Texas dismissed or granted summary judgment in favor of the defendants on all claims, including disability discrimination under § 504 of the Rehabilitation Act and § 1557 of the ACA, § 1983 claims, state-law medical negligence, informed consent, wrongful death, and intentional infliction of emotional distress. The plaintiffs objected to the recommendations for dismissal of the disability discrimination and § 1983 claims; the district court overruled these objections and dismissed those claims with prejudice. The remaining state-law claims were later resolved on summary judgment.Upon de novo review, the United States Court of Appeals for the Fifth Circuit held that disability discrimination claims based on alleged denial of medical treatment solely due to disability are cognizable and may proceed. The court also vacated and remanded the dismissals of the informed consent and intentional infliction of emotional distress claims, but affirmed dismissal of the § 1983 claims and other state-law claims. View "Hickson v. St. David's Healthcare Partnership" on Justia Law

A patient was admitted to a hospital for liver disease and, while in an altered mental state, fell while accompanied by a caregiver. She suffered a fractured hip, requiring surgery, and was later discharged. The patient filed a negligence lawsuit against the hospital, alleging a failure to prevent or appropriately respond to her fall. During discovery, she requested all incident reports related to her fall. The hospital identified an Incident Report and a Root Cause Analysis but refused to produce them, invoking federal and state privileges that protect certain internal analyses and reports of medical errors.The McCracken Circuit Court ordered the hospital to produce the Incident Report and to provide the Root Cause Analysis with redactions for portions covered by federal privilege. The trial court found that the Incident Report and parts of the Root Cause Analysis contained factual information not otherwise available in the patient's medical records and ruled that such information should be discoverable. The Court of Appeals reviewed the trial court's order after the hospital sought a writ of prohibition. It held that the Incident Report was not privileged under federal or state law but concluded the Root Cause Analysis was fully protected by federal privilege, even its factual portions, and thus could not be disclosed.Upon review, the Supreme Court of Kentucky affirmed the Court of Appeals. The court held that the federal Patient Safety and Quality Improvement Act privilege protected the entire Root Cause Analysis from disclosure, with no exception for factual information within the document. However, it held that the Incident Report was not protected by either the federal or state privileges because it was generated in compliance with regulatory obligations, not as part of the hospital's privileged peer review or patient safety evaluation system. As a result, the Incident Report was discoverable, while the Root Cause Analysis was not. View "BAPTIST HEALTHCARE SYSTEM, INC. V. KITCHEN" on Justia Law

The plaintiff received medical care at Sanford medical facilities in Fargo, North Dakota, in April 2022. He alleged that Sanford and its staff, including nurse Shannon Mulinex, refused to provide him pain medication, verbally abused and humiliated him, failed to investigate his complaints, engaged in a pattern of hostile conduct, and discharged him against his wishes. Based on these events, he brought six claims for intentional infliction of emotional distress (IIED), as well as claims for general negligence, defamation, discrimination, and violation of the Emergency Medical Treatment and Labor Act.The District Court of Cass County, East Central Judicial District, reviewed the case after Sanford moved for summary judgment. Sanford argued that the plaintiff failed to serve an expert affidavit within three months as required by North Dakota law for professional negligence claims, and that the IIED claims did not allege conduct sufficiently extreme and outrageous. The district court denied the plaintiff’s oral motion for a continuance, finding he had received adequate notice of the hearing. The court granted summary judgment, dismissing all claims, concluding that several IIED claims required an expert affidavit and the remaining IIED claims did not meet the legal threshold for extreme and outrageous conduct. A supplemental order granted summary judgment to Mulinex for the same reasons.On appeal, the Supreme Court of North Dakota affirmed the district court’s amended judgment. The Supreme Court held that the district court did not abuse its discretion in denying a continuance, that the plaintiff had not preserved the issue of additional discovery for appeal, and that the requirement for an expert affidavit applied to IIED claims involving medical decisions. The court further held that the conduct alleged in the remaining IIED claims did not rise to the level of extreme and outrageous conduct as a matter of law. The amended judgment of dismissal was affirmed. View "McMahon v. Sanford" on Justia Law

Randy Wiertella died in the Lake County Adult Detention Facility on December 10, 2018. Dennis Wiertella, as the Administrator of Randy's estate, filed a lawsuit claiming that Randy's constitutional rights under the Eighth and Fourteenth Amendments were violated by Jail staff Diane Snow, RN, and Christina Watson, LPN. Randy had been booked into the Jail without his essential medications for heart disease, diabetes, high blood pressure, and a psychiatric disorder. Despite multiple requests, he did not receive all necessary medications, leading to his death from hypertensive cardiovascular disease.The United States District Court for the Northern District of Ohio denied Snow and Watson's motion for summary judgment, which sought dismissal based on qualified immunity. The court found that there were genuine disputes of material fact regarding whether Snow and Watson were aware of the substantial risk to Randy's health and whether they failed to respond reasonably.The United States Court of Appeals for the Sixth Circuit reviewed the case. The court held that Snow and Watson were not entitled to qualified immunity. The court found that both nurses were aware of Randy's serious medical conditions and the need for continuous medication. Despite this knowledge, they failed to ensure that Randy received his essential medications in a timely manner. The court concluded that their actions were unreasonable and violated Randy's constitutional rights. The court affirmed the district court's decision and remanded the case for further proceedings on the Estate's § 1983 claim. View "Wiertella v. Lake County" on Justia Law

In November 2019, Kathleen Welch was admitted to Tulane Medical Center for acute pancreatitis and diabetic ketoacidosis. After her discharge, she was admitted to BridgePoint Healthcare for rehabilitation, where she developed pressure ulcers. She was later transferred to United Medical Physical Rehabilitation Hospital, where her condition persisted. Welch filed a claim for injuries related to her pressure ulcers, naming BridgePoint and United Medical as defendants. United Medical, not being a qualified healthcare provider under the relevant statute, faced a lawsuit alleging negligence.United Medical filed an exception of no cause of action, citing La. R.S. 29:771(B)(2)(c)(i), which limits liability to gross negligence or willful misconduct during a public health emergency. The trial court granted the exception, applying the gross negligence standard but did not rule on the statute's constitutionality. Welch appealed, and the appellate court upheld the trial court's application of the statute but remanded the case for a ruling on its constitutionality. On remand, the trial court found the statute constitutional, and Welch sought supervisory review.The Supreme Court of Louisiana reviewed the case and affirmed the lower court's decision. The court held that La. R.S. 29:771(B)(2)(c)(i) is constitutional, as it is rationally related to a legitimate government interest in ensuring access to healthcare during a public health emergency. The court found that the statute does not violate the Louisiana Constitution's due process or access to courts provisions and is not a prohibited special law. The statute's application to all healthcare providers equally and its rational basis for limiting liability during emergencies were key factors in the court's decision. View "WELCH VS. UNITED MEDICAL HEALTHWEST-NEW ORLEANS L.L.C." on Justia Law