Browse by Category : Medical Malpractice

Mass. hospitals promise openness, apologies and settlements

April 19th, 2012 | Author: | Category: medical malpractice

Seven Massachusetts hospitals plan to offer patients harmed by medical errors a prompt apology and financial settlements before they resort to lawsuits, part of a major new initiative to improve the state’s cumbersome medical malpractice system.

A coalition of physician, hospital, and patient groups planned to release details Wednesday of the initiative, called “Road Map to Reform,’’ which they predict will increase reporting of medical mistakes and cut down on lengthy litigation that drives up health care costs and fuels distrust between caregivers and patients.

Read Article: The Boston Globe

Contact: MKK – Attorneys at Law:    1-877-NJLAW4U

Dr. Sanjay Gupta on combating medical errors

March 15th, 2012 | Author: | Category: medical malpractice

Just how serious is the problem of medical errors, and what can be done to
eliminate them? Thoughts now, from Dr. Sanjay Gupta:

I want to begin by stating the obvious: Doctors make mistakes. We’re not
perfect, we’re human. Even the best doctors experience critical lapses. And when
that happens, patients suffer.

Roughly 100,000 deaths a year are due to medical errors.

Read Article: cbsnews

Contact: MKK – Attorneys at Law:    1-877-NJLAW4U

Utah Supreme Court Allows Kids’ Suit Claiming Prescription Meds Caused Dad to Murder Their Mom

March 7th, 2012 | Author: | Category: medical malpractice

The Utah Supreme Court has ruled it will allow a lawsuit filed by children claiming prescription medication caused their father to murder their mother. The ruling essential finds that physicians have a duty not only to their patients, but to their patients’ family members. The lawsuit accuses a nurse practitioner and consulting physician of negligently prescribing medication that would lead to the murder.  Debra Cassens Weiss, American Bar Association Journal  02/29/2012

Read Article:  American Bar Asociation Journal

Contact: MKK – Attorneys at Law:    1-877-NJLAW4U

How common are Malpractice Claims?

January 16th, 2012 | Author: | Category: medical malpractice

The short answer is: much more common than the average person is aware. A 2011 study conducted by Harvard Medical School, funded by the RAND Institute for Civil Justice and the National Institute on Aging, and reported in the New England Journal of Medicine delivered a snapshot of Malpractice in America*.

Consider this statistic: by the age of 65, 75% of physicians in low-risk specialties (e.g. family medicine; dermatology) had faced malpractice claims compared to 99% of physicians in high-risk specialties (e.g. neurosurgery; thoracic-cardiovascular surgery).

Twenty-two percent of claims resulted in settlements with plaintiffs. Mean indemnity payments made to plaintiffs ranged from $117,832 for dermatology to $520,923 for pediatrics.

The study was geared at evaluating physicians’ risks of malpractice lawsuits – and does not make any assessment of the legal representation of successful plaintiffs. However, to prove medical malpractice is difficult. The effort requires specialized expertise to establish:

 

  1. Accepted standards of medical practice were either not followed or violated;
  2. That the injury or illness suffered by the patient were caused by the medical professional’s negligence; and
  3. That the behavior of the medical professional caused measurable harm or damage.

 

To build a strong case, you should contact MKK as soon as you feel that you or a loved one has experienced physician malpractice. If possible, disengage from further services from that medical professional and get copies of all of you records. Share the chronology of events with us and we can evaluate the strength of your claim and discuss the details that may require further investigation.

 

Note: You should be prepared for a long engagement with your attorney – medical malpractice cases can take 1-3 years to be resolved – so choose wisely.

 

*Source: Malpractice Risk According to Physician, N Engl J Med 2011;365:629-36, http://www.nejm.org/doi/full/10.1056/NEJMsa1012370

 

Some Meds are Sold Without Drug Safety Information

January 12th, 2012 | Author: | Category: health news, medical malpractice

Recent studies have revealed that quite a number of pharmacies are giving patients their medications, without giving them the accompanying warning and drug safety information as well. There are Federal regulated medication guides that MUST be given to patients for certain medications and unfortunately this study revealed that only SOME of the pharmacies – big chains and smaller ones – were actually giving them with the prescriptions!This information has been set as mandatory for certain medication because of the risks and side effects and the severity of the medication. It is scary to realize that many people are not properly informed of their medications when receiving these prescriptions,Please be sure to question your pharmacist each and very time you receive a prescription that you have ALL of the required warning and safety information that you need to review for that particular medication.If you, or someone you know, has suffered a medical complication due to a medication mix up, or because you were not given warning and safety information, please contact our office to discuss the details with a member of our medical malpractice staff.

Some Drugs are Sold Without Safety Information

Medical Malpractice Resource Links

January 12th, 2012 | Author: | Category: helpful links, medical malpractice

National Patient Safety Foundation
This website features information about patient safety.

US Agency for Health Care Research & Quality
Provides information and links about patient safety, tips for patients and other general health information.

Joint Commission for International Patient Safety
The Joint Commission promotes and provides for the delivery of safe, high-quality care through its standards, event database, programs and its National Patient Safety Goals.

National Conference of State Legislatures
Features chart comparing the medical malpractice laws for all 50 states.

American Association for Justice
Includes medical malpractice news.

Medical News Today – Medical Malpractice/Litigation News
Up-to-date medical malpractice news and litigation news articles, including news about lawsuits, legislation, compensation claims, pharmaceutical company disputes and more.

ABA Division For Public Education – Medical Malpractice
Topical information about medical malpractice law to inform individuals about their legal rights.

Insurance Information Institute – Medical Malpractice
Information about medical malpractice and insurance.

Tort Law: An Overview
Information and resources about tort law provided by the Legal Information Institute (LII) at the Cornell Law School.

Damages in Medical Malpractice Cases

January 12th, 2012 | Author: | Category: medical malpractice

Martin Kane Kuper, LLC serves medical malpractice victims in Middlesex County and statewide in New Jersey. We offer a free case evaluation, including home and hospital visits, and there are no attorney fees unless we recover damages.

Damages in medical malpractice cases are critical, and the plaintiff cannot recover damages for injuries that did not result from the doctor’s conduct. Therefore, the plaintiff must establish a causal connection or link between the plaintiff’s injury and the doctor’s negligence. Generally, there are two types of damages available to a plaintiff in a medical malpractice case: compensatory damages and punitive damages. An experienced medical malpractice attorney at Martin Kane Kuper, LLC in East Brunswick, New jersey, can evaluate your situation, determine whether you have a claim and put together a case for damages.

Compensatory Damages
Compensatory damages are intended to compensate the plaintiff for the actual injury and harm that he or she has suffered. In other words, compensatory damages aim to make the plaintiff “whole.” Compensatory damages can be divided into two categories, damages for economic loss (actual damages) and non-economic loss (general damages). Economic loss includes out-of-pocket expenses, such as medical and hospital bills, the cost of prescription drugs, nursing assistance, physical therapy and medical equipment such as a wheelchair. Lost wages because of missed work while you were recovering are also recoverable as compensatory damages.

Non-economic losses are harder to quantify in terms of monetary value and include pain and suffering, inconvenience, mental anguish, loss of consortium or companionship, loss of the ability to work, physical impairment or disability and disfigurement. It may also be possible for the plaintiff to recover damages for future lost wages and future medical treatment or therapy. A plaintiff may also be able to recover damages for the loss of the chance to obtain a better outcome in the surgery or medical procedure because of the defendant’s negligence in treating the plaintiff.

If the plaintiff cannot establish actual damages, he or she may still be entitled to nominal damages. Nominal damages are typically very small amounts awarded in cases where the plaintiff has not sustained any actual loss or harm as recognition that a legal injury was sustained.

Punitive Damages
If the evidence shows that the doctor, nurse or other health care provider acted willfully, wantonly, maliciously, fraudulently, with bad faith or with a conscious indifference to the potential consequences, the plaintiff may be entitled to punitive damages. Punitive damages, also known as exemplary damages, serve to punish the health care provider for his or her wrongdoing in an effort to prevent similar future misconduct. Negligence alone is not sufficient to impose punitive damages. Some states allow exemplary damages, which are designed not to punish, but rather to compensate the plaintiff where the injury is seen as more severe because of aggravating circumstances.
There are a number of situations in which it may be possible for a plaintiff to recover punitive damages from an individual health care provider. Courts have awarded punitive damages in the following situations:

  • Failure of surgeon to obtain the patient’s informed consent to the surgery
  • Failure to properly perform surgery or provide proper follow-up care after surgery
  • Failure to perform sufficient tests to ascertain the health of a child
  • Misrepresentation or fraud regarding surgery
  • Altering medical records
  • Failure to properly administer drugs or anesthesia

Courts have considered a variety of factors, which have been found to support a punitive damages award. Such factors include performing non-emergency surgery after a long day, performing a particular procedure at a significantly higher than normal rate, performing a procedure when a more appropriate procedure, which could not be done by the defendant, is indicated, overcharging for services and continuing to use a particular treatment when it has had bad results in the past.

A plaintiff may also be able to recover punitive damages from an institutional health care provider such as a hospital or clinic depending on the circumstances. Courts have allowed punitive damages where a hospital or clinic is liable for the conduct of one of its employees; a hospital or other employer ratified or approved of the employee’s conduct, which conduct warranted an award of punitive damages; a health care institution failed to ensure the competency of its employees or supervise personnel; a hospital failed to provide adequate facilities, equipment or supplies; and an institution refused to disclose medical records.

Conclusion
Depending on your situation, you may be able to recover punitive damages as well as compensatory damages in your medical malpractice case. An experienced medical malpractice attorney at Martin Kane Kuper, LLC in East Brunswick, New jersey, can evaluate your situation and put together a case for damages.

Medical Malpractice Proving Your Case – Causation

January 12th, 2012 | Author: | Category: medical malpractice

Martin Kane Kuper, LLC serves medical malpractice victims in Middlesex County and statewide in New Jersey. We offer a free case evaluation, including home and hospital visits, and there are no attorney fees unless we recover damages.

To establish a case for medical malpractice, the plaintiff must prove that the defendant had a duty to the plaintiff, that the defendant failed to meet the standard of care owed to the plaintiff, that the mistake actually caused the plaintiff’s injury and that the doctor or other medical professional’s negligence damaged the plaintiff. With medical malpractice proving your case can be difficult. For one thing, the injuries generally involved in medical malpractice cases require specific medical training to understand, and the normal plaintiff may not know the cause of such injuries. It is important to contact an experienced medical malpractice attorney at Martin Kane Kuper, LLC in East Brunswick, New jersey, who can evaluate your situation and work with experts to prove causation.

Preponderance of the Evidence
In medical malpractice cases, the burden is on the plaintiff to establish, by a preponderance of the evidence, that the defendant was the cause of the plaintiff’s injury. This simply means that the plaintiff must prove that it was more likely than not that the defendant’s actions caused the plaintiff’s injury. This may be especially hard to do in cases where the plaintiff alleges that the injury is one that might ordinarily be the expected result of the original disease or condition; that is, where the plaintiff is basically alleging a failure to cure.

Types of Causation
There are two types of causation: actual cause (cause-in-fact) and proximate cause. The defendant’s actions are the cause-in-fact of the plaintiff’s injury if the plaintiff would not have been injured “but for” the defendant’s wrongful act, or if the plaintiff’s injury was a foreseeable result of the defendant’s action. Proximate cause deals with the issue of whether, considering all other relevant factors, the defendant’s actions were the legal cause of the plaintiff’s injury.

The defendant will often try to demonstrate that there are other causes for the plaintiff’s injury. One such possible cause is the plaintiff’s pre-existing condition, that is, the plaintiff’s original illness or injury for which he or she sought medical treatment. In addition, the defendant may try to show that the plaintiff was negligent in some way, and that this negligence, and not the health care provider’s, actually caused the plaintiff’s injury. The health care provider may also argue that even if he or she deviated from acceptable medical procedures, such a deviation would not have altered the outcome for the plaintiff. Further, the health care provider might argue that there was a “superseding cause” or “intervening cause” that serves to shift liability to another third party who caused a new, independent and unforeseen harm.

Expert Testimony
Because of the complexity of the subject matter of medical malpractice cases, it is generally held that the plaintiff must rely on expert testimony to support causation. Most medical issues are not within the common knowledge of the plaintiff or the jury, so an expert’s testimony can help the jury understand the applicable standard of care, whether the defendant provider failed to meet that standard, causation and damages. Medical malpractice cases often come down to a “battle of the experts” between the plaintiff’s expert and the defendant’s expert, who each offer opinions on the plaintiff’s underlying condition, defendant’s actions, whether they were in line with the standard of care and whether the defendant caused the plaintiff’s injuries. In some cases, such as where the result of the medical treatment or surgery is so obvious that a layperson can understand it, an expert may not be necessary.

Res Ipsa Loquitur
If a patient is injured as the result of a medical procedure, but does not know exactly what caused his or her injury, but it is an injury that would not have occurred without negligence by a health care provider, the plaintiff might be able to invoke the legal doctrine known as “res ipsa loquitur.” This is a Latin phrase which means “the thing speaks for itself,” and implies that the plaintiff needs to show only that a particular result occurred, and it would not have happened but for the defendant’s negligence. A classic example of the type of case in which res ipsa loquitur arises is one in which a medical instrument is left inside a person following surgery. Clearly, an instrument would not be left inside a person in the absence of someone’s negligence.
To successfully invoke res ipsa loquitur, the plaintiff must show that:

  • There is no evidence of the actual cause of the injury
  • The injury is not the kind that ordinarily occurs in the absence of negligence
  • The plaintiff was not responsible for his or her own injury
  • The defendant, or its employees or agents, had exclusive control over the instrumentality that caused the injury
  • The injury could not have been caused by any instrumentality other than that over which the defendant had control

Conclusion
Issues of causation can be some of the most difficult issues to prove in a medical malpractice case. Because of this, expert testimony is often required. An experienced medical malpractice lawyer at Martin Kane Kuper, LLC in East Brunswick, New jersey, can gather the necessary documentation and medical records and work with experts to build a case for malpractice.

Responsible Parties in Medical Malpractice Actions

January 12th, 2012 | Author: | Category: medical malpractice

Martin Kane Kuper, LLC serves medical malpractice victims in Middlesex County and statewide in New Jersey. We offer a free case evaluation, including home and hospital visits, and there are no attorney fees unless we recover damages.

Responsible parties in Medical malpractice liability is not limited to medical doctors. It also can extend to nurses, dentists, osteopaths, health care facilities and others providing health care services, such as nursing homes. If you believe that you have been the victim of malpractice by any health care provider, do not delay in contacting an experienced medical malpractice attorney at Martin Kane Kuper, LLC in East Brunswick, New jersey.

Individual Providers: Doctors, Nurses and Other Health Care Professionals
In addition to doctors and surgeons, a variety of other health care professionals, including dentists, psychiatrists, nurses, nurse practitioners, physician’s assistants, chiropractors and alternative medicine providers, can be held liable for medical malpractice. As with a case against a doctor, to be successful in a medical malpractice case against another health care professional, the plaintiff must prove that the provider owed a duty to the plaintiff, that the provider breached that duty by deviating from the acceptable standard of care, that the provider’s breach caused the plaintiff harm and that the plaintiff was injured

Hospitals
In the context of medical malpractice actions, hospitals can be held directly liable for their own negligence, and can also be held “vicariously” liable for the negligence of their employees. Vicarious liability means a party is held responsible not for its own negligence, but rather for the negligence of another.
Direct Hospital Negligence

In hiring its medical staff, a hospital must make reasonable inquiries into an applicant’s education, training and licensing. If a hospital fails to make reasonable inquiries regarding a member of its medical staff, it might be held liable under the “corporate negligence” doctrine for negligent supervision or retention if the staff member’s negligent care injures a patient. A hospital might be held liable for its own negligence where, for example, it fails to investigate the credentials of an attending physician before granting him or her privileges at the hospital or where it allows a physician whom it knew, or should have known, was incompetent to treat patients at the hospital.

Hospitals are also required to ensure that there is a sufficient number of registered nurses on duty at all times to maintain quality patient care. A hospital that fails to do so may be held liable for injuries to patients resulting from a nursing shortage. Another area of potential liability arises when a hospital’s employees fail to follow the orders of a patient’s private attending physician. Conversely, if a hospital employee finds a private physician’s treatment plan to be clearly contraindicated, but fails to make a reasonable inquiry of the physician as to the treatment plan, the hospital could also be found liable.

Finally, hospitals may be held liable for failing to protect patients from harm, failing to adequately perform clinical tests, neglecting to keep accurate medical records and not properly admitting and discharging patients. In the area of admissions, hospitals are generally required to treat seriously injured or ill people on an emergency basis, and the refusal to do so may result in hospital liability. Additionally, federal and state statutes prohibit hospitals from refusing to treat or admit people based on their race, color, religion or national origin, or on their inability to pay for treatment.

Vicarious Liability
When a hospital employee’s malpractice injures a patient, the hospital itself may be held vicariously liable under the legal doctrine of “respondeat superior.” Under this doctrine, an employer may be held liable for the negligent acts of its employee, if the employee was acting within the scope of his or her employment when the negligent act or omission occurred. This doctrine is important to plaintiffs in medical malpractice cases, because it helps ensure there will be a financially responsible party to compensate an injured plaintiff.

In some situations, health care providers, such as physicians, are considered independent contractors rather than hospital employees, and the doctrine of “respondeat superior” will not apply. What this means is if a doctor or other health care professional is an independent contractor and commits malpractice while treating a patient in a hospital, the hospital cannot be held liable for the doctor’s negligence. However, the hospital can be held liable for its own negligence, for example, in granting attending privileges to an unlicensed or incompetent physician.

HMOs
A number of courts have considered the question of whether health maintenance organizations (HMOs) can be held liable for the negligence of a member physician. Essentially, medical malpractice claims against HMOs proceed under the same theories as cases against hospitals. The first theory is direct negligence — that the HMO is liable for negligent hiring, supervision or retention of its doctors. The second theory is based on vicarious liability, agency or respondeat superior. It is important to note that many malpractice claims against HMOs may be subject to pre-emption by state or federal law. These pre-emption provisions are a way to protect HMOs chartered under state law from huge jury awards.

Conclusion
If you or someone you love has been injured as a result of negligent conduct by a health care provider, an experienced medical malpractice attorney can see you through the complicated legal maze of a medical malpractice lawsuit. Contact a medical malpractice attorney at Martin Kane Kuper, LLC in East Brunswick, New jersey today.

Understanding Informed Consent

January 12th, 2012 | Author: | Category: medical malpractice

Martin Kane Kuper, LLC serves medical malpractice victims in Middlesex County and statewide in New Jersey. We offer a free case evaluation, including home and hospital visits, and there are no attorney fees unless we recover damages.

In many situations where medical care or treatment is provided to an individual, medical professionals are required to obtain the patient’s “informed consent.” Although the specific definition of informed consent may vary from state to state, it means essentially that the patient has made a knowing decision about a medical treatment or procedure after a doctor or other health care professional discloses all the information a reasonably prudent medical provider would give to a patient regarding the risks involved in the proposed treatment or procedure. If the health care provider fails to obtain informed consent, the patient may have a legal claim for damages. An experienced medical malpractice attorney at Martin Kane Kuper, LLC in East Brunswick, New jersey, can help you determine whether you have a claim and represent your interests throughout the legal process.

The concept of informed consent is based on the principle that a patient has the right to prevent unauthorized contact with his or her person and, thus, a physician has a duty to disclose information to the patient so that he or she can make a reasoned decision regarding treatment, based on an understanding of the treatment to be provided. In certain situations, informed consent is an absolute necessity. For example, in medical trials or experiments that receive federal funding, informed consent must be obtained from any human participant or subject.

How to Ensure Valid Consent
There are a number of things that the health care provider can do to ensure that the patient’s consent is valid:

  • The actual person who will be performing the procedure should obtain the consent and that provider should have a full understanding of the patient’s medical history
  • The doctor should ensure that the patient is legally and mentally capable of giving consent
  • The doctor or hospital should not coerce the patient into giving consent
  • The patient must consent to a specific procedure, and generally, the health care provider cannot go further than the scope of that procedure
  • The health care provider must disclose sufficient information to the patient, such as the nature and purpose of the procedure, the probable risks and benefits, alternative treatments and the risks and benefits thereof, unusual but serious risks, such as death and the consequences of refusing the treatment
  • The patient must be given an opportunity to ask questions and think about the information

Types of Consent: Express and Implied
Informed consent may be either “express” or “implied.” Express consent is given in writing or verbally. If a patient’s consent is written, it should include the name of the health care professional who discussed the proposed treatment with the patient, the name of the health care provider who is to perform the procedure and the date, time and location where the consent form was signed.

Consent not given by a patient in writing or verbally, but understood from the circumstances surrounding the procedure or treatment at issue is known as implied consent. Consent may be implied when, for instance, a patient presents him or herself for a relatively simple, non-invasive procedure. Consent is also usually implied for necessary procedures a surgeon might perform in the course of a surgical procedure to which the patient did consent.

Exceptions to the Requirement of Obtaining Valid Consent
Emergency Situations. In emergency situations, there is not always time to obtain a patient’s informed consent, or the patient may be unconscious and unable to communicate. If an emergency involves risk to the patient’s life or the patient is unable to communicate, consent may be implied under the rationale that the patient would have consented to emergency treatment when faced with a life-threatening event.

Risk of Significant Emotional or Physical Harm. Consent may not be required if the patient might suffer significant emotional or physical harm if they are given troubling information.

Compulsory Tests. Consent is not required in situations where a patient must submit to a test or treatment; for example, in situations of mental health problems or communicable disease.

Obtaining Consent from Incompetent Individuals and Minors
When a competent adult seeks medical treatment, the process of obtaining informed consent may seem relatively easy. However, in situations where mentally disabled or impaired individuals or children need treatment, the ability to obtain informed consent becomes more difficult. In these situations, serious questions arise concerning who is able to give informed consent for those individuals.

In most cases, a mentally disabled person has an appointed guardian authorized to make medical decisions and give informed consent for that individual. Medical providers need to make sure that when they obtain informed consent for incompetent individuals, they have obtained it from the correct person or persons.

In most situations, parents can give informed consent for treatment for their minor children. However, some states allow young adults under eighteen to play a more active role in their medical care and treatment, including the process of informed consent. Not every teenager is capable, however, of making informed consent decisions under these laws. Instead, most states focus on “mature minors” capable of understanding the nature and consequences of treatment. In those states, such young adults may be able to provide consent without consulting with their parents. For example, some states have passed specific laws that allow for minors to consent, without parental knowledge or approval, to health care treatments related to substance abuse, mental health and sexual activity.

Conclusion
Patients are entitled to complete information about treatments or procedures they will undergo. Failure to provide the information can subject the health care providers to legal liability. If you think you may have a claim based on the lack of informed consent, contact an experienced medical malpractice attorney at Martin Kane Kuper, LLC in East Brunswick, New jersey, at once.