Did You Wash Your Hands!? A Lesson in Tact
Hospital Acquired Infections
I recently posted about the dangers of hospital acquired infections like C-difficile and MRSA.
Hospital Acquired Infections
I recently posted about the dangers of hospital acquired infections like C-difficile and MRSA.
First Hurdle
The first thing a medical malpractice victim needs to prove in order to win their case is to establish the “standard of care”.
The Supreme Court of Canada stated that:
“A doctor’s behaviour must be assessed in light of the conduct of other ordinary specialists, who possess a reasonable amount of knowledge, competence and skill expected of professionals in Canada, in that field. A specialist such as the respondent, who holds himself out as possessing a special degree of skill and knowledge, must exercise the degree of skill of an average specialist in his field.”
That well known quote from the Supreme Court of Canada’s decision in Ter Neuzen v. Korn is referred to in every single medical malpractice trial.
The recent series of C-Difficile infections in Cape Breton hospitals has brought some media attention to the problem of Hospital Acquired Infections.
I was doing some research on a case and came across information of a new antibiotic resistant “Superbug” that is being found in hospitals.
Carbapenem-Resistant Klebsiella pneumonia or CRKP is an antibiotic-resistant organism that can cause infections in health care settings like hospitals and nursing homes. The bacteria is often associated with pneumonia, bloodstream infections, wound or surgical site infections, and meningitis.
Biggest Hurdle?
The biggest challenge a plaintiff in a medical malpractice case usually faces is proving, on the balance of probabilities, that the defendant’s actions (or inaction) caused the plaintiff’s injuries.
Biological vs. Legal Cause
Cape Breton District Health Authority has stated that 21 patients in two Cape Breton Hospitals have tested positive for the bacteria C. difficile. Four people have died as a result of the infections.
Hospital Acquired Infections a Deadly Problem
Nosocomial infections (Hospital acquired infections) are the fourth largest killer in Canada.
My colleague, Ches Crosbie recently posted about an American Journal of Obstetrics and Gynecology report that studied medical charts for more than two millions births in California over a 14 year period. According to the study children born between the hours of 10 PM and 4 AM were 22% more likely to develop cerebral palsy.
Ches suggested:
Hospitals already have issues with staff shortages and fatigued workers, so it makes sense to me that these problems might be worse during the “graveyard shift”.
In 2001 Spencer Sullivan had elective surgery for neck and back pain at the University of California San Francisco Medical Centre. The surgery went well and there were no complications.
Negligent Nursing Care
But while Sullivan was in the hospital recuperating his nurse, Rose McKenzie, gave him two different types of pain medication without checking with the doctors who were in charge of Sullivan’s care. McKenzie then failed to monitor Sullivan throughout the night.
There is an old saying that a lawyer who represents himself has a fool for a client.
But what do you call a patient who diagnoses himself? “Dangerous.” At least according to Dr. Ross Upshur, a University of Toronto scientist and Canada Research Chair in primary-care research.
Self Diagnosis Dangerous
More and more patients are turning to Google and the internet to diagnose, and even treat, their injuries and illnesses. Doctors are warning people about the dangers of relying on unproven or inaccurate information that can be found while surfing the web.
Reasons for judgement were released recently in the case of McLintock v. Alidina.
The plaintiff, Ann McLintock alleged negligence on the part of her family physician, Dr. Alidina, because Alidina hd failed to advise the plaintiff of the results of mammogram testing. McLintock had to undergo a course of 25 radiation treatments and surgical intervention as a result of the alleged delay.
Different Standards for Different Doctors?
There are three things that an injured patient must prove in order to be entitled to receive compensation:
1. What is the standard of care?
2. Did the defendant fail to meet the standard of care?