When should medics be liable for their practice? (Part two)

What negligence is and how it is committed

This is a carefully researched and penned article on one of the hot subjects in the field of law and medicine—medical malpractice. It is in seven parts to enable the reader keep track of its flow

By Isaac Bizumuremyi

Justice Alderson defined negligence in the English High Court case of Blyth v. Birmingham Waterworks in the following statement:

“Negligence is the omission to do something which a reasonable man guided upon those considerations which ordinarily regulate the conduct of human affairs, would do or something which a prudent or reasonable man would not do”

“The defendants might have been liable for negligence, if, unintentionally, they omitted to do that which a reasonable person would have done or did that which a person taking reasonable precautions would not have done”

It transpires from this definition that negligence is committed when a person falls short of the objective standard of the reasonable man.

In the medical profession, negligence was modified in the case of Rex. v Bateman by an English Judge Lord Hewart CJ as being the objective standard of a reasonable member of that profession or calling.

For a better understanding of the concept of medical malpractice as understood by courts from different legal systems in the world, it is important to mention to patients and all other health facility services users that medical professionals cannot and will not guarantee to cure one’s health condition each time one visits their places of work demanding their services.

Pathologists, (laboratory Doctors), general practitioners, specialists, and nurses are not, and will not be objectively liable for their incorrect or inaccurate examination, and, or treatment of one’s medical condition.

As a matter of principle, dissatisfaction with the quality of services from a health worker, and the costs one may have expended on the health worker does not translate into a fault that satisfies for actionable damages.

Medical liability can only and objectively be established out of the negligence of a physician.

Medical professionals are not different from other professionals such as Judges, lawyers, accountants, and auditors.

For example, if a judge’s judgement is overturned by the appellate court for error of law, improper interpretation of the law, or for any other reasons to do with competence, such a judge will not be sanctioned for the poor judgement.

So it is for lawyers, accountants, and auditors.

A lawyer will not be sanctioned for losing a case of $ billion as a result of his limited litigation skills.

The lawyer will be paid the agreed legal fees whether the lawyer won or lost the case.

A lawyer is not responsible for the outcome of the case he defended on behalf of the client.

However, this does not mean that lawyers will not be liable if their clients lost the case as a result of their negligence.

Similarly, accountants and auditors will prepare your financial statements and audited reports, but you will sign them alongside their disclaimer that they will not be responsible for the inaccuracy of their reports.

In the 1985 court case of Glenn Hall, v. Glyn R. Hilbun, M.D., the Supreme Court of Mississippi held that a physician does not guarantee recovery, nor is a competent physician liable per se for a mere error of judgment, mistaken diagnosis, or the occurrence of an undesirable result.

When a physician undertakes to treat a patient, he takes on an obligation enforceable at law to use minimally sound medical judgment and render minimally competent care in the course of the services he provides.

A physician may only be liable when the patient sustains an injury because of the failure to perform (omission) the duty assumed under medical law.

Therefore, medical malpractice is a legal fault by a physician or surgeon when the practitioner fails to provide the quality of care required by law.

The Author, Isaac Bizumuremyi, is Managing Partner at Lex Chambers; a Corporate lawyer, Commercial Litigator, Transactions Advisor, and Commercial Arbitrator in Kigali Rwanda

Lex Chambers

06 KN 33 Street

Kiyovu, Kigali City, Rwanda

Email: isaac@lexchambers.attorney

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Click here to read part three of seven

 

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