A federal attorney shares the types of lawsuits threatening hospitals and health systems during the ... and health systems during the COVID-19 ... and negligence during a pandemic. This article is an attempt to answer these questions. 2020 May 28;29(10):582-583. doi: 10.12968/bjon.2020.29.10.582. Health departments diverted STD health staff to work on Covid-19 resulting in big declines in contact tracers for chlamydia (28%) gonorrhea (18%) and syphilis (23%). Patient safety and litigation in the NHS post-COVID-19. Therefore, the time is ripe for the Supreme Court to lay down comprehensive guidelines in relation to medical negligence cases. There is hope that necessary measures will be taken by the Supreme Court, to preserve the faith and hope of the people. However, even the courts are unable to provide uniform justice owing to their lack of subject matter expertise and the absence of comprehensive guidelines. Has COVID-19 increased the probability of medical negligence cases? As a result, patients and their families are increasingly seeking recourse to judicial remedies. Accessibility Bethesda, MD 20894, Copyright It is a given that the healthcare sector will continue to hold centerstage in our lives for weeks and possibly years to come. 2020 Jun;10(1):010356. doi: 10.7189/jogh.10.010356. Litigation and patient-carer, safety issues in the COVID-19 crisis. COVID-19 being a novel disease to the world at large, resting primarily on the intellect, judgment and experience of doctors, successfully establishing criminal medical negligence … FOIA Hospital managers could easily say that they too are making difficult decisions in challenging … Br J Nurs. Three evacuated COVID-19 patients have died after a fire broke out in the ICU ward at Dhaka Medical College Hospital on Wednesday, Mar 17, 2021. The correct approach in the matter of Vinod Jain (supra), therefore, would have been to either refer the case to the Chief Justice of India to set up a larger bench or follow the procedure as laid down by the Supreme Court in the Dawoodi Bohra Community case to prevent the miscarriage of justice. Would you like email updates of new search results? He died a horrible death anyway. The law of negligence enables employees to sue employers if they haven’t provided a safe system and place of work or provided appropriate tools and equipment.10 Many healthcare workers are becoming ill or dying from covid-19 because of a lack of protective equipment. The said order was, however, set aside by the National Consumer Dispute Redressal Commission. Strict enforcement of Sections 191, 192 of the Indian Penal Code, 1860 in medical negligence cases. In the case of COVID-19, a plaintiff may have pecuniary loss due to high medical expenses and severe physical pain and suffering, which ultimately may lead to death. As a result, contradictory and conflicting judgments are given by various courts and, at times, by co-equal benches of the same court, including the Supreme Court. … What are the reasons for the overall increase in medical negligence cases in recent years? The possibility of instances of medical negligence owing to this increased pressure on the medical system cannot be ruled out. There are cases, judicial precedents which can be applied to determine the standard of care expected of trainee doctors and nurses, para medics, volunteers and those operating outside their practice areas in COVID-19. Please enable it to take advantage of the complete set of features! 8600 Rockville Pike Personal Injury Claims Based on COVID-19 Nursing Home Negligence. On the one hand, healthcare professionals are being hailed as “Corona Warriors”, but on the other, there have been reports of patients being denied medical assistance and the non-observance of safety protocols endangering the life of both health care professionals and the patients. J Glob Health. Hale and happy before the pandemic, the 75-year-old retired Alabama truck driver became so malnourished and dehydrated that he dropped to 98 pounds and looked to his son like he’d been in a concentration camp. Medical negligence cases are on the rise partly due to the rapidly proliferating number of healthcare providers with inadequate infrastructure, and partly owing to the inadequate skills and outdated knowledge of healthcare professionals. Unable to load your collection due to an error, Unable to load your delegates due to an error. COVID-19 and Medical Negligence: The need for comprehensive guidelines https://t.co/ozoMRvNs3A, Copyright © 2021 Bar and Bench. Further, intravenous Vancomycin is the main stay in the treatment of a CONS infection. Section 1.2.3 of the MCI Act, which provides for 30 hours of continuing education every five years followed by a written examination, must be strictly implemented and a doctors’ license should be renewed subject to clearing the same. The Covid-19 hasn't stopped new medical negligence claims being made. At least one national plaintiff attorney malpractice firm has been advising the public to be on the lookout for certain types of medical negligence that could occur during … Increased Demands on Medical Professionals during COVID-19. Subsequently, even despite the WBC count (16,050) of the patient being on a rising curve, the patient was prematurely discharged and the patient went into a coma at her home on October 23, as the infection has risen to uncontrollable levels. What is the role of the judiciary in keeping a check on such cases? Aggrieved, the petitioner approached the State Consumer Dispute Redressal Commission, which directed the hospital to pay the petitioner a sum of Rs 15 lakh as compensation. COVID-19 Clinical Negligence Protocol 2020 Guidance note resource This new protocol outlines a best practice approach to litigation agreed between the Society of Clinical Injury Lawyers (SCIL), NHS Resolution and the patient safety charity Action against Medical Accidents (AvMA), with other signatories such as the Forum of Insurance Lawyers and the Association of British Insurers. The risk of coronavirus to incarcerated seniors is high. Responding to the alleged 'medical negligence' which lead to the death of a COVID-19 patient, Government Medical College Ernakulam said that there was no mismanagement on the part of the hospital. Given the upward trend over the years for National Health Service (NHS) clinical negligence litigation, it is possible that when the COVID-19 crisis abates, people will start to reflect on their care and clinical malpractice cases may result. Privacy, Help While doing so, the Court observed that while there might have been a possibility of wrong diagnosis, the same would not tantamount to medical negligence. A major problem during the present times is medical negligence. A recent ruling by the Supreme Court has effectively diluted the threshold for fixing accountability in medical negligence cases by observing that even in case where a healthcare professional might have made a wrong diagnosis, the same will not tantamount to medical negligence. Amidst the uncertainty created by the COVID-19 pandemic, the judiciary remains the sole icon of hope to redress the genuine concerns of citizens aggrieved by the lack of adequate medical infrastructure and the rising instances of medical negligence. The scheme has been established in accordance with new powers from the Coronavirus Act 2020. Epub 2020 May 15. However, one consideration that should recede for physicians in the time of COVID-19 is fear of medical malpractice. English common law in the area of clinical negligence can accommodate the fact that NHS staff in COVID-19 are practicing in effect, in a warzone. As a result of COVID-19, hospitalists, emergency medicine physicians, critical care physicians, nurses, and many other clinicians are currently in a period that is anything but normal. Given an already high rate of preventable medical … The laxity of the regulating body - the Medical Council of India - in enforcing strictly established protocols regarding diagnostics and treatment has made matters even worse. “There was no evidence to show any unexplained deviation from standard protocol and that the deceased was medically compromised by the reason of her post illnesses.”. Careers. Several House leaders and lawmakers filed a bill that seeks to penalize acts of government “negligence, inaction, and irresponsibility” in ties of state of public health … There are more than 2.3 million people incarcerated in the United States, approximately 16% of whom are age 50 or older. 2020 Jul;8(7):571. doi: 10.1016/S2213-8587(20)30181-9. Clinical Negligence Claims Following the COVID-19 Pandemic. In the absence of correct diagnosis, the treatment would be a blind treatment and would certainly harm the patient. The family of a Bloomington nursing home resident who died of COVID-19 is suing the facility’s owner, claiming gross negligence for failing to prevent a coronavirus outbreak that led to 11 deaths at the long-term care facility.Anita Martin of Bloomington claims Bloomington Rehabilitation and Healthcare Center “consciously disregarded the health and safety of its … Furthermore, inmates have the highest risk of acute illness and poor health outcomes if infected with COVID. Even the blood culture report received on October 18 showed the presence of an infection causing organism "Methicillin Sensitive Coagulase Negative Staphylococcus Aureus” (CONS). Failure to use due skill in diagnosis with the result wrong treatment is given would be medical negligence.". The same was held despite an earlier judgment of the Court in Malay Kumar Ganguly v. Sukumar Mukherjee, where the maladministration of the steroid “Depomedrol” owing to a wrong diagnosis was held to be medical negligence. Medical negligence claimed COVID patient’s life at Kalamassery Medical College, claims voice clip As per the voice clip, the patient died as … 2020 will almost certainly be remembered by most of us as the year our lives stood still. Medical literature submitted by the respondents reflected that the said organism is recognized as an infection causing agent (pathogen) and can become life threatening if not treated properly. “The law on medical negligence has to keep up with the advances in the medical science as to treatment as also to diagnostic...Duty of the doctor is to prevent further spread of infection...Blood tests and cultures should be regularly performed to see if the infection is coming down.”. Amidst the uncertainty created by the COVID-19 pandemic, the judiciary remains the sole icon of hope to redress the genuine concerns of citizens aggrieved by the lack of adequate medical infrastructure and the rising instances of medical negligence. So many of us can’t work and all of us missing our friends, family and loved ones. What is the role of the judiciary in keeping a check on such cases? ... your financial losses or need for care would have been impacted due to the strict restrictions which were imposed during the lockdown which came into effect on 16th March 2020. We now have immunity laws that specifically apply to COVID-19 care, and laws that apply to all health care rendered during COVID-19. Strict enforcement of Sections 191, 192 of the Indian Penal Code, 1860 in medical negligence cases. There have been numerous reports of medical negligence, and the reports that patients have been refused medical services. The COVID-19 pandemic has brought the healthcare sector under unprecedented focus. Will medical negligence cases spike post Covid-19? The same is to be treated as a pathogen and not a contaminant for immunosuppressed patients and/or patients with prosthetic device implants. However, a medical practitioner must exercise the reasonable degree of care and skill and knowledge which he possesses. How diabetes management is adapting amid the COVID-19 pandemic. To conclude, it is the responsibility of every person to act in a responsible way when he or she knows or should know that he or she is infected or may be infected with COVID-19. She died on October 31 due to septicaemia resulting in multi-organ failure despite desperate attempts by multiple hospitals to lower the WBC count. Medical negligence lawyers rely heavily on opinions from medical experts, for their cases, in order to prove medical negligence/malpractice. Potential neglect and prolonged isolation may have caused serious harm to many people in nursing homes in the United States during the Covid-19 pandemic, Human Rights Watch … Mrs Enia Madzura, who has a child with mental retardation and seizure disorder said living with a mentally ill child especially during the ongoing Covid-19 … Specialized courts can be set up to adjudicate medical negligence cases, or alternatively, the ethics committee of the National Medical Commission be headed by a serving/retired Supreme Court Judge. The author is an Advocate. At a time when the healthcare professionals of the country are being lauded for their effective response to the COVID-19 pandemic, decisions such as Vinod Jain erode the faith of the people in the healthcare sector and the judiciary. A number of news outlets 1, 2 have recently reported on calls from the Medical Defence Union (MDU) to grant doctors immunity from medical negligence claims with concerns over both the extent of the financial and personal costs that would be involved.. At first glance, it is understandable to see the reason for this concern; retired healthcare workers and final year medical … ... An increased likelihood that non-Covid-19 patients have been receiving substandard medical attention during this … Lancet Diabetes Endocrinol. Aggrieved by the same, the petitioner approached the Apex Court, which dismissed the petitioner’s SLP. Patient safety reports round-up during the COVID-19 pandemic. The following suggestions may aid the Supreme Court in this regard: A committee of representatives of the Supreme Court and the Medical Council of India (MCI) be constituted to dove-tail the various statutes of law and the guidelines issued by the MCI and issue comprehensive guidelines for adjudicating medical negligence cases. Br J Nurs. Has COVID-19 increased the probability of medical negligence cases? A new scheme has been launched by NHS Resolution to meet liabilities arising from the special healthcare arrangements being put in place in response to the coronavirus outbreak. MDU calls for national debate over protecting NHS from COVID-19 clinical negligence claims The Medical Defence Union (MDU) says doctors should be spared from the stress and anxiety of medical negligence claims following the pandemic. John Tingle, Lecturer in Law, Birmingham Law School, University of Birmingham, discusses how the Courts may view clinical negligence claims brought by families who have lost loved ones during the pandemic. Br J Nurs. Here in the U.K., and elsewhere in the world, life has changed drastically in response to COVID-19. Correctional Officers bring COVID into and out of prisons. Vinod Jain v. Santokba Durlabhji Hospital, Central Board of Dawoodi Bohra Community v. state of Maharashtra. The regulator is often found circling its wagons and protecting healthcare professionals of their wrongdoing. Medical Negligence Claims during the Coronavirus Pandemic. Apart from being a setback to the advancement of medical jurisprudence, the same is also violative of the doctrine of judicial procedural propriety and decorum enunciated by the Court in Central Board of Dawoodi Bohra Community v. state of Maharashtra, which summed up the legal position on judicial procedural propriety as follows: "It will be open only for a bench of co-equal strength to express an opinion doubting the correctness of the view taken by the earlier bench of co-equal strength, whereupon the matter be placed for hearing by a bench consisting of a quorum larger than the one which pronounced the decision laying down the law of correctness of which is doubted.". The Need for Expert Witnesses in Medical Negligence/Malpractice Cases. 2020 Apr 9;29(7):444-445. doi: 10.12968/bjon.2020.29.7.444. This site needs JavaScript to work properly. Correct diagnosis followed by correct treatment as per the established protocol is the bedrock of Western medical science. The above was a landmark ruling, as it advanced the jurisprudence relating to medical negligence and took note of the consequences of a wrong diagnosis, which include wrong medication and the resultant risk to the health of the patient. Medical negligence and the Covid-19 pandemic. Relatives gather around one of them. Elderly people are especially vulnerable to contracting COVID-19 and developing severe symptoms... Medical Malpractice. It clarifies that physicians and other health care professionals who provide volunteer medical services during the public health emergency related to COVID-19 shall not be liable for providing such services that relate to the diagnosis, prevention or treatment of COVID-19 or the assessment or care of a patient related to an actual or suspected case of COVID-19. COVID 19: Frontline experience at a tertiary care hospital in UK. When COVID-19 tore through Donald Wallace’s nursing home, he was one of the lucky few to avoid infection. The Court opined that there were no unexplained deviations from protocol and endorsed a departure from the established protocols ignoring its earlier rulings. All Rights Reserved. National Library of Medicine Organisations such as the Asom Jatiyatabadi Yuba Chhatra Parishad had staged protests against the “medical negligence in the name of COVID-19” earlier. Since 28 February, a total of 2,036 claims have been made against the NHS in England – based on figures from NHS Resolution . He appreciates the inputs from Vinod Jain (IAS) (Retd.). A preliminary diagnosis showed a White Blood Cell (WBC) count of 15,030, indicating infection. Thus, wrong diagnosis and the following treatment proved fatal for the patient. Consequently, intravenous Vancomycin was ignored and an oral tablet Polypod was prescribed to be administered through the nasal feed tube after dissolving it in water. Prevention and treatment information (HHS). Clipboard, Search History, and several other advanced features are temporarily unavailable. 20 April 2020 In the matter of Vinod Jain v. Santokba Durlabhji Hospital, the wife of the petitioner, a cancer patient who was immunosuppressed due to her past chemotherapies, was admitted to a multi-specialty hospital on October 15, 2011 for chills and fever. The treating doctor, however, treated the organism as a contaminant, thereby making a wrong diagnosis. However, the Court in Vinod Jain (supra) observed that. 2020 May 14;29(9):535-536. doi: 10.12968/bjon.2020.29.9.535. Clinical Negligence Scheme for Coronavirus. The Supreme Court, while discussing medical negligence opined that: "Failure to act in accordance with the standard, reasonable, competent medical means at the time would not constitute a negligence. Of whom are age 50 or older, MD 20894, Copyright © 2021 Bar and Bench contracting. 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