Gold v. Greenwich Hospital Ass'n
2002 Conn. LEXIS 493, 262 Conn. 248, 811 A.2d 1266 (2002)
Sections
Rule of Law:
A negligence claim against a health care provider sounds in medical malpractice, thereby requiring expert testimony to establish the standard of care, if the claim involves the exercise of medical judgment, diagnosis, or treatment by a professional.
Facts:
- The plaintiff took a woman named Cooke, for whom she was a caretaker, to dinner where Cooke suffered a violent allergic reaction.
- The plaintiff brought Cooke to the emergency room, where Dr. Hunt treated Cooke with injections and subsequently discharged her, assuring the plaintiff that Cooke would likely sleep through the night.
- The plaintiff drove Cooke home and stayed overnight to care for her.
- Cooke awoke during the night and physically assaulted, kicked, and chased the plaintiff.
- While fleeing Cooke's attack, the plaintiff slipped on ice in the driveway, exacerbating injuries sustained during the assault.
- The plaintiff claimed the defendants knew or should have known Cooke was a danger to others when they discharged her.
Procedural Posture:
- Plaintiff sued the hospital and physician in state trial court alleging negligence.
- Defendants moved for the plaintiff to disclose an expert witness, arguing the claim was medical malpractice.
- Plaintiff disclosed a physician expert, Dr. Lavely.
- Defendants deposed Dr. Lavely, who admitted he lacked sufficient information to form an opinion on the standard of care.
- Trial court granted defendants' motion to preclude Dr. Lavely from testifying.
- Defendants moved for summary judgment, arguing plaintiff could not prove her case without an expert.
- Trial court granted summary judgment in favor of the defendants.
- Plaintiff appealed the judgment to the Appellate Court.
- The Supreme Court transferred the appeal to itself.
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Issue:
Does a plaintiff's claim that a physician negligently discharged a patient who subsequently attacked the plaintiff sound in medical malpractice requiring expert testimony, rather than ordinary negligence?
Opinions:
Majority - Vertefeuille
Yes, a claim alleging negligence in the discharge of a patient sounds in medical malpractice because it challenges the exercise of medical judgment. The Court affirmed the trial court's decision, reasoning that the plaintiff's complaint met the three specific criteria for a malpractice claim: the defendants were sued in their medical capacities, the negligence was of a specialized medical nature arising from the professional relationship, and the alleged error (discharging the patient) involved medical diagnosis and judgment. Consequently, the plaintiff was required by statute to provide expert testimony to establish the prevailing standard of care. Although the plaintiff argued that this was a 'failure to warn' case similar to ordinary negligence, the Court held that determining whether a doctor breached a duty to warn or protect third parties relies on factual medical standards that can only be established through expert testimony. Because the plaintiff failed to produce a qualified expert, she could not prove the necessary elements of her claim.
Analysis:
This case clarifies the boundary between ordinary negligence and medical malpractice in Connecticut, specifically regarding claims where a patient harms a third party. By applying the three-part test to classify the claim as malpractice, the court reinforces the protective requirement of expert testimony for medical professionals. This prevents plaintiffs from reframing complex medical judgment errors (like the decision to discharge a patient) as simple 'failure to warn' negligence claims to avoid the procedural burdens and costs associated with malpractice litigation. The ruling establishes that even if a legal duty to warn exists, proving a breach of that duty in a medical context is a factual issue requiring expert medical evidence.
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