Negligence Flashcards
What is negligence
The omission to do something which a reasonable man, guided upon those considerations which ordinarily regulate the conduct of human affairs would do, or doing something which a prudent and reasonable man would not do.
The infliction of damage as a result of the breach of a duty of care owed by the defendant to the plaintiff.
It encompasses the concept of duty, breach and damage suffered by the person to whom the duty was owed.
What are the elements of negligence or what three things must be present before you say someone has been negligent of which if even one is absent, you can’t say person was negligent
There should be breech, duty of care and damage. These three things constitutes negligence.
A duty, recognised by law, requiring conformity to a certain standard of conduct for the protection of others;
Failure to conform to the required standard of care, i.e. breach;
and
Material injury resulting to the interests of the plaintiff due to the breach.
Thus, they are: duty, breach and damage
State four examples of duty situations
Questions to ask yourself before saying someone is negligent;
Was there a duty situation?
Was there a breech of duty ?
Were damages inflicted on plaintiff?
First establish that there was a duty situation; and that in the circumstances; the defendant owed the duty to the plaintiff.
Where there is no duty situation, there can be no negligence.
Doctor – patient
Nurse – patient
Radiologist – patient
Lecturer – student
Driver - pedestrian
Duty situation: service provider and the person receiving the service. It must tally. A nurse doesn’t owe duty to a carpenter
How do you test a duty situation or duty of care or duty to take care situation (to test means to examine whether the criteria for establishing duty of care are met)
The defendant should have foreseen the injury to the plaintiff or to a defined class of persons to which the plaintiff belongs.
Test of duty situation: should’ve foreseen it’ll harm patient or harm people in the class of that patients
One of the key criteria in determining duty of care is foreseeability. The defendant must have been able to foresee that their actions could potentially harm the plaintiff. If harm was not foreseeable, it would be unreasonable to hold the defendant accountable for the consequences of their actions.
3. Reasonableness: Testing for duty of care involves assessing whether the defendant’s behavior was reasonable
Explain the neighbor principle (who is a neighbor)
Donogue v Stevenson
Per Lord Atkin: “…the rule that you are to love your neighbour becomes in law, you must not injure your neighbour …”
Neighbour in this context means persons who are closely and directly affected by one’s act that he ought to reasonably have them in his contemplation when directing his mind to the act or omission which is called into question
So in the case of a doctor to his patient, a patient will definitely be directly harmed or closely affected if he fools. The patient will always be his neighbor. Whoever you owe a duty of care to is your neighbor by default
The courts opinion that in accordance with changing social needs and standards, new classes of persons legally bound or entitled to the exercise of care may from time to time emerge.
Neighbour principle: have in mind that what you’re doing will cause harm to a person. Example you throw a stone while people are around. You’re supposed to have it in mind that you throwing the stone will harm the people or persons around you.
This principle is a popular question
Understanding the neighbor principle and its application in healthcare can be crucial for a medical school interview. Here’s how you might discuss it, along with sample questions and answers.
Neighbor Principle:
The neighbor principle, established by Lord Atkin in the case Donoghue v Stevenson (1932), states that individuals owe a duty of care to those who are closely and directly affected by their actions. In healthcare, this means that medical professionals must act with reasonable care to avoid harming their patients.
Question 1:
Interviewer: Can you explain the neighbor principle and how it applies to medical practice?
Answer:
You: The neighbor principle, articulated by Lord Atkin in the landmark case Donoghue v Stevenson (1932), is a foundational concept in tort law that establishes a duty of care owed to those who are closely and directly affected by one’s actions. In medical practice, this principle means that healthcare professionals must take reasonable steps to avoid causing harm to their patients. This duty of care extends to ensuring that treatments are safe, informed consent is obtained, and patient records are accurately maintained to prevent foreseeable harm.
Question 2:
Interviewer: Can you provide an example of how a breach of the neighbor principle might occur in a clinical setting?
Answer:
You: Certainly. For instance, if a physician prescribes a medication without reviewing the patient’s allergy history, and the patient subsequently suffers a severe allergic reaction, this could be considered a breach of the neighbor principle. The physician failed to take reasonable care to prevent harm, which could have been avoided by thoroughly checking the patient’s medical records. This scenario highlights the importance of diligence and thoroughness in medical practice to uphold the duty of care.
Question 3:
Interviewer: How would you ensure that you are meeting your duty of care as a future medical professional?
Answer:
You: To meet my duty of care as a future medical professional, I would prioritize comprehensive patient assessments, thorough documentation, and continuous education. Ensuring clear communication with patients, obtaining informed consent, and regularly consulting evidence-based guidelines are also essential steps. By staying vigilant and attentive to each patient’s unique medical history and needs, I can help prevent foreseeable harm and provide high-quality care.
-
Question:
Discuss how the neighbor principle influences the ethical and legal responsibilities of a healthcare professional.Answer Outline:
- Introduce the neighbor principle and its legal origins.
- Explain how it establishes a duty of care in healthcare.
- Discuss the ethical responsibilities tied to this duty, such as beneficence, non-maleficence, and respect for patient autonomy.
- Provide examples of how healthcare professionals can uphold these responsibilities in daily practice.
- Conclude with the importance of integrating ethical and legal considerations to ensure patient safety and trust. -
Question:
Evaluate the impact of effective communication on upholding the duty of care in medical practice.Answer Outline:
- Introduce the concept of duty of care and its relation to effective communication.
- Discuss how clear, empathetic, and thorough communication helps prevent misunderstandings and medical errors.
- Use examples such as obtaining informed consent, explaining treatment options, and documenting patient interactions to illustrate the impact.
- Analyze the role of communication in building patient trust and ensuring compliance with medical advice.
- Conclude by emphasizing the critical role of communication in maintaining high standards of care and patient safety.
- Understand Key Concepts: Make sure you understand the neighbor principle and other foundational legal and ethical concepts in healthcare.
- Use Examples: Be ready to provide clear, concise examples to illustrate your points.
- Reflect on Personal Experience: If possible, relate your answers to any relevant experiences you have had, demonstrating your commitment to patient care.
- Stay Calm and Confident: Answer questions calmly and confidently, showing that you are thoughtful and well-prepared.
Haynes vs harwood
It was held that a defendant who owed a duty to another also owed a duty to those who might foreseeably attempt to rescue him from the acute peril in which the defendant’s negligence had placed him.
Explain this
In the case of Haynes v Harwood [1935] 1 KB 146, the court held that a defendant who owes a duty of care to another person also owes a duty of care to those who might foreseeably attempt to rescue the person placed in danger due to the defendant’s negligence.
Key Points of Haynes v Harwood:
-
Facts of the Case:
- The defendant left a horse-drawn van unattended in a busy street.
- The horses bolted, creating a dangerous situation.
- A police officer (the claimant) saw the peril and attempted to stop the horses to prevent injury to others.
- The police officer was injured in the process.
-
Legal Issue:
- Whether the defendant owed a duty of care to the rescuer, the police officer, who was injured while trying to mitigate the danger created by the defendant’s negligence.
-
Judgment:
- The Court of Appeal held that the defendant owed a duty of care to the rescuer.
- The rationale was that it was reasonably foreseeable (once it is foreseeable, there is a duty of care situation. The neighbor principle also comes into play here) that someone would attempt to intervene to prevent harm caused by the defendant’s negligence.
- As such, the rescuer’s actions were a natural and probable consequence of the defendant’s initial negligent act.
-
Principle Established:
- The principle of “rescue” in tort law was affirmed, establishing that those who negligently create a perilous situation are liable not only to the direct victims of their negligence but also to those who, foreseeably, attempt to rescue or mitigate the peril.
This case is often cited to illustrate the legal recognition of the “rescue doctrine,” which extends the duty of care to rescuers who, acting reasonably, put themselves in harm’s way to assist or save others from the dangers created by a defendant’s negligent actions.
What is breech of duty of care
This concerns the conduct of the defendant and the standard of care imposed on him.
The standard required of the defendant is that of the reasonable man.
Breech of duty: if it is established that a reasonable person wouldn’t have done what you did then there’s a breech of duty
In effect, the defendant is deemed to have breached a duty of care to the plaintiff if he fails to live up to the required standard expected of him in the given circumstances.
Ordinarily, a required standard must be conformed to by the defendant; failure of which would imply a breach.
Who is a reasonable man
The standard is not that of the defendant himself but of a man of ordinary prudence, a man using ordinary care and skill.
This eliminates the personal equation and is independent of the idiosyncrasies of the particular person whose conduct is in question.
In effect, the standard is said to be an objective one.
Therefore it is not a defence for a young doctor to plead that he is inexperienced if he fails to attain the level of competence be expected of a doctor.
The “reasonable man” is a hypothetical person who acts with the level of care, prudence, and competence expected of someone in a given situation. This standard is:
1. Objective: It doesn’t take into account the specific characteristics, skills, or knowledge of the defendant. 2. Ordinary Prudence: Represents what an average person, using ordinary care and skill, would do in similar circumstances. 3. Consistent: Eliminates personal variations and idiosyncrasies, providing a uniform standard for judging conduct.
Application in Medical Practice
In the medical context, the “reasonable man” standard is applied to healthcare professionals, holding them to the level of competence and care expected of an average, competent practitioner in their field. This means:
1. Objective Standard: The standard of care is not based on the individual doctor’s personal level of experience or skill but on what is reasonably expected from any doctor with similar training and qualifications. 2. Professional Competence: Young or inexperienced doctors cannot use their lack of experience as a defense. They are expected to provide the same standard of care as any reasonably competent doctor. 3. Elimination of Personal Equation: The law requires that doctors meet established medical standards regardless of their personal capabilities or circumstances.
Clinical Scenario for Medical School Interview
Scenario:
A junior doctor performs a surgical procedure without adequately following the established protocols for sterilization. As a result, the patient develops a severe postoperative infection. The junior doctor claims that their inexperience should be taken into account as a defense.
Sample Questions and Answers
Question 1:
Interviewer: Can you explain the concept of the “reasonable man” and how it applies to this scenario?
Answer:
You: The “reasonable man” is a legal standard representing how an ordinary person, with ordinary prudence, would act in similar circumstances. This standard is objective and doesn’t consider the defendant’s personal attributes or experience. In the provided scenario, the junior doctor is held to the standard of what a reasonably competent doctor would do. Inexperience is not a valid defense; the doctor is expected to follow established protocols and provide care at the level expected of any competent practitioner. Failing to do so constitutes a breach of duty of care.
Jeweler pierced someone’s ear who was buying jewelry and the person got an infection. Jeweler was sued.
What was the decision of the court with regards to negligence
If a duty situation is not established, there is no negligence because there won’t even be breech of duty
The plaintiff had her ears pierced by a jeweller in order to wear ear-rings and subsequently suffered an abscess that might have been avoided had the work been done with normal medical skill by a qualified surgeon.
In the slide about the jeweler and buyer, the jeweler had a duty of care to the buyer to just sell jewelry to her and use his skill as a jeweler to pierce her ear. He wasn’t found at fault
Facts
The claimant went to have her ears pierced at the defendants’ jewellers. Prior to the piercing, the jeweller washed his hands and sterilised his instruments in a fire and lysol. More than two weeks later, after spending time in a nursing home for a major surgery, the claimant developed an abscess. The abscess was due to an infection which had entered her body through the hole in her ear. The claimant sued the defendant in negligence.
Issue(s)
- Had the jeweller breached the duty of care owed to the claimant?
- Had the jeweller’s actions caused the infection?
Decision
The High Court held in favour of the defendant. The jeweller had not breached his duty of care to the claimant: he had taken perfectly reasonable precautions against infection. In any case, the claimant could not prove that the defendant was responsible for the infection. It was more likely that the infection entered her ear at a later date.
This Case is Authority For…
Jewellers are not required to take the same precautions as medical surgeons when piercing ears to comply with their duty of care. They need only take those precautions thought necessary by reasonable jewellers.
The jeweller was required only to show the skill of a jeweller doing such work not that of a doctor.
State and define five factors to consider under breech of duty. Or what five factors can you use to determine whether someone has breeched the duty or care or not
Likelihood of injury or foreseeability of harm-The more dangerous the activity, the greater the degree of care required.
A person cannot be said to have breached his duty in respect of an injury which is so unlikely that the reasonable man will not provide against it. So if you’re unable to foresee the likelihood of harm going to be done based on medical knowledge and standards at the time,you won’t be able to prevent the foreseeable risk from happening so you won’t be negligent
Magnitude or seriousness of the risk or harm-
The law requires a degree of care which is commensurate with the seriousness of injury risked.
Importance of the act-
Where the object to be achieved is of national importance or social benefit, the courts lower the standard of care.
Difficulty in averting the foreseeable harm-
Where there is a great risk which no precautions can substantially reduce, the duty of care may be discharged only by ceasing the dangerous operations altogether.
Where the risk is slight, slight precautions will suffice
Whether the act complies with approved practice-The defendant may generally support his claim to have shown due care by showing that he conformed to the common practice of those engaged in the activity in question.
Thus, proof of conforming to the practice of a profession will often be conclusive in claims against professionals.
Case study for magnitude or seriousness of the risk
Paris v. Stepney Borough Council [1951] 1 All ER 42 is a landmark case in English tort law that addresses the duty of care employers owe to their employees, especially when the employee has a known vulnerability.
In this case , the more serious the damage that would happen if an accident occurred, the more thorough were the precautions which an employer must take.
In effect, an employer must take into account any particular susceptibility of the employee of which he is or ought to be aware.
Key Points of Paris v. Stepney Borough Council:
-
Facts of the Case:
- The claimant, Mr. Paris, was employed by Stepney Borough Council as a garage hand.
- Mr. Paris had previously lost the sight in one eye, a condition known to his employer.
- During his work, he was not provided with safety goggles and subsequently suffered an injury to his good eye, resulting in complete blindness.
-
Legal Issue:
- The central issue was whether the employer had breached its duty of care by not providing safety goggles to an employee with a known vulnerability.
-
Judgment:
- The House of Lords held that Stepney Borough Council was negligent.
- It was recognized that while there might be no general duty to provide goggles to all employees, there was a higher duty of care towards Mr. Paris because of his known condition (partial blindness).
- The employer should have taken additional precautions given the greater risk and potential severity of harm to Mr. Paris.
-
Principle Established:
- The decision established that the standard of care required of an employer can vary depending on the circumstances and the particular vulnerabilities of an employee.
- Employers must consider individual employee’s specific conditions and take appropriate measures to mitigate foreseeable risks, especially when the potential consequences of an injury are significantly higher for the individual.
-
Impact:
- The case highlights the importance of taking into account the specific risks to employees with known vulnerabilities.
- It reinforces the principle that the duty of care is not a one-size-fits-all standard but must be tailored to the particular circumstances and risks faced by each employee.
In summary, Paris v. Stepney Borough Council underscores the need for employers to be vigilant about the individual health and safety needs of their employees, especially those with known vulnerabilities, and to provide appropriate protective measures accordingly.
Case study for importance of the act under breech of care
Daborn v. Bath Tramways Motor Co. Ltd. [1946] 2 All ER 333 is an important case in English tort law that deals with the standard of care and the concept of reasonableness, particularly in the context of wartime conditions.
In the end :
The Court of Appeal found that converting the left-hand drive vehicles would have been prohibitively difficult and expensive. By providing an ambulance service during wartime, the defendant was acting in public interest and this value to society meant that there was a lower standard of care required.
Key Points of Daborn v. Bath Tramways Motor Co. Ltd.:
-
Facts of the Case:
- The claimant, Daborn, was driving a left-hand-drive ambulance during World War II, which was provided by the government for civil defense purposes.
- While attempting to make a turn, Daborn collided with a tram owned by Bath Tramways Motor Co.
- The defendant argued that Daborn was negligent for driving a left-hand-drive vehicle in England and not signaling properly.
-
Legal Issue:
- The main issue was whether Daborn had breached her duty of care by driving a left-hand-drive vehicle without proper signaling, considering the wartime context and the purpose of the vehicle.
-
Judgment:
- The Court of Appeal held that Daborn was not negligent.
- Lord Justice Asquith emphasized that the standard of care must be adapted to the circumstances. Given the wartime conditions and the importance of the ambulance for civil defense, the court found that it was reasonable for Daborn to drive the left-hand-drive vehicle.
- The judgment recognized that the utility of the ambulance’s use during wartime outweighed the potential risks associated with it.
-
Principle Established:
- The case established that the standard of care required in negligence must consider the context and purpose of the defendant’s actions.
- The principle of “balancing the risk” was emphasized: the greater the social utility of the activity, the more lenient the standard of care may be.
- Reasonableness is key, and what constitutes reasonable care can vary depending on the situation, especially during exceptional circumstances like war.
-
Impact:
- The case highlights the importance of context in determining negligence and supports a flexible approach to the standard of care, adapting to the needs and conditions of the time.
- It underscores that the courts will consider the broader implications and benefits of an action when assessing whether the defendant acted reasonably.
In summary, Daborn v. Bath Tramways Motor Co. Ltd. illustrates that the standard of care in negligence is not fixed but must be assessed in light of the specific circumstances, including the social utility of the defendant’s conduct.
Case study for difficulty averting foreseeable harm under breech of care
The plaintiff injured his ankle after slipping on an oily floor in the defendant’s factory. The oily floor was due to water damage from an exceptionally heavy storm. The defendant had put up warning signs, informed staff of the dangers and used all available sawdust and sand to soak up liquid. The issue for the court was whether the defendant had taken all necessary precautions.
In the end the court decided that: The defendant had taken all reasonable steps to prevent an accident in the circumstances. The only alternative would have been to close the factory, which was not a practical or reasonable solution.
Case study for Whether the act complies with approved practice under breech of care
specific country can influence the determination of negligence.
For approved practice:
The defendant must however show that the approved practice from another country is reasonable.
The reasonableness or otherwise of the conduct is based on circumstances prevailing at the time of the act – Roe v Minister of Health.
Key Points of Whitehouse v. Jordan:
-
Facts of the Case:
- The plaintiff, a patient, claimed that a specialist failed to diagnose their medical condition properly.
- The specialist employed the standard diagnostic methods used by British medical professionals at the time.
- It was argued that using diagnostic instruments commonly used in the United States might have led to a correct diagnosis.
-
Legal Issue:
- The central issue was whether the specialist’s failure to use diagnostic methods or instruments that were not standard practice in the UK, but were in the US, amounted to negligence.
- The court had to determine if adhering to local medical standards was sufficient to meet the duty of care required of a specialist.
-
Judgment:
- The court held that the specialist was not negligent.
- It was determined that the specialist had acted in accordance with the normal methods and standards of British medical practice at the time.
- The court emphasized that adherence to the accepted practices and standards within the specialist’s country is a key factor in determining negligence.
-
Principle Established:
- The principle established in this case is that medical professionals are generally expected to conform to the standards and practices that are customary in their own country.
- The use of different methods or instruments in other countries does not necessarily set a benchmark for negligence if those methods are not widely accepted or practiced in the professional’s country.
-
Impact:
- This case reinforced the idea that the standard of care in medical negligence is largely determined by the customary practices within the relevant medical community.
- It underscored the importance of context in assessing professional conduct and set a precedent for evaluating medical negligence based on local standards.
In summary, Whitehouse v. Jordan illustrates that a specialist is not necessarily negligent if they adhere to the standard methods of practice in their own country, even if alternative methods used elsewhere might have yielded different results. This case is significant in understanding how the duty of care is contextualized within the geographical and professional norms of medical practice.
Once you can establish a duty situation and there was breech of duty of care, what’s the next and last thing to consider in negligence
Once a duty situation has been established and a subsequent breach results, the plaintiff ought to prove some form of damage or injury which can be traced to the breach of duty.