Hanzsek v. McDonough

44 Pa. D. & C.3d 639, 1987 Pa. Dist. & Cnty. Dec. LEXIS 286
CourtPennsylvania Court of Common Pleas, Lehigh County
DecidedMay 20, 1987
Docketno. 85-C-355
StatusPublished

This text of 44 Pa. D. & C.3d 639 (Hanzsek v. McDonough) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Lehigh County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hanzsek v. McDonough, 44 Pa. D. & C.3d 639, 1987 Pa. Dist. & Cnty. Dec. LEXIS 286 (Pa. Super. Ct. 1987).

Opinion

GARDNER, J.,

This matter is before the court on plaintiffs’ motion for sanctions seeking production from defendant hospital of four incident reports prepared by hospital nurses. For the reasons expressed herein we grant plaintiffs’ motion.

This is a medical malpractice case. Plaintiff patient was admitted to defendant Sacred Heart Hospital of Allentown on February 20, 1983, and remained there until his death on March 22, 1983. Early in his stay in the hospital, defendant doctors performed lung surgery, specifically a lung resection, oh him.

Plaintiffs allege that a torsion, or twisting, of the lower lung lobe occurred during the surgical procedure. This allegedly caused infection and gangrene requiring a subsequent re-operation to clear up the infection. Although the infection was successfully removed at that later operation, the surgeon prescribed an anticoagulant medication known as Coumadin. Plaintiffs allege that this drug caused a mass hemorrhage and cardiac arrest, from which the patient died.

Plaintiffs propounded interrogatories to defendant hospital. Interrogatory number 6 asked whether certain documents known as “incident reports” were prepared by the hospital nurses in connection with the treatment of this person. In answers to interrogatories filed February 4, 1986, the hospital identified four incident reports prepared by three hospital nurses. The first was prepared on March 3, 1983, the date of surgery and the date when the torsion was discovered. The second report was pre[641]*641pared March 13, 1983, a date on which the patient’s chest tubes popped out and had to be resewn back in place. A third incident report was prepared March 18, 1983, when a similar occurrence happened concerning the chest tubes. The final incident report was prepared March 23, 1983, the day after the patient died.

Although providing the dates when the reports were prepared and the names of the nurses preparing those reports, plaintiffs refused to respond to that portion of the interrogatory requesting the contents of the incident reports. The hospital contended that such information was privileged and confidential under the Peer Review Protection Act, act of July 20, 1974, P.L. 564, §§1-4, as amended 63 P.S. §§425.1-425.4.

Subsequently on May 14, 1985, plaintiffs filed a request for production of documents, requesting that the incident reports be produced. In their response to the production request, defendant hospital objected to the request on the same grounds.

On August 11, 1986, plaintiffs attempted to take the deposition of the three nurses who prepared the incident reports. Plaintiffs’ counsel asked, or indicated an intention to ask, each nurse how the incident report in this case was prepared, for what purpose it was prepared, and what information it contained. The hospital’s counsel instructed each nurse deponent not to answer any of those questions. Counsel was again relying upon his interpretation of the Peer Review Protection Act.

Thereafter, on April 24, 1987, plaintiffs filed the motion for sanctions directed to defendant Sacréd Heart Hospital of Allentown, which is presently before the court for disposition. At oral argument held [642]*642May 20, 1987, plaintiffs’ counsel advised the court that the only remedy being sought in the motion for sanctions is production of the incident reports.

Section 4 of the Peer Review Protection Act, 63 P.S. §425.4 provides that certain hospital records are confidential and immune from discovery in a civil action. It is apparent from a review of the statute as a whole, as well as from a review of Sanderson v. Bryan Ltd., 361 Pa. Super. 491, 522 A.2d 1138 (1987), and from the cases cited therein, that the legislative purpose of the Peer Review Protection Act was to encourage doctors, nurses and other medical care providers to frankly and confidentially inform hospital committees concerning the performance of medical professionals and hospital personnel in connection with their health care duties. More specifically, committees of a hospital designated to review the qualifications or requalifications of physicians and nurses, to evaluate the quality of health care provided by the facility, to establish means of keeping down the cost of health care, and to review claims made against the hospital, should be immune from civil or criminal liability in the performance of their duties. Moreover, certain proceedings and records of such committees should be confidential and not subject to discovery in civil trials.

Section 4 of the statute specifically provides in this regard, in part:

“The proceedings' and records of a review committee shall be held in confidence and shall not be subject to discovery or introduction into evidence in any civil action against a professional health care provider arising out of the matters which are the subject of evaluation and review by such committee. ...”

[643]*643The statute, however, contains an exception to the confidentiality requirement. That exception, in section 4, provides: .

- “Provided, however, [t]hat information, documents or records otherwise available from original sources are not to be construed as immune from discovery or use in any such civil action merely because they were presented during proceedings of such committee. ...”

Defendant hospital contends that its incident reports come under the general rule of confidentiality. Plaintiffs contend that the reports come under the exception to the rule for “records otherwise available from original sources.”

Unfortunately, the-record is devoid of any description of the incident reports, or the purpose for which they were prepared, which would aid the court in determining whether they were covered by the rule or its exception. Ordinarily, the party with the burden of proof, in this case plaintiffs who are seeking a motion for sanctions, would suffer the consequences of such lack of evidence.

However, in this case, plaintiffs made a conscientious effort at the depositions to establish a record of the details of preparation of the incident reports, but were thwarted by counsel for the hospital who instructed his witnesses not to answer. We do not mean to imply any criticism of the hospital counsel’s advice. The Peer Review Protection Act is relatively new legislation and there has not been much guidance from our appellate courts concerning its provisions. We believe that the hospital counsel was acting in good faith when he gave those instructions to the nurse witnésses.

This procedural deficiency need not deter us from deciding this case, however, because counsel at oral argument stipulated that certain portions of the hos[644]*644pital’s brief contain an accurate description of the preparation of such incident reports and their use. That description appears in the last paragraph on page 8 of the brief of defendant Sacred Heart Hospital of Allentown, as follows:

“Hospital incident reports document any happening which is not consistent with the routine operation of the hospital or the routine care of a particular patient.

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Related

Sanderson v. Frank S. Bryan, M.D., Ltd.
522 A.2d 1138 (Supreme Court of Pennsylvania, 1987)

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Bluebook (online)
44 Pa. D. & C.3d 639, 1987 Pa. Dist. & Cnty. Dec. LEXIS 286, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hanzsek-v-mcdonough-pactcompllehigh-1987.