February 22, 2022
Supreme Court
No. 2019-489-Appeal. (PC 13-4013)
Katherine Baker and Morgan : McCarthy, Individually and p.p.a. Autumn McCarthy
v. :
Women & Infants Hospital of Rhode : Island.
NOTICE: This opinion is subject to formal revision before publication in the Rhode Island Reporter. Readers are requested to notify the Opinion Analyst, Supreme Court of Rhode Island, 250 Benefit Street, Providence, Rhode Island 02903, at Tel. 222-3258 or Email opinionanalyst@courts.ri.gov of any typographical or other formal errors in order that corrections may be made before the opinion is published. Supreme Court
Katherine Baker and Morgan : McCarthy, Individually and p.p.a. Autumn McCarthy
Present: Suttell, C.J., Goldberg, Robinson, and Lynch Prata, JJ.
OPINION
Justice Lynch Prata, for the Court. This case came before the Supreme
Court on December 1, 2021, pursuant to an order directing the parties to appear and
show cause why the issues raised in this appeal should not be summarily decided.
The plaintiffs, Katherine Baker and Morgan McCarthy, appearing individually and
on behalf of Autumn McCarthy (Autumn)1 (collectively plaintiffs), appeal from an
order of the Superior Court denying the plaintiffs’ motion for a new trial following
a jury verdict in favor of the defendant, Women & Infants Hospital of Rhode Island
(WIH or defendant), in this medical negligence action. After considering the parties’
1 Throughout this opinion, we refer to Autumn by her first name solely for the sake of clarity. No disrespect is intended.
-1- written and oral submissions and reviewing the record, we conclude that cause has
not been shown and that this case may be decided without further briefing or
argument. For the following reasons, we reverse the order of the Superior Court.
Facts and Travel
Autumn was born on April 14, 2011. She was born premature, at thirty-four
weeks of gestation, and was admitted to WIH’s Neonatal Intensive Care Unit
(NICU). Twenty-seven days after her birth, Autumn experienced complications
from receiving total parenteral nutrition (TPN) through a peripheral intravenous line
(IV) in her left foot. The nutrition fluid had escaped the IV line and was instead
going into the surrounding tissue. A WIH surgeon performed an emergency
procedure to relieve internal pressure caused by the fluid. Autumn underwent
additional procedures, which plaintiffs allege have caused ongoing complications.
On August 9, 2013, plaintiffs filed a medical negligence action against
defendant.2 The plaintiffs alleged that WIH deviated from the appropriate standard
of care by failing to properly perform and document assessments of Autumn’s IV
site. A three-week jury trial was held in the Superior Court. During closing
argument, counsel for WIH made the following statement:
2 The plaintiffs’ complaint named three other defendants. Those parties are not involved in the present appeal, as the claims against them were resolved in 2013 and 2014.
-2- “[DEFENSE COUNSEL:] * * * So, ladies and gentlemen, by your verdict, please tell [WIH] and their NICU to continue to take in the sickest kids, the youngest —”
The plaintiffs’ counsel immediately objected, stating, “Whoa, whoa, whoa.” The
trial justice immediately sustained the objection. Defense counsel continued to
speak, and the following colloquy took place:
“[DEFENSE COUNSEL]: Take in newborns —
“[PLAINTIFFS’ COUNSEL]: I —
“THE COURT: Sustained.
“[DEFENSE COUNSEL]: And send Autumn away from this courtroom the same way she came in * * *.”
Following closing arguments, but before the jury was instructed, WIH
submitted two motions for curative instructions to address interruptions in their
closing argument and allegedly inaccurate assertions made by plaintiffs. During the
hearing on the motions, plaintiffs were invited by the trial justice to lodge any
objections they had. The plaintiffs proceeded to do so on the record, and argued to
the trial justice that it was “entirely inappropriate” for WIH to suggest to the jury
“that somehow a verdict here will impair the ability of an institution to do its job[.]”
The trial justice ultimately denied both of WIH’s motions for curative instructions.
On March 11, 2019, the jury returned a verdict for defendant. Thereafter, on
March 21, 2019, plaintiffs filed a motion for a new trial, alleging that “defendant
repeatedly engaged in unfair and prejudicial action before the jury.” The plaintiffs
-3- argued that WIH’s closing argument “invited the jury to find that Women & Infants’
operations in general would be imperiled by a verdict for the plaintiffs[,]” which,
according to plaintiffs, “transgressed the boundaries of proper argument” and
improperly “influenced the jury’s determination[.]” WIH objected to the motion;
and, after hearing argument from both parties, the trial justice rendered a bench
decision denying the new-trial motion.
In her decision, the trial justice found that plaintiffs failed to preserve the issue
of purported impropriety in defendant’s closing argument, but she then proceeded to
find, as a matter of law, that WIH’s closing argument did not “result in undue
prejudice to the plaintiff[s.]” She noted that the court “on no less than four occasions
advised the jury that attorney statements are not evidence”; that “[a]fter * * * closing
arguments, the jurors were given their final instructions”; and that the jurors were
presumed to have followed those instructions. The trial justice ultimately concluded
that WIH’s closing argument “while forceful and colorful, did not influence the jury
because * * * the weight of the evidence supports the verdict.”
-4- The plaintiffs appealed the trial justice’s decision to this Court on June 21,
2019. 3
Standard of Review
“This Court’s ‘review of a trial justice’s decision on a motion for a new trial
is deferential.’” Patel v. Patel, 252 A.3d 1221, 1229 (R.I. 2021) (quoting Heneault
v. Lantini, 213 A.3d 410, 415 (R.I. 2019)). When ruling on the motion, “the trial
justice sits as a super juror and is required to make an independent appraisal of the
evidence in light of the justice’s charge to the jury.” Id. (brackets omitted) (quoting
Heneault, 213 A.3d at 415). If the trial justice conducts the appropriate analysis and
“concludes that the evidence is evenly balanced or that reasonable minds could differ
on the verdict, the justice should not disturb the jury’s decision.” Id. (brackets
omitted) (quoting Heneault, 213 A.3d at 415).
On appeal, a trial justice’s decision on a motion for new trial will not be
disturbed, assuming he or she performed the appropriate analysis, “unless the party
challenging that decision can show that the trial justice overlooked or misconceived
3 The plaintiffs filed a notice of appeal to this Court on June 21, 2019, before the trial justice’s order denying their motion for a new trial was entered. On November 18, 2020, we remanded this case to the Superior Court for entry of an order denying plaintiffs’ motion for a new trial. An order entered thereafter, and the matter was returned to this Court. Although plaintiffs’ appeal was premature, it was nevertheless timely. See Dominguez v. Otero, 229 A.3d 405, 408 (R.I.
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February 22, 2022
Supreme Court
No. 2019-489-Appeal. (PC 13-4013)
Katherine Baker and Morgan : McCarthy, Individually and p.p.a. Autumn McCarthy
v. :
Women & Infants Hospital of Rhode : Island.
NOTICE: This opinion is subject to formal revision before publication in the Rhode Island Reporter. Readers are requested to notify the Opinion Analyst, Supreme Court of Rhode Island, 250 Benefit Street, Providence, Rhode Island 02903, at Tel. 222-3258 or Email opinionanalyst@courts.ri.gov of any typographical or other formal errors in order that corrections may be made before the opinion is published. Supreme Court
Katherine Baker and Morgan : McCarthy, Individually and p.p.a. Autumn McCarthy
Present: Suttell, C.J., Goldberg, Robinson, and Lynch Prata, JJ.
OPINION
Justice Lynch Prata, for the Court. This case came before the Supreme
Court on December 1, 2021, pursuant to an order directing the parties to appear and
show cause why the issues raised in this appeal should not be summarily decided.
The plaintiffs, Katherine Baker and Morgan McCarthy, appearing individually and
on behalf of Autumn McCarthy (Autumn)1 (collectively plaintiffs), appeal from an
order of the Superior Court denying the plaintiffs’ motion for a new trial following
a jury verdict in favor of the defendant, Women & Infants Hospital of Rhode Island
(WIH or defendant), in this medical negligence action. After considering the parties’
1 Throughout this opinion, we refer to Autumn by her first name solely for the sake of clarity. No disrespect is intended.
-1- written and oral submissions and reviewing the record, we conclude that cause has
not been shown and that this case may be decided without further briefing or
argument. For the following reasons, we reverse the order of the Superior Court.
Facts and Travel
Autumn was born on April 14, 2011. She was born premature, at thirty-four
weeks of gestation, and was admitted to WIH’s Neonatal Intensive Care Unit
(NICU). Twenty-seven days after her birth, Autumn experienced complications
from receiving total parenteral nutrition (TPN) through a peripheral intravenous line
(IV) in her left foot. The nutrition fluid had escaped the IV line and was instead
going into the surrounding tissue. A WIH surgeon performed an emergency
procedure to relieve internal pressure caused by the fluid. Autumn underwent
additional procedures, which plaintiffs allege have caused ongoing complications.
On August 9, 2013, plaintiffs filed a medical negligence action against
defendant.2 The plaintiffs alleged that WIH deviated from the appropriate standard
of care by failing to properly perform and document assessments of Autumn’s IV
site. A three-week jury trial was held in the Superior Court. During closing
argument, counsel for WIH made the following statement:
2 The plaintiffs’ complaint named three other defendants. Those parties are not involved in the present appeal, as the claims against them were resolved in 2013 and 2014.
-2- “[DEFENSE COUNSEL:] * * * So, ladies and gentlemen, by your verdict, please tell [WIH] and their NICU to continue to take in the sickest kids, the youngest —”
The plaintiffs’ counsel immediately objected, stating, “Whoa, whoa, whoa.” The
trial justice immediately sustained the objection. Defense counsel continued to
speak, and the following colloquy took place:
“[DEFENSE COUNSEL]: Take in newborns —
“[PLAINTIFFS’ COUNSEL]: I —
“THE COURT: Sustained.
“[DEFENSE COUNSEL]: And send Autumn away from this courtroom the same way she came in * * *.”
Following closing arguments, but before the jury was instructed, WIH
submitted two motions for curative instructions to address interruptions in their
closing argument and allegedly inaccurate assertions made by plaintiffs. During the
hearing on the motions, plaintiffs were invited by the trial justice to lodge any
objections they had. The plaintiffs proceeded to do so on the record, and argued to
the trial justice that it was “entirely inappropriate” for WIH to suggest to the jury
“that somehow a verdict here will impair the ability of an institution to do its job[.]”
The trial justice ultimately denied both of WIH’s motions for curative instructions.
On March 11, 2019, the jury returned a verdict for defendant. Thereafter, on
March 21, 2019, plaintiffs filed a motion for a new trial, alleging that “defendant
repeatedly engaged in unfair and prejudicial action before the jury.” The plaintiffs
-3- argued that WIH’s closing argument “invited the jury to find that Women & Infants’
operations in general would be imperiled by a verdict for the plaintiffs[,]” which,
according to plaintiffs, “transgressed the boundaries of proper argument” and
improperly “influenced the jury’s determination[.]” WIH objected to the motion;
and, after hearing argument from both parties, the trial justice rendered a bench
decision denying the new-trial motion.
In her decision, the trial justice found that plaintiffs failed to preserve the issue
of purported impropriety in defendant’s closing argument, but she then proceeded to
find, as a matter of law, that WIH’s closing argument did not “result in undue
prejudice to the plaintiff[s.]” She noted that the court “on no less than four occasions
advised the jury that attorney statements are not evidence”; that “[a]fter * * * closing
arguments, the jurors were given their final instructions”; and that the jurors were
presumed to have followed those instructions. The trial justice ultimately concluded
that WIH’s closing argument “while forceful and colorful, did not influence the jury
because * * * the weight of the evidence supports the verdict.”
-4- The plaintiffs appealed the trial justice’s decision to this Court on June 21,
2019. 3
Standard of Review
“This Court’s ‘review of a trial justice’s decision on a motion for a new trial
is deferential.’” Patel v. Patel, 252 A.3d 1221, 1229 (R.I. 2021) (quoting Heneault
v. Lantini, 213 A.3d 410, 415 (R.I. 2019)). When ruling on the motion, “the trial
justice sits as a super juror and is required to make an independent appraisal of the
evidence in light of the justice’s charge to the jury.” Id. (brackets omitted) (quoting
Heneault, 213 A.3d at 415). If the trial justice conducts the appropriate analysis and
“concludes that the evidence is evenly balanced or that reasonable minds could differ
on the verdict, the justice should not disturb the jury’s decision.” Id. (brackets
omitted) (quoting Heneault, 213 A.3d at 415).
On appeal, a trial justice’s decision on a motion for new trial will not be
disturbed, assuming he or she performed the appropriate analysis, “unless the party
challenging that decision can show that the trial justice overlooked or misconceived
3 The plaintiffs filed a notice of appeal to this Court on June 21, 2019, before the trial justice’s order denying their motion for a new trial was entered. On November 18, 2020, we remanded this case to the Superior Court for entry of an order denying plaintiffs’ motion for a new trial. An order entered thereafter, and the matter was returned to this Court. Although plaintiffs’ appeal was premature, it was nevertheless timely. See Dominguez v. Otero, 229 A.3d 405, 408 (R.I. 2020) (noting that where a notice of appeal is filed “prior to the entry of an order reflecting the trial justice’s decision to deny plaintiffs’ motion for a new trial[,]” we treat the appeal as if it had been timely filed).
-5- material and relevant evidence or was otherwise clearly wrong.” Patel, 252 A.3d at
1229 (brackets omitted) (quoting Heneault, 213 A.3d at 415). “However, with
respect to a motion for a new trial on questions concerning an alleged error of law,
our review is de novo.” Id. (quoting Heneault, 213 A.3d at 415).
Discussion
On appeal, plaintiffs argue that the trial justice erred in denying their motion
for a new trial because, they contend, their objection was properly preserved and
defendant’s closing argument was plainly improper, incurably prejudiced plaintiffs,
and produced a tainted verdict. After careful consideration of the record, we
conclude that the trial justice was clearly wrong in denying plaintiffs’ motion for a
new trial.
In denying plaintiffs’ motion for a new trial, the trial justice found that
plaintiffs failed to properly preserve the issue of purported impropriety in
defendant’s closing argument; but the trial justice nevertheless proceeded to make
findings of fact and conclusions of law with respect to the effects of those
statements.4 Before this Court, plaintiffs challenge those findings and conclusions
4 This Court has instructed that, to preserve an objection to alleged misconduct in the presence of a jury, “counsel must, by objecting to such conduct and by making some proper motion, give the trial justice an opportunity to correct and mitigate the potential prejudice by a proper cautionary instruction.” Peloso v. Imperatore, 107 R.I. 47, 50, 264 A.2d 901, 903 (1970). Here, plaintiffs objected to defense counsel’s comments and, before plaintiffs’ counsel could place additional comments or argument on the record, the trial justice sustained the objection.
-6- made by the trial justice and contend that WIH’s closing argument was improper,
prejudicial, and an attempt to appeal to the passions and prejudice of the jury. We
agree.
Determining whether counsel’s argument to the jury warrants granting a new
trial involves a three-step analysis: (1) whether counsel’s comments were improper
and an “attempt[] to appeal solely to the prejudice and passion in the minds of the
jurors”; (2) whether the jury was influenced by the improper remarks; and (3)
whether, if the jury was so influenced, “the improper references were dissipated by
[a] curative instruction[.]” Norlin Music, Inc. v. Keyboard “88” Inc., of Warwick,
425 A.2d 74, 75-76 (R.I. 1981).
This Court has recognized that counsel enjoys “the privilege of engaging in
all fair comment on behalf of his [or her] client[.]” Norlin Music, Inc., 425 A.2d at
75. However, this privilege is not limitless, and counsel exceeds it “when he [or
she] attempts to appeal solely to the prejudice and passion in the minds of the jurors,
thereby diverting their minds from the case at issue.” Id. at 75-76. The trial justice
found in the case at bar that defense counsel’s statements during closing argument
were not improper because they did not relate “to a position of power” and WIH
“did not invite the jurors to speculate on the ability of this particular defendant to
pay damages.” These conclusions miss the mark.
-7- This Court has held that a new trial is warranted where counsel, in closing
argument, directs the jury to consider the consequences of their verdict. See, e.g.,
Anderson v. Botelho, 787 A.2d 468, 472 (R.I. 2001) (holding that the disclosure of
the opposing party’s status as judgment-proof to the jury was improper because it
“made it impossible for the jury to properly apportion liability”). In addition, a new
trial may be warranted where the jury is prejudiced against a party through
“exaggerated sympathy or passion or prejudice[.]” Yammerino v. Cranston Tennis
Club, Inc., 416 A.2d 698, 701 (R.I. 1980) (affirming the trial justice’s grant of a new
trial on the issue of liability where the jury’s verdict was tainted by exaggerated
sympathy for the plaintiff); see Norlin Music, Inc., 425 A.2d at 76 (determining that
the “defendant counsel’s reference to a David-and-Goliath relationship between
defendant and plaintiff corporations” constituted improper conduct in the presence
of a jury because it was “calculated to prejudice the jury against a party who is a
corporation merely because of its big corporate status”).
Here, the comments made by WIH exceeded the proper bounds of closing
argument and were plainly improper. Defense counsel, in no uncertain terms,
directed the jury to send a message. He specifically asked the jury to, by their
verdict, “tell [WIH] and their NICU to continue to take in the sickest kids” and
newborns. This comment was calculated to prejudice the jury against plaintiffs and
bring about “exaggerated sympathy” for WIH. Yammerino, 416 A.2d at 701.
-8- Having determined that defense counsel made improper comments in the
presence of the jury during closing argument, we now turn to whether the jury was
tainted by those comments. This Court has previously stated that “[w]hen * * * it
does not appear that the jury verdict was influenced by the improper remarks or in
cases where the improper references were dissipated by curative instruction, this
[C]ourt will not disturb the ruling of the trial justice in denying a motion for a new
trial.” Norlin Music, Inc., 425 A.2d at 76. In determining whether a particular
statement is prejudicial, “there is no fixed formula[; r]ather, we must evaluate the
statement’s probable effect upon the outcome of the case.” State v. Belen, 220 A.3d
1224, 1229 (R.I. 2019) (quoting State v. Martinez, 624 A.2d 291, 294 (R.I. 1993)).
After a careful review of the record, we conclude that the trial justice erred in
finding that WIH’s closing argument did not result in prejudice to plaintiffs. The
trial justice herself found that defense counsel’s closing argument was “certainly
over the top[,]” and “he went to the line—perhaps over it—in his argument.” She
characterized the argument as “forceful and colorful[.]” However, the trial justice
then proceeded to find that the argument “did not influence the jury because * * *
the weight of the evidence supports the verdict.”
The trial justice failed to properly perform the second step in determining
whether counsel’s closing argument warrants a new trial. At that point, her function
was to determine whether the jury was influenced by the improper remarks, not
-9- whether the weight of the evidence supported the verdict. See Norlin Music, Inc.,
425 A.2d at 76. The question is whether the trial court, and this Court, can have
confidence that the jury’s verdict was not influenced by WIH’s improper remarks.
See Yammerino, 416 A.2d at 701 (“To assure the losing party that the substantive
issue [of liability] will be fairly determined on the evidence and according to law, a
new trial must be ordered.”). Based upon the record before us, we do not have such
confidence.
Moreover, the trial justice’s admonitions to the jury were insufficient to
neutralize the prejudicial effect of defense counsel’s comments. The trial justice
noted that she, “on no less than four occasions[,] advised the jury that attorney
statements are not evidence and should not be considered evidence” and that “[t]he
jury was instructed that it had to follow the [c]ourt’s instructions even if they did not
agree.” These general instructions failed to directly address the comments made by
WIH in its closing argument and, in our judgment, were insufficient to dissipate the
influence of the improper remarks. See Norlin Music, Inc., 425 A.2d at 76
(concluding that a trial justice’s direct admonition to the jury to disregard counsel’s
remarks was insufficient); see also State v. Taylor, 425 A.2d 1231, 1236 (R.I. 1981)
(finding a curative instruction made in response to an improper prosecutorial
comment during closing argument to be inadequate where “[t]he trial justice failed
- 10 - to identify clearly the offending statement and to state unequivocally that it must be
disregarded”).
After careful consideration, it is apparent to us that defense counsel’s directive
to the jury to send a message to WIH that it should continue to take in the sickest
children in all probability prejudiced the jury and rendered the jury unable to
properly apportion liability. See Cochran v. Dube, 114 R.I. 149, 152, 330 A.2d 76,
78 (1975) (holding that repeated disclosures that the opposing party was insured
created a prejudicial effect in the minds of the jurors and, absent a curative
instruction, a new trial was necessary). It is apparent that the defendant’s closing
argument was calculated to arouse the passions of the jury and was likely to “cause[]
influential prejudice in the minds of the jurors which rendered them incapable of
reaching a fair and impartial verdict[.]” Id. Therefore, the trial justice was clearly
wrong in denying the plaintiffs’ motion for a new trial.
Conclusion
For the reasons set forth in this opinion, we reverse the order of the Superior
Court denying the motion for a new trial. The case shall be remanded to the Superior
Court for a new trial.
Justice Long did not participate.
- 11 - STATE OF RHODE ISLAND SUPREME COURT – CLERK’S OFFICE Licht Judicial Complex 250 Benefit Street Providence, RI 02903
OPINION COVER SHEET
Katherine Baker and Morgan McCarthy, Individually Title of Case and p.p.a. Autumn McCarthy v. Women & Infants Hospital of Rhode Island. No. 2019-489-Appeal. Case Number (PC 13-4013)
Date Opinion Filed February 22, 2022
Justices Suttell, C.J., Goldberg, Robinson, and Lynch Prata, JJ.
Written By Associate Justice Erin Lynch Prata
Source of Appeal Providence County Superior Court
Judicial Officer from Lower Court Associate Justice Sarah Taft-Carter
For Plaintiffs:
Matthew D. Provencher, Esq. Amato A. Deluca, Esq. Attorney(s) on Appeal For Defendant:
Matthew D. Kelly, Esq. Paul F. Galamaga, Esq.
SU-CMS-02A (revised June 2020)