Krout v. Martin

50 Pa. D. & C.3d 472, 1989 Pa. Dist. & Cnty. Dec. LEXIS 322
CourtPennsylvania Court of Common Pleas, York County
DecidedFebruary 17, 1989
Docketno. 85-SU-00421
StatusPublished

This text of 50 Pa. D. & C.3d 472 (Krout v. Martin) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, York County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Krout v. Martin, 50 Pa. D. & C.3d 472, 1989 Pa. Dist. & Cnty. Dec. LEXIS 322 (Pa. Super. Ct. 1989).

Opinion

HORN, J.,

This case is before the court on various preliminary objections of defendant York Hospital.

On January 25, 1983, a CT head scan was performed on plaintiff Ruth Krout at the York Hospital. This procedure was performed without the use of IVP dye because of her known allergic reaction to IVP dye. Plaintiff was admitted to York Hospital on January 28, 1983, for observation and treatment of her mental condition. It was noted at her admission on her chart and throughout her stay that Mrs. Krout had an allergy to IVP dye.

[473]*473On February 4, Mrs. Krout was transferred from the Psychiatric Unit to the Cardiac Care Unit because of chest pains. Four days later plaintiff was examined by Defendant Dr. Jack Gracey who scheduled her for a heart catheterization. Plaintiffs counsel admits in his brief that Doctor Gracey did provide Mrs. Krout with general technical information regarding the catheterization, but claims that Doctor Gracey failed to advise Mrs. Krout of any specific risks, including cardiac arrest, or about the use of IVP dye and its alternatives. Plaintiff later signed a surgery consent form supplied by York Hospital and presented to her by a nurse on York Hospital’s staff.

Without ever having examined or spoken to Mrs. Krout, defendant C. Edwin Martin, M.D. performed a heart catheterization through an artery in the right arm of plaintiff using IVP dye. During the procedure Mrs. Krout suffered a cardiac arrest and emergency measures, including bypass surgery entailing the removal of a leg vein, were necessary to save her life. Unfortunately, complications from the life-saving procedures resulted in the amputation of plaintiffs lower left leg on February 15, 1983. -

Aside from the allegations against the, aforementioned doctors, plaintiffs complaint contains averments of negligence and battery against defendant York Hospital in counts IV and V. York Hospital demurs to these allegations, filed a motion to strike, or in the alternative, a motion for a more specific complaint to plaintiffs averments of punitive damages and “all other matters for which damages may be recovered under the laws of the Commonwealth of Pennsylvania. ”

While there is some authority finding hospitals liable for the actions of doctors on a theory of “vicarious liability” or “ostensible agency,” plaintiffs [474]*474counsel admitted in oral arguments as well as on page 4 of his brief in opposition, that he is not attempting to claim a respondeat superior or vicarious liability, but rather a direct liability against the York Hospital. See e.g., Capan v. Divine Providence Hospital, 287 Pa. Super. 364, 430 A.2d 647 (1980) (finding ostensible liability). Until recently, a direct duty by a hospital to a patient was not recognized in the courts of this state. See e.g., Margotta v. Lancaster General Hospital, 47 D.&C.3d 300 (1987).

The basis for plaintiffs negligence claim against York Hospital is a new form of direct liability known as “corporate negligence” and recognized by the Pennsylvania Superior Court in Thompson v. Nason Hospital, 370 Pa. Super. 115, 535 A.2d 1177 (1988), allocatur granted in 542 A.2d 1370-1 (1988). Hospital liability through a corporate negligence theory is an emerging trend based upon the realities of modern-day medical treatment. This has been accepted as a viable cause of action in the states of North Carolina, Arizona, New York and Illinois as well as by the Pennsylvania Superior Court.

See Thompson, supra.

These jurisdictions have reasoned:

“[T]he conception that the hospital does not undertake to treat the patient, does not undertake to act through its doctors and nurses, but undertakes instead simply to procure them to act upon their own responsibility, no longer reflects the fact. Present-day hospitals, as their manner of operation plainly demonstrates, do far more than furnish facilities for treatment. They regularly employ on a salary basis a large staff of physicians, nurses and interns, as well as administrative and manual workers, and they charge patients for medical care and treatment, collecting for such services, if necessary,
[475]*475by legal action. Certainly the person who avails himself of ‘hospital facilities’ expects that the hospital will attempt to cure him, not that its nurses or other employees will act on their own responsibility.” Darling v. Charleston Community Memorial Hosp., 33 Ill. 2d 326, 332, 211 N.E.2d 253, 257 (1965), cert. denied in 383 U.S. 946, 86 S.Ct. 1204, 16 L.Ed. 2d 209 (the Darling case being one of the originators of a corporate negligence theory) (quoting Fuld, ]., in Bing v. Thunig, 2 N.Y.2d 656, 666, 163 N.Y.S.2d 3, 11, 143 N.E.2d 3, 8 (1957)). In order to sustain an allegation of corporate negligence, plaintiff must aver that York Hospital was negligent in “failing to supervise the'quality of care or competence of its staff....” Thompson at 124, 535 A.2d at 1181.

The court finds that plaintiff has adequately set out a corporate negligence cause of action in count IV of the complaint where it is stated, inter alia, that York Hospital “failed to properly monitor and supervise the services provided . . . [and] failed to assure the skill or qualifications of doctors who treated plaintiff. ...”

We note further that plaintiff must show at trial that York Hospital had actual or constructive knowledge of the procedures utilized and that their negligence was a substantial factor in bringing about the harm to plaintiff. Thompson at 124, 535 A.2d at 1182.

Plaintiff alleges a battery claim against York Hospital for failure to obtain her informed consent prior to surgery. While this type of action may be viable against a doctor who has a duty to obtain an informed consent, there is generally no duty on the part of a hospital to obtain this consent. See Margotta, supra. Although it is not entirely clear from a reading of plaintiff’s complaint and brief, it appears as though plaintiff has mistakenly assumed [476]*476that corporate negligence, as found in Thompson, may be the underlying basis for a battery committed by a failure to obtain an informed consent.

Our interpretation of Thompson and the underlying Darling case is one of first impression within this jurisdiction. We find these cases as support for our finding that corporate negligence is a narrowly tailored cause of action allowing liability only for negligence “in supervising the quality of the medical care” received. Thompson at 124, 535 A.2d at 1182. While it is possible that the damages for corporate negligence and battery under these circumstances are similar, the underlying theories of the two forms of liability are vastly different. We reject the theory that Thompson, supra, overruled cases such as Margotta, supra, by creating a theoretically inconsistent negligent/intentional battery.

Plaintiffs complaint also avers that York Hospital committed a battery by assuming a duty to inform plaintiff.

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Related

Pirocchi v. Liberty Mutual Insurance Co.
365 F. Supp. 277 (E.D. Pennsylvania, 1973)
Martin v. Johns-Manville Corp.
502 A.2d 1264 (Supreme Court of Pennsylvania, 1986)
Martin v. Johns-Manville Corp.
469 A.2d 655 (Supreme Court of Pennsylvania, 1984)
Thompson v. Nason Hospital
535 A.2d 1177 (Supreme Court of Pennsylvania, 1988)
Darling v. Charleston Community Memorial Hospital
211 N.E.2d 253 (Illinois Supreme Court, 1965)
Capan v. Divine Providence Hospital
430 A.2d 647 (Superior Court of Pennsylvania, 1980)
Martin v. Johns-Manville Corp.
494 A.2d 1088 (Supreme Court of Pennsylvania, 1985)
Bing v. Thunig
143 N.E.2d 3 (New York Court of Appeals, 1957)
Medvecz v. Choi
569 F.2d 1221 (Third Circuit, 1977)

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Bluebook (online)
50 Pa. D. & C.3d 472, 1989 Pa. Dist. & Cnty. Dec. LEXIS 322, Counsel Stack Legal Research, https://law.counselstack.com/opinion/krout-v-martin-pactcomplyork-1989.