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Hospital Liability
Hospital
liability
happens
when
the
hospital violated the
accepted standard of
care by not requiring
adequate supervision to
all
its
medical
practitioners,
by not giving safe and
adequate facilities, and
deviating from its own
policies in ensuring
quality care for its
patients.
Medical Malpractice
It is defined as a
professional negligenc
e by act or omission by
a health care provider
in which there is a total
deviation from the
accepted standard of
practice
in
the medical community
and causes injury or
death to the patient,
with
most
cases
involving medical error.
Medical Negligence
Medical
negligence
occurs when a medical
professional fails to
provide the care or
does not comply with
standard of medical
care which is expected
in each case.
Applicable Doctrines in
Hospital Liability
The issue of whether a Hospital can be
held liable may be determined by
applying the following doctrines:
1. Doctrine of Corporate Negligence
2. Doctrine of Apparent Authority
3. Doctrine of Vicarious Liability
Examples:
Failure to furnish safe and well-maintained
buildings and facilities.
Failure to provide safe and reliable
equipments.
Failure to make careful selection, review and
supervision of independent physicians who
are permitted to practice in the hospital
Doctrine of Corporate
Negligence
is the legal doctrine that holds healthcare
facilities,
such
as
hospitals,
responsible for the well-being of patients.
If the hospital fails to maintain a clean
and safe environment, hire competent
and properly trained employees, oversee
care and implement safety policies, it can
be held liable for any harm to patients.
Doctrine of Corporate
Negligence
Doctrine of Vicarious
Liability
Vicarious liabilities refer to the
liabilities of hospitals for the acts of
its employees provided under Article
2180 of the Civil Code.
Vicarious liability, under the Civil
Code, is anchored on Articles 2180 in
relation to Article 2176.
based on respondeat superior or let
the master answer
In
Philippine
jurisprudence
employer-employee
relationship is established based on the primary test of
hiring, firing, payment of wages, and control.
It has been consistently held that in determining
whether an employer-employee relationship exists
between the parties, the following elements must be
present:
1.
2.
3.
4.
Doctrine
of
Apparent
Doctrine of Apparent
Authority
a hospital can be held vicariously
liable for the negligent acts of a
physician providing care at the
hospital, regardless of whether the
physician
is
an
independent
contractor, unless the patient knows,
or should have known, that the
physician
is
an
independent
contractor.
(Nogales vs. Capitol Medical Center)
Doctrine of Apparent
Authority
there are cases where a person may be
deemed an agent of a principal based on the
latters act of clothing the former with
apparent
authority.
Under
these
circumstances, the principal cannot be
permitted to deny the authority of such
person to act as his or her agent, to the
prejudice of innocent third parties dealing
with such person in good faith and in the
honest belief that he is what he appears to
be.
Illustrative Cases
PSI vs. CA
Facts:
Issue:
Whether or not CMC is vicariously
liable for the negligence of Dr.
Estrada under Art. 2180 in relation to
Art. 2176 of the Civil Code.
Held:
Dr. Estrada is an independent
contractor. Applying the control test,
there is no evidence to CMCs
exercise of control over Dr. Estradas
treatment and management of
Corazons condition. The patient was
under the exclusive prenatal care of
Dr. Estrada. CMC merely allowed Dr.
Estrada to use its facilities when
Corazon was about to give birth,
Ramos vs. CA
Facts:
Erlinda Ramos, a 47-year old robust woman, was normal except
for her experiencing occasional pain due to the presence of
stone in her gall bladder. She was advised to undergo an
operation for its removal.
The results in the examinations she underwent indicate that she
was fit for the operation. She and her husband Rogelio met Dr.
Hosaka, one of the defendants, who advised that she should
undergo cholecystectomy. Dr. Hosaka assured them that he will
get a good anaesthesiologist.
At 7:30 a.m. on the day of the operation at Delos Santos Medical
Center, Herminda Cruz, Erlindas sister-in-law and the dean of
the College of Nursing in Capitol Medical Center, was there to
provide moral support. Dr. Perfecta Gutierrez was to administer
the anaesthesia.
ISSUE:
Whether or not the Hospital is liable
Held:
Hospitals hire, fire and exercise real control over their
attending and visiting "consultant" staff. While
"consultants" are not, technically employees, a point which
respondent hospital asserts in denying all responsibility for
the patient's condition, the control exercised, the hiring,
and the right to terminate consultants all fulfill the
important hallmarks of an employer-employee relationship,
with the exception of the payment of wages.
In assessing whether such a relationship in fact exists, the
control test is determining. Accordingly, on the basis of the
foregoing, we rule that for the purpose of allocating
responsibility in medical negligence cases, an employeremployee relationship in effect exists between hospitals
and their attending and visiting physicians.