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Hospital Corporate Liability: The Trend Continues

Published online by Cambridge University Press:  01 January 2021

Extract

Traditionally, hospitals have been liable for the acts of their employees or agents under the doctrine of respondeat superior, but have not been considered liable for the actions of those whom they did not employ or over whom they had no control. Accordingly, hospitals and their insurers were able to avoid legal responsibility for the acts of medical malpractice committed by physicians on their medical staffs. Although elements of a new and distinct theory of hospital corporate responsibility unrelated to respondeat superior had emerged before, the widely discussed opinion of the Illinois Supreme Court in Darling v. Charleston Community Hospital is generally considered the hallmark of a change in judicial thinking in respect to a hospital's duty to monitor the quality of care rendered within its walls. However, Darling was not a forerunner of a spate of similar holdings, and, in fact, has never been specifically relied upon even in Illinois. Only in the last several years have significant additional strides been taken in developing this theory. Two recent intermediate appellate decisions in Wisconsin and North Carolina seem to reflect the trend of the law and the affirmative duty of a hospital to monitor the quality of care rendered by its medical staff.

Type
Hospital Law
Copyright
Copyright © American Society of Law, Medicine and Ethics 1980

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References

See, e.g., Bing v. Thunig, 143 N.E.2d 3 (N.Y. 1957); Foster v. Englewood Hospital Ass'n, 313 N.E.2d 255 (Ill. 1972).Google Scholar
See, e.g., Hundt v. Proctor Community Hospital, 5 Ill. App. 3d 987 (1972); Johnson v. St. Bernard Hospital, 399 N.E.2d 198 (Ill. 1979).Google Scholar
See, e.g., Payne, Recent Developments Affecting a Hospital's Liability for Negligence of Physicians, 18 South Texas Law Journal 367 (1977).Google Scholar
Darling v. Charleston Community Memorial Hospital, 211 N.E.2d 253 (Ill. 1965), cert. denied 383 U.S. 946 (1966).Google Scholar
The probable reason for this is that in Darling the Supreme Court of Illinois never specifically held that the physician treating the student was an agent or employee (either expressly or constructively) of the defendant hospital. See, e.g., Lundahl v. Rockford Memorial Hosp. Ass'n, 235 N.E.2d 671 (Ill. App. 1968); Stogsdill v. Manor Convalescent Home, Inc., 343 N.E.2d 589 (Ill. App. 1976).Google Scholar
See, e.g., Fiorentino v. Wenger, 227 N.E.2d 296 (N.Y. 1967); Mauer v. Highland Park Hospital Foundation, 232 N.E.2d 776 (Ill. App. 1976) (in dicta, hospital may be liable for careless or imprudent selection of staff); Purcell v. Zimbelman, 500 P.2d 335 (Ariz. 1972); Joiner v. Mitchell County Hospital Authority, 186 S.E.2d 307 (Ga. 1971); Corleto v. Shore Memorial Hospital, 350 A.2d 534 (N.J. 1975).Google Scholar
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The court also dismissed the hospital's argument that, if the operation had not occurred at Misericordia, it would have happened elsewhere, because Misericordia was unable to prove that Dr. Salinsky could have performed the operation elsewhere due to the severe limitations on his privileges at other Milwaukee hospitals. Id. at 522–23.Google Scholar
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Id. The court cited [1] “the duty to make a reasonable inspection of equipment it uses in the treatment of patients and remedy any defects discoverable by such inspection..., [2] [the duty to] provide equipment reasonably suited for the use intended..., [3] the duty not to obey instructions of a physician which are obviously negligent or dangerous..., [4] [the duty to] promulgate adequate safety rules relating to the handling, storage, and administering of medications..., and [5] to adequately investigate the credentials of a physician selected to practice at the facility.” Id. at 396 (citations omitted).Google Scholar