Standard of care

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In tort law, the standard of care is the only degree of prudence and caution required of an individual who is under a duty of care.

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The requirements of the standard are closely dependent on circumstances. [1] Whether the standard of care has been breached is determined by the trier of fact, and is usually phrased in terms of the reasonable person; this is sometimes labeled as the "reasonable physician standard." It was famously described in Vaughn v. Menlove (1837) as whether the individual "proceed[ed] with such reasonable caution as a prudent man would have exercised under such circumstances".

Professional standard of care

In certain industries and professions, the standard of care is determined by the standard that would be exercised by the reasonably prudent manufacturer of a product, or the reasonably prudent professional in that line of work. Such a test (known as the "Bolam Test") was used to determine whether a doctor was liable for medical malpractice before the 2015 UK Supreme Court decision of Montgomery v Lanarkshire Health Board which introduced further responsibilities on the doctor, echoed in similar judgements in other jurisdictions. The standard of care is important because it can determine the level of negligence required to state a valid cause of action. In the business world the standard of care taken can be described as Due Diligence or performing a Channel Check.

Medical standard of care

A standard of care is a medical or psychological treatment guideline, and can be general or specific. It specifies appropriate treatment based on scientific evidence and collaboration between medical and/or psychological professionals involved in the treatment of a given condition.

Some common examples:

1. Diagnostic and treatment process that a clinician should follow for a certain type of patient, illness, or clinical circumstance. Adjuvant chemotherapy for lung cancer is "a new standard of care, but not necessarily the only standard of care". ( New England Journal of Medicine , 2004)

2. In legal terms, the level at which an ordinary, prudent professional with the same training and experience in good standing in a same or similar community would practice under the same or similar circumstances. An "average" standard would not apply because in that case at least half of any group of practitioners would not qualify. The medical malpractice plaintiff must establish the appropriate standard of care and demonstrate that the standard of care has been breached, with expert testimony.

3. A physician also has a "duty to inform" a patient of any material risks or fiduciary interests of the physician that might cause the patient to reconsider a procedure, and may be liable if injury occurs due to the undisclosed risk, and the patient can prove that if he had been informed he would not have gone through with the procedure, without benefit of hindsight. (Informed Consent Rule.) Full disclosure of all material risks incident to treatment must be fully disclosed, unless doing so would impair urgent treatment. As it relates to mental health professionals standard of care, the California Supreme Court, held that these professionals have "duty to protect" individuals who are specifically threatened by a patient. [Tarasoff v. Regents of the University of California, 17 Cal. 3d 425, 551 P.2d 334, 131 Cal. Rptr. 14 (Cal. 1976)].

4. A recipient of pro bono (free) services (either legal or medical) is entitled to expect the same standard of care as a person who pays for the same services, to prevent an indigent person from being entitled to only substandard care. [2]

Medical standards of care exist for many conditions, including diabetes, [3] some cancers, [4] and sexual abuse. [5]

Failure to provide patients treatment that meets a standard of care can incur legal liability for any injury or death that results. In large-scale disasters, public authorities may declare crisis standards of care apply. This allows overwhelmed medical personnel to triage patients, directing resources toward patients they think need it the most, by giving other patients less than the normal standard of care. For example, this occurred during the COVID-19 pandemic in Arizona.

Children

A special standard of care also applies to children, who, in a majority of jurisdictions, are held to the behavior that is reasonable for a child of similar age, experience, and intelligence under like circumstances. [6] (Restatement (Second) of Torts §283A; Cleveland Rolling-Mill Co. v. Corrigan, 46 Ohio St. 283, 20 N.E. 466 (1889).) In some cases it means that more may be required of a child of superior intelligence. (Compare Jones v. Fireman's Insurance Co. of Newark, New Jersey, 240 So.2d 780 [La.App. 1970] with Robinson v. Travis, 393 So.2d 304 (La.App. 1980). An exception is for children engaged in "adult activity." Dellwo v. Pearson, 107 N.W.2d 859 (Minn 1961) Nicholsen v. Brown, 232 Or. 426, 374 P.2d 896 (1962) (automobile); Daniels v. Evans, 102 N.H. 407, 224 A. 2d 63 (1966) (motor scooter); Neumann. v. Shlansky, 58 Misc. 2d 128, 294 N.Y.S.2d 628 (1968 (playing golf)) What constitutes an "adult standard" may depend on local statute, and some have arbitrary age distinctions. Another exception is if the child is engaged in an "inherently dangerous activity." It is up to the trier of fact to decide if the activity is inherently dangerous. If they find that it is, the child must be held to an adult standard of care. Robinson v. Lindsay, 92 Wash.2d 410, 598 P.2d 2392 (1979) (snowmobile);

Persons with disabilities

A person with a disability is held to the same standard of care that an ordinary reasonable person would observe if they had that same disability. (Roberts v. State of Louisiana, 396 So.2d 566 (1981) (blind postal employee)) However, courts do not recognize a person with a mental disability to be subject to any such special standard, and are held to the "reasonable prudent person" standard, except when the onset of mental illness is unforeseeable and sudden (e.g., Breunig v. American Family Insurance Co., 45 Wis.2d 536, 173 N.W.2d 619 (1970) (sudden hallucinations while driving).) In some situations, this could work an injustice. Physical disabilities and conditions, such as blindness, deafness, short stature, or a club foot, or the weaknesses of age or sex, are treated merely as part of the "circumstances" under which a reasonable man must act.

Duty to inform self of responsibilities

A person engaged in a special and potentially dangerous activity must know or inquire of possible hazards or of any special duties and responsibilities inherent in that activity that might affect their ability to exercise reasonable prudent caution (cf, Delair v. McAdoo, 324 Pa. 392, 188 A. 181 (1936) (driving on worn tires).) Custom and practice of usage may be useful evidence for determining the usual standard, but not determinative of what a reasonable prudent person ought to be required to do or know (cf., Trimarco v. Klein, 58 N.Y. 2d 98 (1982) (showerdoor glass).) As Justice Holmes classic statement expresses it, "What usually is done may be evidence of what ought to be done, but what ought to be done is fixed by a standard of reasonable prudence, whether it is complied with or not."

Person of below average intelligence

A person of substandard intelligence is held under common law to the same standard of a reasonable prudent person, to encourage them to exert a decreased effort of responsibility to their community, in light of their handicap, and as a result of the practical difficulty of proving what reduced standard should apply (Vaughn v. Menlove, 3 Bing. (N.C.) 468, 432 Eng.Rep.490 (1837).) Restatement (Second) of Torts, § 289 cmt. n (noting that the "reasonable person" standard makes allowances for age and physical disability but not "attention, perception, memory, knowledge of other pertinent matters, intelligence, and judgment. Oliver Wendell Holmes, The Common Law, 108 (Little, Brown, & Co. 1881): "The standards of the law are standards of general application. The law takes no account of the infinite varieties of temperament, intellect, and education which make the internal character of a given act so different in different men." [7]

Attorney

An attorney is held to the standard that any reasonable attorney in possession of the same knowledge and skill that an ordinary member of his or her profession possesses, as long as he is acting with reasonable care and diligence, in good faith and honest belief that his advice and acts are well founded at the time. Here, mere errors in judgment are excusable (Best Judgment Rule) and cannot be judged solely with the gift of hindsight without substantial injustice. He or she is required to exercise ordinary care and caution (diligence) in the use of that skill (Due Care Rule), and procedural and technical failures are held to be the most common breaches. (cf, Hodges v. Carter, 239 N.C. 517, 80 S.E.2d 144 (1954). (failed service of process).)

Person subjected to unexpected danger

In Cordas v. Peerless Taxi Company, 27 N.Y.S.2d 198 (1941), Justice Carlin held that a taxicab driver hijacked at gunpoint by a fleeing mugger in New York City may be excused from negligence for jumping out of the moving taxicab to save his own life, leaving the cab on an unguided trajectory towards bystanders. While some persons might choose to be singularly heroic, that standard is not one that is required for an ordinary prudent person. Such a person is held excused from liability, even if such failure might endanger others. An ordinary prudent person is not under any obligation to undertake a heroic duty at the risk of his own life. "The first duty in an emergency is to one's own self, as long as that person did not contribute to or cause the emergency." (Emergency Doctrine.)

Negligence per se

When a statute, which is designed to protect the public, is violated while performing an allegedly negligent act, a court may adopt the statute as establishing the standard of care for tort liability. [8] This is negligence per se. There is no negligence per se doctrine in federal law.

Four elements are deemed necessary for a statute to apply in a negligence case. First the person harmed must be a member of the class of persons which the law was intended to protect. Second, the danger or harm must be one that the law was intended to prevent. Thirdly, there must be some causal relationship established between the breach of the statute and the harm caused. Fourthly, the criminal statute must be concrete, specific and measurable enough to clearly establish a standard of breach. Courts are reluctant to create new torts out of criminal statutes. (See Restatement (Second) of Torts, sections 297, 288.)

However, there are five valid excuses that are available for a defendant to defeat a standard of negligence per se. (Restatement (Second) of Torts section 288.1(2).) First, the defendant may not know of the breach due to incompetence. Secondly, he might either lack knowledge or reason to know of the breach or duty. Furthermore, for some explainable reason, he may be unable to comply, despite diligence. The breach may be due to a sudden emergency not of one's own making. And lastly, in special situations it may be safer to not comply than to comply. In cases where these defenses are applied, negligence per se doctrine creates no more than a rebuttable presumption of negligence that shifts the burden of proof from the plaintiff to the defendant.

Reasonable person/ordinary care

In balancing risks to establish a reasonable person's standard of ordinary care, the calculus of negligence establishes that the probability of the harm potentially caused (P) must be balanced along with the gravity of the harm which could result (G), against the burden of conforming to a new and less dangerous course of action (B) along with the utility of maintaining the same course of action as it was (U). This is sometimes noted in shorthand as P+G v. B+U, deriving from a formulation expressed by Judge Learned Hand. ( United States v. Carroll Towing Co. , 159 F.2d 169 (1947).)

Common Carrier or Innkeeper Standard of Care

In the Hospitality industries, the standard of care is higher, as the Innkeeper is expected to seek out potential danger and prevent it. " Innkeeper/Common Carrier - very high degree of care - liable for slight negligence" [9]

See also

Related Research Articles

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In law, a reasonable person, reasonable man, or the man on the Clapham omnibus, is a hypothetical person of legal fiction crafted by the courts and communicated through case law and jury instructions.

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<span class="mw-page-title-main">Duty of care</span> Legal standard of care in activity

In tort law, a duty of care is a legal obligation that is imposed on an individual, requiring adherence to a standard of reasonable care to avoid careless acts that could foreseeably harm others, and lead to claim in negligence. It is the first element that must be established to proceed with an action in negligence. The claimant must be able to show a duty of care imposed by law that the defendant has breached. In turn, breaching a duty may subject an individual to liability. The duty of care may be imposed by operation of law between individuals who have no current direct relationship but eventually become related in some manner, as defined by common law.

<i>Vaughan v Menlove</i> Tort law case

Vaughan v Menlove (1837) 132 ER 490 (CP) is a leading English tort law case that first introduced the concept of the reasonable person in law.

<i>Bolam v Friern Hospital Management Committee</i>

Bolam v Friern Hospital Management Committee [1957] 1 WLR 582 is an English tort law case that lays down the typical rule for assessing the appropriate standard of reasonable care in negligence cases involving skilled professionals such as doctors. This rule is known as the Bolam test, and states that if a doctor reaches the standard of a responsible body of medical opinion, they are not negligent. Bolam was rejected in the 2015 Supreme Court decision of Montgomery v Lanarkshire Health Board in matters of informed consent.

In the English law of tort, professional negligence is a subset of the general rules on negligence to cover the situation in which the defendant has represented him or herself as having more than average skills and abilities. The usual rules rely on establishing that a duty of care is owed by the defendant to the claimant, and that the defendant is in breach of that duty. The standard test of breach is whether the defendant has matched the abilities of a reasonable person. But, by virtue of the services they offer and supply, professional people hold themselves out as having more than average abilities. This specialised set of rules determines the standards against which to measure the legal quality of the services actually delivered by those who claim to be among the best in their fields of expertise.

<span class="mw-page-title-main">Canadian tort law</span> Aspect of Canadian law

Canadian tort law is composed of two parallel systems: a common law framework outside Québec and a civil law framework within Québec. Outside Québec, Canadian tort law originally derives from that of England and Wales but has developed distinctly since Canadian Confederation in 1867 and has been influenced by jurisprudence in other common law jurisdictions. Meanwhile, while private law as a whole in Québec was originally derived from that which existed in France at the time of Québec's annexation into the British Empire, it was overhauled and codified first in the Civil Code of Lower Canada and later in the current Civil Code of Quebec, which codifies most elements of tort law as part of its provisions on the broader law of obligations. As most aspects of tort law in Canada are the subject of provincial jurisdiction under the Canadian Constitution, tort law varies even between the country's common law provinces and territories.

The following outline is provided as an overview of and introduction to tort law in common law jurisdictions:

<i>Ultramares Corp. v. Touche</i> US tort law case

Ultramares Corporation v. Touche, 174 N.E. 441 (1932) is a US tort law case regarding negligent misstatement, decided by Cardozo, C.J. It contained the now famous line on "floodgates" that the law should not admit "to a liability in an indeterminate amount for an indeterminate time to an indeterminate class."

In the North American legal system and in US Occupational Safety and Health Administration regulations, willful violation or willful non-compliance is a violation of workplace rules and policies that occurs either deliberately or as a result of neglect.

<i>Landeros v. Flood</i> Court case in California

Landeros v. Flood was a 1976 court case in the state of California involving child abuse and alleged medical malpractice.

<span class="mw-page-title-main">Tort law in India</span> Aspect of Indian law

Tort law in India is primarily governed by judicial precedent as in other common law jurisdictions, supplemented by statutes governing damages, civil procedure, and codifying common law torts. As in other common law jurisdictions, a tort is breach of a non-contractual duty which has caused damage to the plaintiff giving rise to a civil cause of action and for which remedy is available. If a remedy does not exist, a tort has not been committed since the rationale of tort law is to provide a remedy to the person who has been wronged.

Whether providing services as an accountant or auditor, a certified public accountant (CPA) owes a duty of care to the client and third parties who foreseeably rely on the accountant's work. Accountants can be sued for negligence or malpractice in the performance of their duties, and for fraud.

References

  1. "Baltimore & Ohio R. Co. v. Goodman, 275 U.S. 66". United States Reports . Supreme Court of the United States. 275: 66. October 31, 1927. In an action for negligence, the question of due care is not left to the jury when resolved by a clear standard of conduct which should be laid down by the courts.
  2. Wirth, Stephen. "Pro Bono: Stay Current on EMS Standards of Care to Avoid Liability Risk". Journal of Emergency Medical Services. PennWell Corporation. Retrieved 12 January 2017.
  3. "Standards of Medical Care in Diabetes". Diabetes Professional Resources Online. American Diabetes Association. Retrieved 12 January 2017.
  4. "NCI Dictionary of Cancer Terms". National Cancer Institute. U.S. Department of Health and Human Services. Retrieved 12 January 2017.
  5. "Clinical Guidelines, Standards & Quality of Care". New York State. New York Department of Health. Retrieved 12 January 2017.
  6. McHale v Watson [1966] HCA 13 , (1966) 115 CLR 199(7 March 1966), High Court (Australia).
  7. Oliver Wendell Holmes Jr. (1881). "Lecture III—D. Liability for unintended Harm is determined by what would be Blameworthy in Average man". The Common Law . Little, Brown and Company. p. 108. The standards of the law are standards of general application. The law takes no account of the infinite varieties of temperament, intellect, and education which make the internal character of a given act so different in different men.
  8. "Negligence Per Se". Legal Information Institute. Cornell Law School. Retrieved 2 February 2019.
  9. "TORTS - Negligence // Cramberry: Create & study flash cards online". cramberry.net.