Supreme Court Decisions
Tort Law – Medical Malpractice Decisions
Scope of Medical Professionals’ Liability Under Professional Standards When a Ventilator Tube Becomes Dislodged
Supreme Court Judgment No. 2318/2564
Summary of the Judgment:
The case of “Master W.,” who suffered permanent brain damage after undergoing surgery for congenital heart disease, raised important issues concerning patients’ rights, professional medical standards, and the liability of a state hospital under the Consumer Case Procedure Act B.E. 2551 and the National Health Security Act B.E. 2545. The case illustrates the difficulty of balancing consumer protection with medical events that may occur despite appropriate professional care and cannot reasonably be prevented.
Interesting Article
In this case, the Supreme Court held that the burden of proving relevant facts rested with the hospital as the medical service provider under Section 29 of the Consumer Case Procedure Act, because the facts concerning the cause of the injury were primarily within the defendant’s knowledge and control.Although the plaintiff’s evidence indicated that the endotracheal tube became dislodged while the patient was being transferred, causing oxygen deprivation and subsequent brain injury, the Supreme Court found that the medical personnel had followed the required procedures in accordance with professional standards and had exercised appropriate care in light of the patient’s urgent medical condition.The Court therefore held that the dislodgement of the endotracheal tube constituted an unavoidable medical accident rather than negligence. As a result, the medical personnel and hospital were not liable in tort for the resulting injury.This judgment confirms that medical liability must be assessed by reference to the applicable professional standard of care and the particular circumstances of the case, rather than merely by looking at the adverse outcome of treatment.The case also demonstrates the separate role of compensation mechanisms under the national health security system. Financial assistance may be provided without requiring proof of fault, but such assistance does not by itself prevent an injured patient from bringing a civil claim for damages where sufficient evidence of legal liability exists.This decision is therefore an important illustration of how the courts distinguish between medical negligence and an unavoidable medical event, while balancing the rights of injured patients against the protection of medical professionals who have acted properly and in good faith.
