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Sgro v. Ross

Citations: 766 A.2d 1147; 337 N.J. Super. 220

Court: New Jersey Superior Court; November 23, 1998; New Jersey; State Appellate Court

Narrative Opinion Summary

In this medical malpractice case, plaintiffs Antonio and Ermelinda Sgro alleged that Dr. Richard S. Ross failed to secure informed consent for a lens implant procedure, leading to complications and subsequent infections. The central legal issue revolved around whether Dr. Ross adequately informed Dr. Antonio Sgro of the risks and alternatives associated with repositioning a prolapsed iris, particularly the option of excision. The trial court submitted the informed consent issue to the jury, which found in favor of Dr. Ross, prompting the plaintiffs' appeal. The appellate court affirmed the lower court's decision, holding that the informed consent issue was rightfully determined by the jury, as it involved assessing the materiality of information that a reasonable patient would find significant. The court emphasized that the standard for informed consent is the 'prudent person' standard, focusing on the patient's informational needs rather than the physician's judgment. The jury's verdict was supported by expert testimony that repositioning the iris was a viable option, and the jury instructions were deemed comprehensive and legally sound. Consequently, the complaint was dismissed, and the appellate court found no errors in the trial court's proceedings.

Legal Issues Addressed

Informed Consent in Medical Malpractice

Application: The court affirmed that the issue of informed consent was appropriately submitted to the jury, as the determination of whether a reasonable patient would find the nondisclosure of treatment alternatives significant was debatable.

Reasoning: The trial court appropriately submitted the informed consent issue to the jury, as expert testimony indicated that repositing the iris was the only viable treatment.

Jury Instructions and Legal Charges

Application: The appellate court found that the jury instructions on informed consent were a complete and correct statement of the law, and the plaintiff's challenge to these instructions was meritless.

Reasoning: The plaintiff's challenge to the jury instructions was deemed meritless, with the informed consent charge being a complete and correct statement of law that did not mislead the jury.

Role of Expert Testimony in Medical Malpractice

Application: Expert testimony played a crucial role in establishing the acceptability of the defendant's actions and the appropriateness of submitting the informed consent issue to the jury.

Reasoning: On cross-examination, Shelton acknowledged that while the defendant's actions were risky, they were acceptable.

Standard of Disclosure for Informed Consent

Application: The standard for informed consent is based on what a reasonably prudent patient would consider significant, aligning with the 'prudent person' standard from Canterbury v. Spence.

Reasoning: The informed consent doctrine was clarified in Largey v. Rothman, establishing that the standard is based on the patient's needs rather than the physician's judgment.