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Beard v. St. Vincent Charity Hosp.

Citations: 2017 Ohio 7608; 97 N.E.3d 811Docket: 105245

Court: Ohio Court of Appeals; September 14, 2017; Ohio; State Appellate Court

Original Court Document: View Document

Narrative Opinion Summary

In this medical malpractice case, the plaintiffs, Beard and his wife, sued Dr. Tucker and MetroHealth following complications from a tracheostomy performed during an attempted intubation. The plaintiffs alleged lack of informed consent, negligent procedure performance, and inadequate post-operative care. The trial court's jury ruled in favor of Tucker and MetroHealth, prompting an appeal by Beard, who cited several procedural errors, including the admission of expert testimony that allegedly exceeded the scope of pretrial disclosures. The appellate court upheld the trial court's decisions, finding no abuse of discretion in admitting the expert testimony or in allowing MetroHealth to amend its answer to assert political subdivision immunity. The court also concluded that any errors regarding expert testimony on tracheostomy modifications were harmless. Furthermore, Beard's failure to renew his motion for a directed verdict on the informed consent claim at the conclusion of all evidence precluded appellate review of that issue. Ultimately, the judgment favored Tucker and MetroHealth, with costs awarded against the appellants.

Legal Issues Addressed

Amendment of Pleadings and Political Subdivision Immunity

Application: The court permitted MetroHealth to amend its answer to include a defense of political subdivision immunity, finding no prejudice to Beard.

Reasoning: The court finds no abuse of discretion in granting MetroHealth’s motion for leave to amend its answer under Civ. R. 15(A), despite the original answer not explicitly claiming political subdivision immunity under R.C. 2744.05(B) and (C).

Directed Verdicts and Preservation of Issues for Appeal

Application: Beard's failure to renew his motion for a directed verdict at the conclusion of all evidence resulted in forfeiture of the right to appeal this issue.

Reasoning: A party must renew a motion for a directed verdict at the conclusion of all evidence to preserve the issue for appeal; failure to do so results in forfeiture of the right to appeal the denial.

Expert Testimony and Pretrial Discovery

Application: The court allowed Tucker's expert to testify about CT scans despite not initially including them in the expert report, finding no intent to mislead and no unfair surprise.

Reasoning: The court found no abuse of discretion in allowing the expert to testify about the CT scans based on three factors: no misleading intent, lack of surprise to Beard, and absence of prejudice from the testimony.

Harmless Error Doctrine

Application: The court determined that any error in excluding testimony about tracheostomy tube modifications was harmless, as Beard's expert's opinion on the standard of care was presented during closing arguments.

Reasoning: Despite this ruling, the error is considered harmless under Civ. R. 61, which states that errors not affecting the substantial rights of the parties should be disregarded.

Informed Consent in Medical Procedures

Application: Beard argued that Tucker failed to obtain written informed consent and did not disclose the risk of a tracheostomy becoming permanent.

Reasoning: Beard contends the court erred by not directing a verdict in his favor regarding informed consent, arguing that Tucker admitted during cross-examination that he did not obtain written informed consent and failed to inform Beard about the risk of a tracheostomy becoming permanent.