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Handy v. Box Hills Surgery Ctr.

Citation: Not availableDocket: 0973/21

Court: Court of Special Appeals of Maryland; July 27, 2022; Maryland; State Appellate Court

Original Court Document: View Document

Narrative Opinion Summary

This case involves a medical malpractice suit brought by the representatives of Brenda Rozek against Dr. Ritu Bhambhani and Box Hill Surgery Center following Rozek's death from fungal meningitis. The pivotal legal issue was whether NECC's contamination of the steroid used by Dr. Bhambhani could be considered an intervening and superseding cause, relieving her of liability. The trial court instructed the jury on these concepts, and the jury found Dr. Bhambhani negligent but exonerated her due to NECC's actions being deemed a superseding cause. The appellants argued that the jury instruction was inappropriate, claiming Dr. Bhambhani's use of compounded drugs breached the standard of care. The appellate court applied a three-part test for jury instructions, affirming the trial court’s decision. It determined that NECC's conduct was extraordinary and unforeseeable, thus a superseding cause. The court concluded that sufficient evidence supported the jury instruction, upholding the trial court's ruling and affirming Dr. Bhambhani's exoneration from liability. The appellants were ordered to pay costs.

Legal Issues Addressed

Evidence Requirement for Jury Instructions

Application: The trial court's decision to provide an instruction on intervening and superseding cause was upheld as the appellants presented evidence of multiple breaches of the standard of care before NECC's negligence.

Reasoning: Rule 4-325(c) mandates that a jury instruction be provided only if supported by evidence in the record.

Foreseeability in Determining Superseding Cause

Application: The court evaluated whether NECC's actions were unforeseeable and extraordinary, thus constituting a superseding cause that relieved Dr. Bhambhani of liability.

Reasoning: Foreseeability is central to determining whether an intermediary's negligence constitutes a superseding cause of harm.

Intervening and Superseding Causes in Negligence

Application: The court examined whether the conduct of NECC was an intervening and superseding cause that absolved Dr. Bhambhani of liability for Rozek's death, concluding that NECC's negligence could be considered unforeseeable and extraordinary, thereby constituting a superseding cause.

Reasoning: The court granted a jury instruction on this defense, acknowledging that NECC's negligence in manufacturing and shipping the contaminated drug could absolve Dr. Bhambhani of liability.

Jury Instruction Standards

Application: The appellate court applied a three-part test to determine the appropriateness of the jury instruction regarding intervening and superseding causes, finding the instruction supported by sufficient evidence and not substantially covered by other instructions.

Reasoning: The appellate court applied a three-part test to determine the appropriateness of the jury instruction: the instruction must be accurate, applicable to the evidence presented, and not substantially covered by existing instructions.

Standard of Care in Medical Malpractice

Application: Dr. Bhambhani's treatment of Brenda Rozek was scrutinized for breaching the standard of care by using compounded medications without specific patient prescriptions, which was argued to contribute to Rozek's death.

Reasoning: Plaintiffs maintained that Dr. Bhambhani breached the standard of care by administering the contaminated steroid without informed consent, presenting multiple theories of breach.