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CHHATTISGARH STATE CONSUMER
DISPUTES REDRESSAL COMMISSION, RAIPUR
Hon’ble Mr. Justice V.K. Agrawal, President
Mrs. Veena Misra & Mr. R.S. Awasthi, Members
RAMSWAROOP SINGH & ORS.—Complainants
versus
DR. S. DIWAN & ORS.—Opposite Parties
Complaint No. 2 of 2003—Decided on 31.12.2005

Advocates:
Counsel for the Parties :
For the Complainants : None.
For the Opposite Party No. 1 :Mr. A. Trivedi, Advocate.
For the Opposite Party Nos. 2 to 4 :Mr. S.K. Bhaduri, Advocate.

The main legal point established in the judgment is that the hospital's liability for negligence in providing free medical treatment under the Consumer Protection Act, 1986, extends to errors in blood transfusion, even if the surgery itself was not negligent.

Headnote:

Consumer Protection Act - Compensation Claim - Section 17(a)(i) read with Section 12 - Summary of Acts and Sections: The court discussed the definition of 'service' under Section 2(1)(o) of the Consumer Protection Act, 1986 and the interpretation of the term 'consumer'. It also referred to the Indian Medical Association v. V.P. Shantha & Ors. case to establish the standard of care required by medical practitioners. The judgment highlighted the obligation of the hospital's pathological department to ensure accurate blood grouping and cross-matching, and the liability of the hospital for negligence in providing free medical treatment. The court found no negligence in the surgery but held the hospital responsible for the wrong blood transfusion, awarding compensation to the complainant.

Fact of the Case:

The complaint involved a claim for compensation under the Consumer Protection Act, 1986, due to the death of Smt. Tarawati Devi following a cholecystectomy operation at a hospital. The complainant alleged negligence in the transfusion of the wrong blood group, leading to multi-organ failure and death. The hospital contested the complaint, arguing that the complainant was not a consumer as the treatment was provided free of charge.

Finding of the Court:

The court found that the complainant was a consumer as the hospital recovered fees from some patients and held the hospital liable for negligence in the blood transfusion. It dismissed the complaint against the doctors involved in the surgery but allowed it against the hospital, awarding compensation and costs to the complainant.

Issues: The issues involved determining the complainant's consumer status, establishing negligence in the blood transfusion, and assessing liability for the medical treatment provided free of charge.

Ratio Decidendi: The court held that the hospital's recovery of fees from some patients made the complainant a consumer. It found no negligence in the surgery but held the hospital responsible for the wrong blood transfusion due to the pathological department's failure to ensure accurate blood grouping and cross-matching.

Final Decision: The court dismissed the complaint against the doctors involved in the surgery but allowed it against the hospital, directing it to pay compensation and costs to the complainant.

ORDER

Mr. Justice V.K. Agrawal, President—This is a complaint under Section 17(a)(i) read with Section 12 of Consumer Protection Act, 1986 (hereinafter called the ‘Act’ for convenience) wherein compensation has been claimed by the complainants on account of death of Smt. Tarawati Devi, wife of complainant No. 1 and mother of the remaining complaints.

2. The averments in the complaint stated in brief are that opposite party No. 3-Jawaharlal Nehru Hospital and Research Centre is run by Bhilai Steel Plant where the complainant is an employee. It was stated that on account of her health problem Smt. Tarawati Devi was taken for treatment to O.P. No. 3 hospital. It was diagnosd that Smt. Tarawati Devi had stones in Gall Bladder and she was advised to undergo cholecystectomy operation. Further averments in the complaint are that O.P. Nos. 1 and 2 informed the complainant No. 1 that the operation would be of minor nature and would require admission in the hospital for a couple of days only. It was averred that Smt. Tarawati Devi was admitted in the O.P. No. 3 hospital on 17.5.1997. Complainant further averred that on pathological test it was reported that her blood group was ‘O’ positive. On 19.5.1997 cholecystectomy operation was performed on Smt. Tarawati Devi at about 3.00 p.m. by O.P. No. 1 Dr. S. Diwan and O.P. No. 2 Dr. B.P. Dave, assisted by one Dr. Adarsh. It was further averred in the complaint that after the operation there was profuse bleeding which could not be stopped till 10.00 p.m. on the date of operation and Smt. Tarawati Devi was, therefore, shifted to Intensive Care Unit (ICU). However, pain persisted till morning of 20.5.1997 and though the complainant No. 1 reported the said condition of his wife Smt. Tarawati Devi to O.P. Nos. 1 and 2 as well as to the nursing staff, but he did not get proper response from them. It was further averred by the complainant that the condition of Smt. Tarawati Devi continued to deteriorate. On 21.5.1997 Smt. Tarawati Devi expired in the hospital. The cause of death was stated to be of ‘Multi-organ failure due to transfusion reaction’.

3. Further averments of the complainant are that on inquiry he came to know that though the blood group of his wife Tarwati Devi was ‘O’ positive, she was given blood of ‘B’ positive group due to negligence of Opposite parties. The complainant further averred that the entire staff of the O.P. No. 3 hospital including O.P. Nos. 1 and 2 who had operated upon Smt. Tarawati Devi were negligent in the transfusion of the blood and her operation. Therefore, the Opposite parties including the management of Bhilai Steel Plant- O.P. No. 4, is also liable to pay him damages. The complainant claimed total damages to the tune of Rs. 19,80,000/-, as detailed by him in the complaint.

4. The complaint has been resisted by Opposite parties. O.P. No. 1 has filed its separate written reply, in which it was averred that O.P. No. 3 hospital has a well equipped full fledged pathological department with blood-bank and it is looked after by qualified Doctors and technicians. It was further averred that the blood bank after testing the blood of the patient Smt. Tarawati Devi reported that her blood group is B.Rh.+ve. It was averred that as there was extensive bleeding from the liver bed during operation of Gall Bladder of Smt. Tarawati Devi, blood was required to be given to her. Accordingly, requisition was sent to blood Bank. Blood group of B.Rh. +ve with cross match report was supplied by the Blood Bank. Records were again cross checked with the case file and blood transfusion was started. The operation was thereafter completed. It was averred that operation was successful. On subsequent examination at 3.30 p.m. on 19.5.1997 the patient was found to be conscious, oriented and he pulse and blood pressure were within normal limits. Little soakage was noticed at the drain site which normally happens in such operation. There was no profuse bleeding at 3.30 p.m. on that date. It was f























































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