High Court of Kerala
THE HONOURABLE MR. JUSTICE K.M. JOSEPH & THE HONOURABLE MR. JUSTICE BABU MATHEW P. JOSEPH, JJ.
Suvarna
Versus
Dr. Reni Philip & Others
W.A. No. 1435 of 2012
Decided on: 09-01-2014
Medical Negligence by Doctor - Rash and Negligent acts of Doctor - Enquiry under - Investigation by Police - Procedure to be followed - Duty of officer - Held, Circular that in case the views of the members of the Expert Panel differ, they should immediately refer the issue for the opinion of the Apex Body consisted of various authorities. A provision for filing appeal by the doctors is also included in the Circular. The opinions with regard to the handling of patients by physicians and surgeons may differ as usually happen. In such a circumstance, making a provision for second or further consideration by a higher body either by way of reference from the Expert Panel or by way of filing appeal by the affected doctors can only be upheld as a prudent practice for preventing probable mistakes and assuring correctness of opinions. Therefore, such a provision in the Circular for considering the issue by an Apex Body only reinforces the requirement of obtaining an independent and competent medical opinion by the Investigating Officer before proceeding against a doctor accused of rash or negligent act or omission
Babu Mathew P. Joseph, J.
1. This writ appeal is directed against the judgment of a learned Single Judge in W.P.(C) No.6921 of 2012. The appellant is not a party to this writ petition. Therefore, she has preferred this writ appeal with the leave of this Court.
2. Heard Sri.Manoj R. Nair, the learned counsel appearing for the appellant, Dr.S.Gopakumaran Nair, the learned Senior Counsel appearing for the respondents 1 and 2 and Sri. C.R.Syamkumar, the learned Senior Government Pleader appearing for the respondents 3 to 5.
3. The appellant's daughter Megha, aged 10, was admitted to Christian Mission Hospital, Pandalam (for short, the Hospital) with abdominal pain and vomiting. She was attended by the 1st respondent, a Pediatrician, and the 2nd respondent, the Resident Medical Officer, of that hospital. She was administered certain medicines. On seeing signs of discomfort, she was given an injection allegedly without administering test dose. Soon the child began to show signs of discomfort. She was again administered certain drugs including antibiotics. At 8.30 p.m. on that day, the child had oral and nasal bleeding. She was shifted to the Medical Trust Hospital, Ernakulam at 12.45 a.m. on the next day. The child expired at 9.50 p.m. on 5.8.2010 while undergoing treatment there.
4. The appellant preferred Ext.P1 complaint before the Pandalam Police in respect of the matter. Based on Ext.P1, F.I.R.No.808 of 2010 of Pandalam Police Station has been registered for the offences under Sections 336 and 337 of IPC. The 5th respondent, the Deputy Superintendent of Police, Adoor, has taken over the investigation of the case. As per the instructions issued by the Government of Kerala in its Circular Memorandum dated 16.6.2008, after registration of a case against doctors in Government service and private sector for criminal negligence, the investigating Deputy Superintendent of Police should immediately refer the case to an Expert Panel. Accordingly, the Investigating Officer in this case referred the matter to the Expert Panel. The Expert Panel, after examining the matter, prepared Ext.P6 Report on 18.1.2011. It is noted in Ext.P6 that the cause of death has been stated as choking in the Post-mortem Report. A gauze was found blocking pharynx and upper part of trachea along with blood clots blocking air passages.
The opinions of the Expert Panel noted in Ext.P6 are as follows:
“1. Medical record keeping appeared improper.
2. Tampering could be observed in the case record given for perusal.
3. Reasonable care had not been found exercised in administering intravenous drugs given at 2.20 PM on 02.08.2010.
4. The source of the gauze in the pharynx and trachea seen during postmortem could not be traced from the case sheet.
5. There was no evidence of injection mark suggestive of a test dose as per the postmortem findings.
6. The attending doctors and nursing staff who had administered the injection are liable in this case.”
The Investigating Officer, after considering the views of the Expert Panel and completing the investigation, filed Ext.P2 Final Report against the respondents 1 and 2 and 3 members of staff of the Hospital before the Judicial First Class Magistrate's Court, Adoor. The offence alleged against the accused is under Section 304A read with Section 34 of IPC. The respondents 1 and 2 are the accused 1 and 5 respectively in the Final Report. The learned Magistrate took the Final Report on his file as C.C. No.720 of 2011.
5. Dr.T.G.Varghese, the Superintendent of the Hospital has preferred an appeal challenging Ext.P6 Report before the Apex Body prescribed in the said Circular Memorandum dated 16.6.2008. The appellant has filed W.P.(C) No.5017 of 2012 before this Court for declaring that Dr.T.G. Varghese, who is not an accused in the Final Report or in the First Information Report, was incompetent to file that appeal against Ext.P6 Report before the Apex Body and for other reliefs. The plea raised by the appellant in that writ petition w
Login now and unlock free premium legal research
Login to SupremeToday AI and access free legal analysis, AI highlights, and smart tools.
Login
now!
India’s Legal research and Law Firm App, Download now!
Copyright © 2023 Vikas Info Solution Pvt Ltd. All Rights Reserved.