IN THE HIGH COURT OF KERALA AT ERNAKULAM
A. BADHARUDEEN, J.
PRINCY MOL, W/O. SUJITH GEORGE – Petitioner
Versus
STATE OF KERALA, REPRESENTED BY PUBLIC PROSECUTOR, HIGH COURT OF KERALA and Anr. – Respondents
CRL.MC NO. 9062 OF 2023
Decided On : 15-11-2024
(A) Code of Criminal Procedure, 1973 - Section 482 - Quashing of proceedings - Accused sought to quash the final report alleging negligence under Section 336 of IPC - Court examined the elements of rashness and negligence in the context of medical testing - The act of conducting a test without proper authorization and the resultant negative report was deemed negligent, warranting trial. (Paras 4, 7, 13)
(B) Criminal Law - Negligence - The court emphasized that negligence is determined by the failure to exercise reasonable care, which could endanger life, regardless of the outcome - The accused's actions were found to meet the criteria for negligence under Section 336 IPC. (Paras 10, 12)
Facts of the case:
The accused conducted a medical test that was not authorized, leading to a negative result, which could have endangered the patient's life had the doctor not acted promptly to obtain a correct test result.
Findings of Court:
The court found that the accused's actions constituted negligence under Section 336 IPC, and the petition to quash was dismissed.
Issues: The main issue was whether the accused's actions constituted negligence under Section 336 IPC.
Ratio Decidendi: The court ruled that the accused's failure to conduct the requested test and reliance on an unauthorized method constituted negligence, satisfying the elements of Section 336 IPC.
Result: Petition dismissed.
ORDER :
(A. BADHARUDEEN, J.)
The accused in CC 93/2022 on the files of the Additional Chief Judicial Magistrate Court, Ernakulam seeks the following relief in this petition filed under Section 482 of the Code of Criminal Procedure, 1973:
2. Heard the learned counsel for the petitioner and the learned Public Prosecutor in detail. Perused the records.
3. Even though notice served upon the 2nd respondent/de facto complainant, she did not appear.
4. In the instant case, prosecution alleges commission of offence punishable under Section 336 of the Indian Penal Code, 1860 (for short 'the IPC') by the accused and the precise accusation is that the accused, who was working at Metropolis Lab, when requested to conduct 'Elisa Hit Antibody Test' as per the prescription of the doctor, for the mother of the de facto complainant, she informed the de facto complainant that Elisa method by using Hit Antibody Test was not available in the lab. Subsequently the accused at 1:20 hours on 11.06.2021, conducted Hit Antibody Test by 'Particle Gel Immuno Assay Method' rashly and negligently so as to endanger the life, and thereby committed offence punishable under Section 336 of IPC.
5. The learned counsel for the petitioner, who pressed for the relief vehemently argued that merely conducting Elisa Test by using Particle Gel Immuno Assay method instead of using the Hit Antibody Test by itself would not attract offence under Section 336 of IPC. According to the learned counsel for the petitioner, even though copy of request forwarded by Dr. Boby Varkey (Consultant Neurologist, Aster Medcity) to Metropolis Lab (Town Hall, Kacheripady) stated “kindly do ELISA-Hit Antibody Test, with the sample given along,” when the accused conducted 'Particle Gel Immuno Assay method' instead of conducting Hit Antibody Test, the doctor gave statement that since the said test was not useful, blood sample was again collected and positive result obtained from Medical College, Vellore, and subsequently the doctor treated the patient and avoided fatality to her. Therefore, by conducting 'Particle Gel Immuno Assay Method Test', no overt acts endangering the life or personal safety of the mother of the de facto complainant occurred so as to attract the offence under Section 336 of the IPC.
6. Opposing this contention, the learned Public Prosecutor gave much emphasis to the doctor’s request which is part of Annexure-II, specifying to conduct 'Elisa Hit Antibody Test' and with support of the doctor's evidence, contended that the accused herein had done 'Particle Gel Immuno Assay Method Test' without any authorisation and the doctor's statement is that the same was not useful. Accordingly, the doctor collected another sample of blood and obtained report from the Medical College, Vellore, and on getting a ‘positive’ report, the patient was treated and fatality avoided. At the same time, the report by using Particle Gel Immuno Assay Method gave the result as 'negative' as per the report that appears in page No.33 of the paper book. It is pointed out by the learned Public Prosecutor that if the said result was relied upon, without getting report of 'Elisa Hit Antibody Test' with ‘positive’ result and the patient was not given timely treatment to avoid fatality on account of positive result, the same would have been fatal to the patient. Thus, the offence is prima facie made out warranting trial.
7. In consideration of the rival submissions, the crucial question to be decided is; whether the allegations of the prosecution would attract the offence under Section 336 of IPC?. In this connection it is apposite to extract Section 336 of the IPC as under:
Negligence under Section 336 IPC established when a medical professional fails to conduct a requested test, endangering patient safety, regardless of the eventual outcome.
Criminal liability under IPC 304-A for medical negligence requires prima facie gross negligence by ordinary competent doctor standard; no prosecution without material proving rash act, as simple erro....
A negative final report does not bar further investigation and prosecution in cases of medical negligence requires substantial expert evidence.
Criminal prosecution for medical negligence requires evidence of gross negligence, not merely attendance during emergencies, and must be substantiated with expert testimony.
Criminal negligence in medical cases requires a higher degree of negligence than civil liability; sufficient prima facie evidence can justify prosecution without expert testimony.
The need for a credible opinion from another competent doctor to support the charge of negligence before entertaining a private complaint against a doctor and the inability to fasten vicarious liabil....
Criminal proceedings against doctor quashed absent gross negligence proof and where inquiry report confirms no involvement in treatment; high threshold per established guidelines required for medical....
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