Bates ex rel. v. Dodge City Healthcare Group, L.P.
291 P.3d 1042
| Kan. | 2013Background
- Parents allege nurse Unruh breached standard of care causing Hayley Bates's injuries; hospital vicariously liable under respondeat superior.
- Five-week jury trial; experts split between national/universal standard for most claims and local standard for chain-of-command issue.
- Instruction No. 9 (PIK Civ. 3d 123.01) used community/similar-communities language; district court deleted it then restored language for chain-of-command.
- Jury found no fault by hospital; Dr. Chotimongkol not party; damages and fault allocated under comparative fault rules.
- Court of Appeals affirmed; Supreme Court granted review on instruction No. 9; majority held the instruction correct under the facts; contemporaneous concurrence/dissent addressed standard-of-care distinctions.
- Key procedural posture includes ongoing dispute over which standard applies to which claims and the role of community vs national standards in jury instructions.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Instruction No. 9 properly stated the nursing standard of care. | Bates argued national standard applies to all 12 claims; delete community language. | Hospital contends chain-of-command claim requires local/community standard; others use national standard. | Instruction No. 9 correct under the facts; community standard permissible for chain-of-command; national standard governs others. |
Key Cases Cited
- Chandler v. Neosho Memorial Hospital, 223 Kan. 1 (1977) (recognizes coexistence of universal and local standards in medical care)
- Puckett v. Mt. Carmel Regional Med. Center, 290 Kan. 406 (2010) (requires evidence to support jury instruction on standard of care; supports reasonable minds differing)
- Nold ex rel. Nold v. Binyon, 272 Kan. 87 (2001) (medical standard established through expert testimony; causation required)
- Wozniak v. Lipoff, 242 Kan. 583 (1988) (malpractice proof requires recognized standards and departure from them)
- Chandler v. Neosho Memorial Hospital, 223 Kan. 1 (1977) (locality factors in standard of care; some universal standards may apply)
- State v. Plummer, 295 Kan. 156 (2012) (progressive analysis for jury instruction errors (Plummer framework))
