775 S.E.2d 58
S.C. Ct. App.2015Background
- Samantha Jamison (patient with chronic hypertension) received prenatal care from Rock Hill Gynecological and Obstetrical Associates (the Practice) starting mid-pregnancy.
- On Sept. 5, 2008 Jamison presented to the Practice reporting decreased fetal movement; after waiting ~1 hour a nurse practitioner ordered a non‑stress test and a biophysical profile; Dr. Ansley Hilton reviewed results and sent Jamison to labor & delivery around 11 a.m.
- Dr. Christopher Benson (on call) prepared for an emergency C‑section at the hospital; upon hospital admission staff could not find a fetal heartbeat and Dr. Benson confirmed fetal demise. No definitive cause of death was determined.
- Jamison sued Drs. Hilton and Benson and the Practice for malpractice alleging pre‑delivery death of her son, Jayden. Trial resulted in defense verdicts for Hilton and Benson, but a jury found the Practice negligent and awarded $90,000.
- The Practice moved for JNOV arguing insufficient evidence of causation and that defense verdicts for the physicians foreclosed vicarious liability; the trial court denied JNOV and the denial was appealed.
- The Court of Appeals affirmed, concluding there was some expert testimony linking delays and other employee actions at the Practice to Jayden’s death, precluding JNOV.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether JNOV should be granted because causation was not established by experts | Jamison: expert testimony (Dr. Phillips, Dr. Karotkin) provided evidence that delays and failures by Practice personnel contributed to fetal death | Practice: no expert tied defendants’ acts to Jayden’s death; defense verdicts for Hilton and Benson preclude vicarious liability | Denied JNOV: the court found some expert testimony that delays by Practice employees could have caused the death, so a reasonable jury could find liability |
| Whether verdict against Practice can stand despite verdicts for individual physicians | Jamison: Practice employees (not only the two physicians) committed negligent acts; expert attributed delay to Practice staff | Practice: acquittals of Hilton and Benson negate vicarious liability and record lacks evidence of negligence by other employees | Verdict stands: evidence of negligence by other Practice employees (e.g., triage/waiting delays) supported jury finding |
| Sufficiency/preservation of proximate-cause argument on appeal | Jamison: Practice failed to preserve causation argument | Practice: properly preserved argument in directed verdict motion | Court: Practice preserved the issue; rejects Jamison’s preservation claim |
| Standard for granting JNOV in malpractice case | N/A (legal standard) | N/A | Applied standard: view evidence favorably to non‑movant; JNOV only if no reasonable jury could reach verdict — standard met to deny JNOV |
Key Cases Cited
- Wright v. Craft, 372 S.C. 1 (Ct. App. 2006) (JNOV is a renewal of directed verdict motion)
- Elam v. S.C. Dep't of Transp., 361 S.C. 9 (standard: view evidence in light most favorable to nonmoving party)
- Strange v. S.C. Dep't of Highways & Pub. Transp., 314 S.C. 427 (directed verdict denied if evidence yields more than one reasonable inference)
- Gastineau v. Murphy, 331 S.C. 565 (JNOV may be granted only if no reasonable jury could have reached the challenged verdict)
- Welch v. Epstein, 342 S.C. 279 (courts cannot resolve credibility conflicts on JNOV/directed verdict)
- Brouwer v. Sisters of Charity Providence Hospitals, 409 S.C. 514 (elements plaintiff must prove in medical malpractice action)
- Carver v. Med. Soc. of S.C., 286 S.C. 347 (need expert testimony to establish standard of care and breach absent common knowledge)
- Hoard ex rel. Hoard v. Roper Hosp., Inc., 387 S.C. 539 (expert testimony on causation must state with reasonable certainty that injury most probably resulted from defendant’s negligence)
- Ellis v. Oliver, 323 S.C. 121 (expert causation must provide a significant causal link, not a tenuous/hypothetical connection)
- Wilder Corp. v. Wilke, 330 S.C. 71 (issue preserved on appeal only if raised and ruled upon by trial judge)
