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What Constitutes a Valid Medical Malpractice Claim?

Allexa Callaway • August 15, 2024

Explaining the Elements of a Valid Medical Malpractice Claim in Pittsburgh

Valid malpractice claim, legal criteria, malpractice law

Medical malpractice claims are complex legal matters that require meeting specific criteria to be considered valid. Understanding these criteria is essential for patients in Pittsburgh who believe they have been harmed due to medical negligence. This article explains the key elements that constitute a valid medical malpractice claim, the legal standards involved, and the steps to pursue such a claim in Pittsburgh.


Key Elements of a Valid Medical Malpractice Claim

To establish a valid medical malpractice claim, four essential elements must be proven: duty, breach of duty, causation, and damages. Each of these elements plays a crucial role in determining the legitimacy of the claim.


Duty of Care

The first element is establishing that a duty of care exists between the patient and the healthcare provider. In Pittsburgh, as in the rest of the United States, a duty of care is automatically established when a healthcare provider agrees to treat a patient. This duty implies that the healthcare provider is expected to adhere to a standard of care that a reasonably competent provider in the same field would provide under similar circumstances.


Breach of Duty

Once a duty of care is established, the next step is proving that the healthcare provider breached this duty. A breach occurs when the provider fails to meet the standard of care expected in the medical community. This can happen through actions (e.g., performing an unnecessary surgery) or omissions (e.g., failing to diagnose a condition). To prove a breach of duty, it is often necessary to present expert testimony from another medical professional who can confirm that the standard of care was not met.


Causation

Causation links the breach of duty directly to the harm suffered by the patient. It must be demonstrated that the healthcare provider's negligence was the proximate cause of the patient's injury or worsened condition. This can be challenging to prove, as it requires showing that the harm would not have occurred but for the provider's actions or inactions. Expert testimony is typically required to establish this link, providing a professional opinion that connects the breach to the injury.


Damages

The final element is proving that the patient suffered actual damages as a result of the breach. Damages can be economic, such as medical expenses, lost wages, and rehabilitation costs, or non-economic, such as pain and suffering, emotional distress, and loss of enjoyment of life. Documentation, such as medical bills, pay stubs, and personal testimony, is essential in proving the extent of the damages suffered.


Legal Standards and Requirements

In addition to proving the four key elements, there are specific legal standards and requirements that must be met for a medical malpractice claim to be valid in Pittsburgh.


Statute of Limitations

In Pennsylvania, the statute of limitations for filing a medical malpractice claim is generally two years from the date the patient knew or should have known about the injury. There are exceptions, such as cases involving minors, where the statute of limitations may be extended. Failing to file within this period can result in the claim being dismissed, regardless of its merits.



Certificate of Merit

Pennsylvania law requires that a Certificate of Merit be filed within 60 days of filing the lawsuit. This certificate must be signed by a qualified medical expert who has reviewed the case and determined that there is a reasonable probability that the healthcare provider’s conduct fell below the standard of care, resulting in harm to the patient. This requirement is intended to prevent frivolous lawsuits and ensure that claims are supported by credible medical evidence.


Pursuing a Medical Malpractice Claim

If you believe you have a valid medical malpractice claim, it is essential to follow the proper steps to ensure your case is handled effectively.


Consulting with a Medical Malpractice Attorney

Engaging a skilled medical malpractice attorney is crucial for navigating the complexities of a malpractice claim. An attorney can evaluate the details of your case, gather necessary evidence, and guide you through the legal process. They can also help you understand your rights and options, ensuring that you make informed decisions.


Gathering Evidence

Collecting comprehensive evidence is vital in substantiating your claim. This includes obtaining all relevant medical records, documenting your treatment history, and securing expert testimony. Detailed records of your medical treatments, diagnostic tests, and any communications with healthcare providers can provide crucial support for your case.


Filing the Lawsuit

Your attorney will help you file the lawsuit, ensuring that all legal requirements are met. This includes submitting the Certificate of Merit and adhering to the statute of limitations. The lawsuit will detail the allegations against the healthcare provider, the harm suffered, and the compensation sought.


Negotiation and Settlement

Many medical malpractice claims are settled out of court through negotiations between the parties. Your attorney will negotiate on your behalf to reach a fair settlement that covers your medical expenses, lost wages, pain and suffering, and other damages. Settling out of court can save time, reduce costs, and provide a quicker resolution.


Trial

If a settlement cannot be reached, the case may proceed to trial. During the trial, both sides present their evidence and arguments, and a judge or jury decides the outcome. A successful trial can result in compensation for the patient, but it also serves to hold the healthcare provider accountable for their actions.


Understanding what constitutes a valid medical malpractice claim is essential for patients in Pittsburgh who have suffered due to medical negligence. By proving duty, breach of duty, causation, and damages, and by meeting the legal standards and requirements, patients can pursue justice and seek compensation for their injuries. Working with an experienced medical malpractice attorney is crucial in navigating this complex process and achieving the best possible outcome.
Frischman & Rizza, P.C. is dedicated to helping victims of medical malpractice understand their rights and successfully pursue their claims.

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