There is a great article in  today’s  New York Times titled "Simple Checklist Makes Surgery Safer."

An excerpt:  "a year after surgical teams at eight hospitals adopted a 19-item checklist, the average patient death rate fell more than 40 percent and the rate of complications fell by about a third, the researchers reported.’

The Times article is based on an article in the January 14, 2009 edition of the New England Journal of Medicine, which reports on a research project conducted by the World Health Organization. 

I know – this is the third posting about  the 2007-08 Annual Report of the Tennessee Judiciary.  I can’t help myself – I am fascinated by this kind of data.

This falls in the "can you believe this" category?

  1. There were about the same number of  DUI charges filed in circuits court in Tennessee last year as there  were tort damage lawsuits (11,000).   There were more divorces  and more burglary charges filed than tort lawsuits ,
  2. Williamson County did not have a single medical malpractice lawsuit filing during the fiscal year ending June 30, 2008.
  3. Montgomery County (Clarksville) had only 7 medical malpractice filings and Wilson County (Lebanon) had only 3.    Hamilton County (Chattanooga) had a mere 17 med mal complaints filed and Madison County (Jackson) had but 5 filed.
  4. As mentioned in an earlier post, there were 537 med mal cases filed in the entire state.  There are 6,000,000 people in Tennessee.  Statistically, about 2000 people died from medical malpractice in Tennessee during that period, and many more were injured.
  5. Believe it or not, there were more  kidnapping filings (735) than there were medical malpractice filings (537).

Here is the report.

The 2007-08 Annual Report of the Tennessee Judiciary also has some interesting statistics on appeals.   Here are some of the highlights:

  1. There were 793 Rule 11 applications filed during the fiscal year.  ( A Rule 11 application is a request for the Tennessee Supreme Court to hear a discretionary appeal.)  How many were granted?  48. 
  2. Number of certified questions accepted by the Court in the fiscal year?    3
  3. Total number of Court of Appeals opinions released during the fiscal year?  753 (more than one per week per judge).
  4. Petitions to rehear filed in the Court of Appeals?  101  Number granted?  15
  5. Total number of Rule 9 (interlocutory appeal) and Rule 10 (extraordinary appeal) applications filed in the Court of Appeals?  106    Number granted?  22
  6. Total number of Rule 9 and Rule 10 applications filed in the Supreme Court?  50   Number granted?  6

The Tennessee Supreme Court has just released the 2007-08 “Annual Report of the Tennessee Judiciary.”   It includes data for the 2007-08 fiscal year.  Here is some of the information revealed in the report:

  1. There were 537 medical malpractice cases filed during the fiscal year.  That is down almost 10%  from the 584 filed during the previous fiscal year.   There were dispositions of 462 of those cases but only 20 of them actually went to trial.
  2. There were 11,171 personal injury and wrongful death cases filed.
  3. There were 506 personal injury and wrongful death cases tried in fiscal 2007-08.  Of those, there were 246 jury trial and 260 non-jury trials.  Last year there were 590 such trials, and 289 of them were jury trials.  Thus, jury trials were down about 15%.
  4. In those 506 trials, there were damage awards in 237 ( a little over 45%).  Of course, the mere fact that there was a damage award does not mean that the plaintiff "won" the case because the plaintiff may have had an offer greater than the judgment awarded.
  5. The total damages awarded in the state increased over the previous fiscal year by over 25% to slightly over $58,000,000.  (Included in that amount is a judgment of over $17,000,000 awarded in a non-jury trial in Putnam County against 2 individuals.  If that judgment is collectible I will eat the Nashville phone directory.)
  6. There were 13 judgments totaling $1,000,000 or more in the entire stated ruing the entire fiscal year.  No county had more than one $1,000,000 verdict. 
  7. There were 191 judgments for the plaintiff less than $100,000.
  8. Shelby County had 36 jury trials in personal injury and wrongful death cases during the fiscal year.  Davidson County had 33, Hamilton County had 22, Madison County had 10 and Montgomery County had only 5  jury trials.  Knox County had the highest number at 44.    District 17 (Bedford, Lincoln, Marshall and Moore counties) did not have a single personal injury or wrongful death jury trial (and they had only 3 non-jury trials).
  9. The "average" amount awarded to a successful plaintiff was about $242,000.   This is the arithmetical mean, greatly influenced by what I am quite confident is the $17,000,000 Putnam County judgment that cannot be collected.  If one throws out that high verdict and the lowest verdict (assume the low verdict is $10,000 – the exact number is unknown) the arithmetical mean drops below $200,000.   The median award would be somewhere under $100,000 (because about 80% of the awards were under $100,000) but we do not have enough data to determine the exact number.

 

 

Are you a subscriber to Tennessee Trial Law Report – Tort Law Edition?    The January 2009 issue is now available.

The January edition contains Part One of a three-part article on motions in limine as well as a listing of 29 cases currently pending before the Tennessee Supreme Court  or the United States Supreme Court that are of interest to tort lawyers.

The January edition also contains a summary of  the 20 Tennessee appellate court decisions issued between November 16 and December 15, 2008 that addressed some aspect of  the law of torts, civil procedure, evidence, and trial.  The significance of each opinion is ranked to save you reading time.

Plaintiff’s lawyers:  do you want to have the hell scared out of you?  Read this article by Rick Swedloff on Medicare subrogation entitled "Can’t Settle, Can’t Sue:  How Congress Stole Tort Remedies From Medicare Beneficiaries."  The article appears in Volume 41.2 of the Akron Law Review.

[A 2003 amendment to the Medicare Secondary Payor Act, which grants rights to Medicare in personal injury cases where Medicare pays benefits] significantly affects the ability of Medicare beneficiaries to bring or settle individual tort claims, the incentives for attorneys to represent Medicare beneficiaries in individual and mass tort litigation, and the tort system generally. Because of this – and despite the fact that courts and academics have largely ignored this amendment – attorneys from around the country have sounded alarm bells since the government first took the litigation position now reflected in the MSP. Lawyers have raised serious concerns about their ability to bring and settle individual and mass tort litigation under the MSP’s harsh liability rules.   [Footnotes omitted.]

 

There is a lot of talk about capping fees in medical malpractice cases.  Fees are already capped, of course, at one-third of the recovery, but the health care industry wants further limitation on fees charged to plaintiffs in successful cases.

Why?  Because they’re not stupid.  They understand that a lower  fee cap means that fewer cases will be filed and those that are filed will be filed by less qualified lawyers.  Why?  Because lawyers generally will not file cases when they cannot earn a fair return for their efforts on the case.  And more qualified lawyers will file still fewer cases because they can earn a better return on other types of work.  Reduced filings mean reduced indemnity payments and defense costs, which means more profits for insurers, which presumably will lead to reduced insurance rates.  Filings by less qualified lawyers means more defense wins, which means more profits for insurers, which once again will presumably lead to reduced insurance rates.

What about statutory limitations on fees paid to defense counsel?  Wouldn’t that save defendant’s money?  Of course it would, but that would affect the quality of the lawyer who is willing to defend malpractice cases.  A very good or great lawyer will not be willing to work for below-market rates.

Do you have a Sec. 1983 lawsuit for injuries to a bystander arising out of a police chase?  Are you thinking about filing one?  Are you defending one?

If the answer to any of these questions is "Yes," I encourage you to read "When Innocent Parties Are Injured or Killed in High-Speed Pursuits, What Police Conduct Sufficiently Shocks the Conscience to Allow Recovery?" by Anna M. Krstulic.  The article appears in the Vol. 47, No. 3 of the Washburn Law Journal (Spring 2008).  Here is the conclusion she reached after studying the law in this area :

Given the high statistics of deaths and serious injuries that result from police pursuits, the Supreme Court should revisit the issue of fed­eral liability under § 1983 to define a workable standard.  Since both intent to harm and deliberate indifference can “shock the conscience,” courts must evaluate the totality of the circumstances in each case to de­termine which standard is appropriate. Police officers should be held accountable for violating pursuit regulations, and municipalities should be held accountable for failure to train their police officers. The gov­ernmental authority that police exercise in conducting pursuits must have clearly defined constitutional limitations.  As one commentator noted, “[w]hat is shocking is the continued willingness of many officers to engage in unwarranted pursuits in the face of widespread awareness in the police community itself of the likelihood of tragic conse­quences.”  [Footnotes omitted.]

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