Knowledge (XXG)

Albrighton v RPA Hospital

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the speculations of the inexpert; and this is a fact to be considered on their admissibility". Accordingly, the documents should have been admitted. Similarly Hope JA held that the records were made by people who intended them to be as accurately as possible. While mistakes could occur they were likely to be far more reliable than human memory.
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Reynolds JA held that on 26 July 1971 Professor Gye ought to have been alerted to the possibility that the spinal cord had not developed properly and knew and accepted that the danger to her spinal cord would depend on his advice. This was enough to impose a duty of care on Professor Gye and the jury
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held that the evidence of the hospital's Deputy Medical Records Administrator established that the whole of the hospital's records were written for the purposes of the hospital and that those records were "kept for the information of the staff and treating doctors. They are not likely repositories of
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rejected the proposition that doctors could not be negligent if they acted in accordance with the usual and customary practice and procedure in their “medical community”, holding that "it is not the law that, if all or most of the medical practitioners in Sydney habitually fail to take an available
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Reynolds JA held that the hospital had undertaken to provide for Ms Albrighton's complete medical care and to provide that service through staff chosen by the hospital. On that evidence a jury could find that the hospital had undertaken to take reasonable care to provide for her medical needs and
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Reynolds JA held that on the evidence a jury could have found that Dr Tyer had some reservations about applying traction and knew that traction could endanger the integrity of Ms Albrighton's spinal cord. Despite those reservations Dr Tyer had applied traction without receiving any advice or any
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was not carried out prior to applying traction, which commenced on 28 July. On 30 July Ms Albrighton started showing signs of spinal cord involvement. By 1 August Ms Albrighton became unable to walk. All traction was stopped on 2 August, however her spinal cord was totally severed leaving her a
217:. Yeldham J had allowed only part of the hospital medical records to be tendered. Neither Dr Tyer nor Professor Gye gave evidence. After 11 days of hearing Yeldham J directed the jury to return a verdict for the defendants. Yeldham J held that : 221:
A hospital in NSW is only vicariously liable for the negligence of a doctor if it can direct the doctor as to the manner in which he can do his work. It is not enough if the hospital can direct the doctor as to what work he can
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The Court of Appeal did not decide whether or not the hospital or doctors had been negligent and instead ordered that there be a new trial. There is, however, no record of whether such a trial occurred nor its outcome.
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with respect to spinal pathology and possible dangers to cord of correction of scoliosis by halo-pelvic traction." The frame was attached to her skull and pelvis on 26 July 1971. On that day Professor Richard Gye, a
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At the time proceedings for damages caused by negligence were commonly tried under the system before a judge who determined questions of law and a jury which determined questions of fact: see
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There was no evidence on which the jury could find the hospital could direct the doctors as to the manner in which they did their work.
179:. The hospital's consultation sheet recorded on 23 July 1971 that "Dr Tyer would appreciate advice regarding significance of her hairy 280:
that there was an overriding and continuing duty of care owed by the hospital, regardless of the legal duties imposed on the doctors.
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which seriously impaired her respiratory function and shortened her life expectancy. In July 1971 she was admitted to
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precaution to avoid foreseeable risk of injury to their patients, then none can be found guilty of negligence".
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further diagnostic investigations. On this basis the jury could have found that Dr Tyer had been negligent.
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for corrective surgery intended to straighten and lengthen her spine in a procedure known as halo-pelvic
538: 333: 188:, wrote on the consultation sheet "As she has had (just) traction I will see her later in the week." A 470: 202: 88: 413:
Clark J.A.; Kesterton, L. (December 1971). "Halo pelvic traction appliance for spinal deformities".
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paraplegic. Professor Gye saw Ms Albrighton on 2 August however the paraplegia was irrevocable.
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There was no evidence Professor Gye had seen Ms Albrighton nor given advice to Dr Tyer.
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may have found that his failure to intervene was a breach of his duty of care.
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applying traction when there was a likelihood of tethering of the spine.
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The approach of the Court of Appeal was subsequently approved by the
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failing to have myelography carried out before traction was applied;
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per Mason CJ, Brennan, Dawson, Toohey & McHugh JJ at p 487.
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failing to obtain neurological advice from Professor Gye;
175:. At the hospital she was treated by Dr Harry Tyer, an 201:In 1977 Ms Albrighton commenced proceedings in the 99: 94: 84: 69: 64: 52: 44: 34: 20: 458: 456: 454: 452: 450: 448: 446: 444: 388: 386: 384: 382: 380: 378: 376: 374: 209:for their negligence. The case was heard before 238:There was no evidence Dr Tyer was negligent in: 8: 513:Bolam v Friern Hospital Management Committee 352:Bolam v Friern Hospital Management Committee 227:Bolam v Friern Hospital Management Committee 26: 17: 463:Albrighton v Royal Prince Alfred Hospital 393:Albrighton v Royal Prince Alfred Hospital 74:Albrighton v Royal Prince Alfred Hospital 114: 370: 131:case concerning the application of the 492:Maroubra Rugby League Club Inc v Malo 153: 7: 484:Pambula District Hospital v Herriman 14: 526:High Court of England & Wales 284:Admissibility of hospital records 225:Having regard to the decision in 1: 550:479 (19 November 1992), 427:10.1016/0021-9290(71)90048-0 169:Royal Prince Alfred Hospital 305:Claim against Professor Gye 601: 275:Claim against the hospital 124:Albrighton v RPA Hospital 25: 21:Albrighton v RPA Hospital 585:New South Wales case law 570:Australian tort case law 399:542 (29 September 1980) 323:Subsequent consideration 496:[2007] NSWCA 39 415:Journal of Biomechanics 137:professional negligence 580:1980 in Australian law 544:[1992] HCA 58 469:165 (14 August 1979) 296:Claim against Dr Tyer 471:Supreme Court of NSW 203:Supreme Court of NSW 89:Supreme Court of NSW 401:NSW Court of Appeal 177:orthopaedic surgeon 39:NSW Court of Appeal 207:vicariously liable 539:Rogers v Whitaker 334:Rogers v Whitaker 120: 119: 48:29 September 1980 592: 575:1980 in case law 555: 535: 529: 509: 503: 480: 474: 460: 439: 438: 410: 404: 390: 263:Standard of care 159:) was born with 158: 116: 95:Court membership 30: 18: 600: 599: 595: 594: 593: 591: 590: 589: 560: 559: 558: 536: 532: 510: 506: 481: 477: 461: 442: 412: 411: 407: 391: 372: 368: 342: 325: 316: 307: 298: 286: 277: 265: 260: 199: 152:Ms Albrighton ( 150: 145: 12: 11: 5: 598: 596: 588: 587: 582: 577: 572: 562: 561: 557: 556: 530: 504: 475: 440: 421:(6): 589–590. 405: 369: 367: 364: 363: 362: 355: 348: 341: 338: 324: 321: 315: 312: 306: 303: 297: 294: 285: 282: 276: 273: 264: 261: 259: 256: 255: 254: 253: 252: 249: 246: 240: 239: 236: 233: 230: 223: 198: 195: 161:kyphoscoliosis 149: 146: 144: 141: 118: 117: 101: 100:Judges sitting 97: 96: 92: 91: 86: 82: 81: 71: 67: 66: 62: 61: 54: 50: 49: 46: 42: 41: 36: 32: 31: 23: 22: 13: 10: 9: 6: 4: 3: 2: 597: 586: 583: 581: 578: 576: 573: 571: 568: 567: 565: 553: 549: 546:, (1992) 175 545: 541: 540: 534: 531: 527: 523: 519: 515: 514: 508: 505: 501: 497: 493: 489: 485: 479: 476: 472: 468: 464: 459: 457: 455: 453: 451: 449: 447: 445: 441: 436: 432: 428: 424: 420: 416: 409: 406: 402: 398: 394: 389: 387: 385: 383: 381: 379: 377: 375: 371: 365: 361: 360: 356: 354: 353: 349: 347: 344: 343: 339: 337: 336: 335: 330: 322: 320: 313: 311: 304: 302: 295: 293: 290: 283: 281: 274: 272: 269: 262: 257: 250: 247: 244: 243: 242: 241: 237: 234: 231: 228: 224: 220: 219: 218: 216: 212: 208: 204: 197:Prior actions 196: 194: 191: 187: 186:neuro-surgeon 182: 178: 174: 170: 166: 162: 156: 147: 142: 140: 138: 134: 130: 126: 125: 113: 109: 105: 102: 98: 93: 90: 87: 85:Appealed from 83: 79: 75: 72: 68: 63: 59: 55: 51: 47: 43: 40: 37: 33: 29: 24: 19: 16: 537: 533: 511: 507: 498:, (2007) 69 491: 483: 478: 462: 418: 414: 408: 392: 357: 350: 332: 326: 317: 308: 299: 287: 278: 266: 200: 165:spina bifida 157: Zengin 151: 123: 122: 121: 73: 70:Prior action 65:Case history 15: 268:Reynolds JA 564:Categories 552:High Court 486:(1988) 14 346:Negligence 329:High Court 143:Background 133:Bolam test 314:Aftermath 289:Hutley JA 211:Yeldham J 190:myelogram 520:118; 1 490:387 and 340:See also 258:Judgment 173:traction 129:tort law 108:Reynolds 53:Citation 435:5162580 127:, is a 45:Decided 518:All ER 433:  213:and a 181:naevus 112:Hutley 110:& 542: 524:582, 500:NSWLR 494: 488:NSWLR 467:NSWLR 397:NSWLR 366:Notes 359:F v R 148:Facts 78:NSWLR 58:NSWLR 35:Court 502:496. 431:PMID 215:jury 163:and 135:for 104:Hope 548:CLR 522:WLR 423:doi 331:in 222:do. 155:nĂ©e 115:JJA 80:165 60:542 566:: 516:2 465:2 443:^ 429:. 417:. 395:2 373:^ 139:. 106:, 76:2 56:2 528:. 473:. 437:. 425:: 419:4 403:.

Index


NSW Court of Appeal
NSWLR
NSWLR
Supreme Court of NSW
Hope
Reynolds
Hutley
tort law
Bolam test
professional negligence
née
kyphoscoliosis
spina bifida
Royal Prince Alfred Hospital
traction
orthopaedic surgeon
naevus
neuro-surgeon
myelogram
Supreme Court of NSW
vicariously liable
Yeldham J
jury
Bolam v Friern Hospital Management Committee
Reynolds JA
Hutley JA
High Court
Rogers v Whitaker
Negligence

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