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Financial Security Case Studies

Doctor and Hospital Sued For Wrongful Death

Expert Witness Testimony Significantly Influences Favorable Medical Malpractice Case Outcome

A patient with a heart ailment was transported to a hospital where an angiogram was performed. The patient later had a stint inserted into an artery, along with a second angiogram, but died shortly thereafter. A third angiogram was performed immediately after the patient's death. Images of the angiogram procedures were purportedly stored on computer hard drives. The day following the patient's death, hospital staff were able to locate images for the first and third angiograms but could not find any images of the second procedure. The hospital and doctor were sued for medical malpractice and wrongful death. The plaintiffs also claimed the defendants had deliberately deleted the images of the second angiogram that allegedly proved the wrongful death claim.

NTI was engaged by the doctor's insurance company to locate images of the second angiogram on the computer hard drive. No evidence could be found that the second angiogram images had ever been stored on the computers, nor that the images had been deleted. Through inquiries of hospital staff, we learned that the system was prone to problems and periodically "crashed". NTI requested the hospital perform a test case on the system, and it was observed that the system malfunctioned; in the test case, no images were recorded. Subsequently, the hospital replaced this system with a new system due to the periodic "crashes" that occurred.

The NTI examiner testified at the jury trial that system "crashes" may have caused the images to not be stored on the computer hard drives and that he had personally observed the system "crashing". The plaintiff's attorneys countered that the manufacturer examined the system the day after the patient's death and could not find any problems. NTI's examiner countered that the system had been replaced by the hospital because of system malfunctions. He further explained that because the system was functioning normally on the day the manufacturer examined the system did not mean that it was functioning on the day of the second angiogram procedure.

The best outcome that the insurance company expected was elimination of any penalties due to deliberate deletion of the images. The jury ruled that no monetary damages would have to be paid to the plaintiffs. The attorney for the insurance company later stated that "Your investigation and testimony played a significant role in our presentation of the case to the jury...all of the feedback from the jurors has been extremely positive toward you and your testimony."

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