With Nigeria as focus, and adopting a doctrinal legal research approach, this paper engages the incidence of medical negligence along with the processes of pursuing redress through litigation and allied modes. The paper adopts pertinent primary judicial and legal authorities along with Common Law rules in the discourse of the medical negligence; these are supported, as necessary, with secondary authorities, such as opinions of learned writers, as expounded in texts, articles and other media. In related vein, the paper discusses the likely modes by which persons, directly or indirectly, affected by medical negligence can pursue redress. In a sociological context, the paper notes the relatively lower rates of litigations on medical negligence in Nigeria, compared with the situations in developed countries like the United States of America and Britain; the paper highlights the diverse social, religious and cultural factors that have made many aggrieved persons shy away from litigation in cases of medical negligence. The paper reflects that the influence of globalisation and social media, which increased rights-consciousness among Nigerians, has the possibility of increase in medical negligence litigations in the country. More so, the issue of medical litigation has been attracting the attention of medical practitioners, judicial officers, legal practitioners and other stakeholders in Nigeria. All these justify a fresh look at medical negligence, as undertaken in this paper. In its conclusive part, the paper flags the need for proactiveness and circumspectness in sanctioning medical doctors for medical negligence; this is to avoid a situation in which would eagerly resort to self-preservation mindset of “better not to get involved” for the purpose of avoiding stressful litigations flowing form their striving to be “good Samaritans”.
KeywordsNegligenceMedical NegligenceDoctorsCodes of Ethics<i>Res Ipsa Loquitor</i>Criminal Law
(2010). Book of Genesis, Chapters 1 and 2, Holy Bible (Reference Edition). Clanrentian Publications.
Abi v Central Bank of Nigeria & Ors., (2011) LCN/4597(CA).
Aderinola Adeyemi and Ors. v Shittu Bamidele and Anor., SC 675/1965, CWLR (1968) 3, LN-E-LR/1968/7 (SC).
Agaba v Otobosin, F.S.C 97/1961, 3PLR/1961/89/ (FSC). https://judgements.lawnigeria.com/2018/10/22/3plr-g-k-agaba-v-c-a-otobosin
Akinola-Aguda, T. A. (1986). The Crisis of Justice. Eresu Hills Publishers.
Alhaji Otaru and Sons Ltd v Audu Idris & Ors., 3 PLR/1999/20 (SC).
Ancient Pages (2016). Hammurabi: The Great King of Babylon and His Laws. http://www.ancientpages.com/2016/10/21/hammurabi-the-great-king-of-babylon-and-his-laws
Arojojoye v Wata Timber Co. Ltd. SC/363/1964, 3PLR/1966/32 (SC).
Atsegbua, L. (2013). The Supreme Court’s Approach to Exemplary Damages. https://www.vanguardngr.com/2013/04/the-supreme-courts-approach-to-exemplary-damages
Barnett v Cohen, [1921] 2 KB 461.
Benjamin Obasuyi and Anor. v Business Ventures Ltd. 5 NWLR (Pt. 658) 668, SC. 104/1994.
Blyth v. Birmingham Waterworks (1856) 11 Ex 781.
Bolam v Friern Hospital Management Committee [1957] 2 All E.R 118. [1957] 1 WLR 582.
Byrne v Boadle 159 ER 299.
Castro, J. (2011). FAQ: How Are Cloned Animals Made? Live Science. https://www.livescience.com/16589-faq-cloning-animals.html
Chapman, C. B. (1982). Stratton vs. Swanlond: The Fourteenth-Century Ancestor of the Law of Malpractice. The Pharos of Alpha Omega Alpha-Honor Medical Society, 45, 20-24. https://pubmed.ncbi.nlm.nih.gov/6764815
Chijioke, C. (2007). The Legal Effect of Medical Negligence in Nigeria: An Appraisal. https://www.researchgate.net/publication/325225698_THE_LEGAL_EFFECT_OF_MEDICAL_NEGLIGENcC_IN_NIGERIA
Compulsory Treatment and Care for Victims of Gunshot Act, 2017.
Criminal Code Act Cap. C39, Laws of the Federation of Nigeria, 2004.
Declaration of Geneva (As Amended at Stockholm, 1994).
Duncan v Medical Practitioners Disciplinary Committee [1986] 1 NZLR 513.
Durojaye, E. (2013). So Sweet, So Sour: A Commentary on the Nigerian High Court’s Decision in Georgina Ahamefule v Imperial Medical Centre and Dr Alex Molokwu & Another Relating to the Rights of Persons Living with HIV. African Human Rights Law Journal, 13, 464-480.
Esabunor & Another v Faweya & Ors. (2019) LPELR 46961 (SC).
Fatal Accidents Law of Lagos State [Nigeria], 1961.
FindLaw’s Team of Legal Writers and Editors (2016). Defenses to Medical Malpractice. https://injury.findlaw.com/medical-malpractice/defenses-to-medical-malpractice-patients-negligence.html
Henebery v Pharoan 232 Md. App. 468, 158 A. 3d. 1087 (2017).
Holmes, B. (1905). The Most Ancient Medical Practice Laws. The Code of Hammurabi, 2200 B. C JAMA.; XLIV (4).
International Code of Medical Ethics (As Amended at Venice, 1983).
Iyioha, I. O. (2015). Medical Negligence. In I. O. Iyioha, & R. N. Nwabueze (Eds.), Comparative Health Law and Policy: Critical Perspectives on Nigerian and Global Law (pp. 68-93). Ashgate Publishing Limited. https://doi.org/10.4324/9781315573083
Kuteyi, O. S. (2016). An Appraisal of Medical Negligence in Nigeria. Ph.D. Thesis, The Obafemi Awolowo University.
Lagos University Teaching Hospital v Yemi Lawal, (1982) 3 FNR 184.
Limitation Law, Ogun State Vol. 3 Laws of Ogun State [Nigeria] 2006.
MacMillan Dictionary. Sword of Damocles—Definition and Synonyms. https://www.macmillandictionary.com
Mason, J. K., McCall Smith, R. A., & Laurie, G. T. (2002). Law and Medical Ethics (6th ed.). Reed Elsevier (UK Ltd).
Medical and Dental Practitioners Act, Cap. M8 Laws of the Federation of Nigeria, 2004.
Medical and Dental Practitioners Disciplinary Tribunal v Okonkwo (2002) AHRLR.
Mitchel, C. B., & Riley, D. J. (2014). Christian Bioethics: A Guide for Pastors, Healthcare Professionals and Families. B&H Publishing Group.
Muanya, C. (2019). Fresh Controversy over Abalaka’s HIV Cure Claims. The Guardian. https://guardian.ng/news/fresh-controversy-over-abalakas-hiv-cure-claims
Murray v McMurchy [1949] 2 DLR 442.
National Health Act (2014).
National Human Genome Research Institute [Bethesda, USA] (2020). Cloning Fact Sheet. https://www.genome.gov/about-genomics/fact-sheets/Cloning-Fact-Sheet
Obafemi, K. A. R. (2017). Medical Negligence Litigation in Nigeria: Identifying the Challenges and Proposing a Model Law Reform Act. Thesis, The Trinity College, Dublin.
Obalum, D., & Fiberesima, F. (2012). Nigerian National Health Insurance Scheme (NHIS): An Overview. The Nigerian Postgraduate Medical Journal, 19, 167-174. https://doi.org/10.4103/1117-1936.169665
Odunsi, B. (2007). Should Caregivers Be Compelled to Disclose Patients’ HIV Infection to the Patients’ Sex Partners without Consent? Studies in Family Planning, 38, 297-306. https://doi.org/10.1111/j.1728-4465.2007.00142.x
Odunsi, B. (2008). Law and the Caregiver: Examining Rights, Duties and Liabilities in Nurse-Patient Relationship. Lead City Law Journal, 1, 251-265.
Odunsi, B. (2009). Unfair Fair-Hearing and Unequal Religious Equality: The Facts and Fictions of Constitutional Guarantee of Equality in Nigeria. Indian Socio-Legal Journal 35.
Odunsi, B. (2010). SERVICOM versus Problematic Health and Other Public Services in Nigeria: Legal and Some other Perspectives. African Journal of Institutions and Development, 5, 200-209.
Odunsi, B. (2015). While the Elephants Dance: Reflections on Nigeria’s National Health Act. In Medical Conference on the 2014 National Health Act.
Odunsi, B. (2019). Glancing Back at Eden: A Note on Medical Negligence in Nigeria’ Public Lecture presented at Ogun State Bar and Bench Forum, 10th Public Lecture, High Court of Justice, Abeokuta, Nigeria—18th October 2019.
Odunsi, B., & Raimi, A. (2016). Right to Health: Interfacing the Nigerian National Health Act and the Constitution. Crescent University Law Journal, 2016, 124-135.
Odunsi, S. B. (2006). Are Doctors Detectives or Caregivers? Medical Ethics and the Requirement of Police Report as a Condition for Treating Gunshot Victims in Nigeria. Ife Juris Review, 2.
Ogbo, P. (2012). Nurse Wins Landmark Case in Nigeria over Dismissal for Testing Positive to HIV. https://theeagleonline.com.ng/nurse-wins-landmark-case-in-nigeria-over-dismissal-for-testing-positive-to-hiv/
Ogundipe, S. (2017). NACA Dismisses HIV Cure Claim by Michael Okpara University Prof. Vanguard. https://www.vanguardngr.com/2017/02/naca-dismisses-hiv-cure-claim-michael-okpara-university-prof
Ogunniran, H. (1992). Awarding Exemplary Damages in Tort Cases: The Dilemma of Nigerian Courts. Journal of African Law, 36, 111-131. https://doi.org/10.1017/S0021855300009840
Ojo v Gharoro & Ors, [2006] 10 NWLR 173.
Olaleye, M. (2018). Nigeria: Medical Negligence in Nigeria: Addressing the Public on Its Scope and the Resultant Legal Implications. http://www.mondaq.com/Nigeria/x/754598/Healthcare/Medical+Negligence+In+Nigeria+Addressing+The+Public+On+Its+Scope+And+The+Resultant+Legal+Implications
Olofinlua, T. (2015, Part 1). Medical Negligence in Nigeria: When Hospitals Kill. https://www.radianthealthmag.com/health-wellness/medical-negligence-in-nigeria
Olofinlua, T. (2015, Part 2). Medical Negligence in Nigeria [Part 2]: The Slow Road to Justice. https://www.radianthealthmag.com/health-wellness/medical-negligence-in-nigeria-the-long-road-to-justice
Ortashi, O. et al. (2013) The Practice of Defensive Medicine among Hospital Doctors in the United Kingdom. BMC Medical Ethics, 14, Article No. 42. https://doi.org/10.1186/1472-6939-14-42
Owoseye, A. (2018). SPECIAL REPORT: How Patients Lose Lives, Body Parts Due to Alleged Medical Negligence at Nigerian Hospitals. Premium Times. https://www.premiumtimesng.com/news/headlines/255476-special-report-patients-lose-lives-body-parts-due-alleged-medical-negligence-nigerian-hospitals.html
Oyelade, O. S. (2005). Conflict Resolution and Human Rights in Traditional African Society. Indian Journal of International Law, 45.
Plateau State Health Services Management Board & Anor v Philip Fitoka Goshwe, Suit No. SC. 229/2003—Reported, Inter Aliain (2012) JELR 34806 (SC).
Prince, J. D. (1904). The Code of Hammurabi. The American Journal of Theology, 8, 601-609. http://www.jstor.org/stable/3153895 https://doi.org/10.1086/478479
Public Officers Protection Law, Laws of Ogun State [Nigeria] 2006.
Raimi Jenyo and F. A. Aderemi (Administrators of the Estate of Basiratu Raimi (Deceased)) v Akinsanmi Akinreti and Anor. (1990) NWLR (Pt.135) 663, (1990).
Re SL (Adult Patient) (Medical Treatment) (2000) 55 BMLR 105.
Rookes v Barnard [1964] AC 1129.
Rules of Professional Conduct for Medical and Dental Practitioners [Nigeria].
Schloendorff v Society of New York Hospital 105 N.E. 92, 211 N.Y. 125.
Sekhar, M. S., & Vyas, N. (2013). Defensive Medicine: A Bane to Healthcare. Annals of Medical and Health Science Research, 3, 295-296.
Spiegel, A. D. (1997) Hammurabi’s Managed Health Care--Circa 1700 B.C. Managed Care, 6, 78-82.
Taff Vale Railway v Jenkins [1913] AC 1, [1911-13], All ER 160.
Tarassoff v Regents of the University of California, 1976, 17 Cal. 3d 425.
Unilorin Teaching Hospital v Abegunde [2015] 3 NWLR 421.
United Bank for Africa and Anor. v Ngozi Achoru, SC 33/1988 (1990) LCN/2408(SC).
Violato, D. (2013). Doctor-Patient Relationships, Laws, Clinical Guidelines, Best Practices, Evidence-Based Medicine, Medical Errors and Patient Safety. Canadian Medical Education Journal, 4, e1-e6. https://doi.org/10.36834/cmej.36652