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Medical Malpractice Cases

By Sanjay Adhia, M.D.

Doctors who breached their duty to the patient

Doctors who didn’t

Before diving into case studies below, let’s look briefly at the legal issues a medical expert witness considers going into an evaluation:

Three Legal Elements of Medical Malpractice

  • A professional duty owed to the patient
  • Deviation from the standard of care
  • Resulting damage to the patient as a direct result of the deviation from the standard of care

These elements have to be proven by a “preponderance of evidence”.

The Law Considers Two Basic Types of Error

  • Errors of fact
  • Errors of judgment

Mental Health Malpractice Themes

  • Medication errors
  • Inappropriate relationships with patients
  • Improper documentation

Emotional distress, developing or worsening psychiatric conditions, even wrongful death in the form of suicide are possible outcomes of mental health medical malpractice.

Dr. Adhia’s Case Files: Some Memorable Medical-Malpractice Cases

Crossing the Line

Was a Patient Sexually Exploited by His Treater?

A man with a psychiatric disorder was admitted to a private psychiatric hospital. He alleged his treater exploited him sexually and introduced him to addictive substances. The man had a successful professional career and he alleged the impact on his work and family was destructive. He is now on psychiatric disability.
​I evaluated the Plaintiff at the request of his counsel. I considered complex records, given the circumstances under which he was admitted to the hospital and later outcomes before issuing my conclusions.

Overdose medical malpractice case

Double the Dose

Prescription Overdose Case

Prescription overdose in a hospital raised serious questions about standard of care.

An elderly patient with a history of psychosis was admitted to a psychiatric hospital. The hospital was transitioning from handwritten records to an electronic medical record system. This patient was ordered one dose of a long acting antipsychotic medication that last several weeks in the system. The administration of this medication was improperly documented.

In error, another nurse administered the medication again. In essence, it is as if he received double the intended dose daily for about a month. The patient developed severe body stiffness and was sent to the emergency room.

He was diagnosed with Neuroleptic Malignant Syndrome (NMS). The symptoms of NMS include increased body temperature, delirium, sweating and an imbalance of the autonomic nervous system. Some of the complications include respiratory failure and rhabdomyolysis (muscle breakdown) which could lead to kidney failure.

This patient developed respiratory failure which required intubation with mechanical ventilation. He developed complications and ultimately was sent to a skilled nursing facility. Six months later he passed away. The medical expert witness opined his cause of death was linked to the respiratory failure which was caused by the medication error in the psychiatric hospital.


  • Medication error in psychiatric hospital causing complications resulting in death of elderly male.
  • Medical doctor refusing to continue psychiatric medication in jail resulting in severe withdrawals (DTs) which was not treated appropriately resulting in hospitalization.
  • Elderly woman (former nurse) held illegally against her will in a psychiatric hospital
  • Polypharmacy in patient with obstructive sleep apnea resulting in death in a psychiatric hospital in South Carolina (“Polypharmacy”=multiple medications.)