Representing Victims of Medical Malpractice Across Ontario

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Plain-language insight on medical malpractice law in Ontario. Practical guidance, case analysis, and updates from a trial-focused practice. No legal jargon. No marketing fluff. Just what you need to know.

Articles on this site are for general information only and do not constitute legal advice. Reading articles does not create a lawyer-client relationship.

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Navy title card reading "Pelrine v Chung: Late expert reports and the interests of justice" from paulcahill.ca.

Pelrine v Chung: Late Expert Reports, Rule 53.08, and the Interests of Justice

Rule 53.08 was tightened in 2022 to stop the routine late service of expert reports. In Pelrine v Chung, the Divisional Court held that the correction can be overdone, and that the interests of justice apply throughout the rule rather than only at its second stage. Two excluded defence reports were let in, thirteen months before a jury trial.

Navy title card reading "CNO v Paulson: missed medications, false charting, and a three-month suspension" from paulcahill.ca.

CNO v Paulson: False Charting, Missed Medications, and the Electronic Audit Trail

A registered practical nurse admitted failures across two Guelph hospitals: an admission assessment backdated without notation, medications charted but never given, and a bladder scan reported but not performed. The CNO Discipline Committee accepted a joint submission for a three-month suspension with twelve months of oversight. What the electronic audit trail proved, and where a discipline finding stops short of a civil claim.

Navy title card reading "Scott v Regional Health Authority B, Personnel files, privilege and patient privacy at discovery" from paulcahill.ca, labelled Case Comment.

Scott v Regional Health Authority B: What a Class Action Discloses at Discovery

In the certified Moncton oxytocin class action, a New Brunswick court has ordered the defendant nurse’s personnel file produced, rejected most of the hospital’s quality-improvement privilege claims, and refused to disclose the private health records of other patients. The disclosure reasoning is persuasive only in Ontario, but it tracks the Ontario approach closely.

Navy title card reading Common Misunderstandings About Medical Malpractice, with the subhead What patients in Ontario often get wrong, from paulcahill.ca.

Common Misunderstandings About Medical Malpractice in Ontario

Some of the most common beliefs about medical malpractice in Ontario are simply wrong, and they cut both ways: pushing some people toward hopeless claims and others away from good ones. Here are the misunderstandings I see most often, set against how the law actually works, from what counts as negligence to limitation periods, College complaints, causation, and the cap on damages.

Navy title card reading "Clarey v Gillis, A devastating outcome that was not negligence" from paulcahill.ca

Clarey v Gillis: A Near-Fatal Surgical Complication and No Breach of the Standard of Care

Norman Clarey nearly died after a bowel resection led to a failed anastomosis and a permanent stoma. A Prince Edward Island court nonetheless dismissed his negligence, breach of contract, and informed consent claims, finding Dr. Gillis met the standard of care throughout and that causation was not proven. As an out-of-province decision it is persuasive but not binding in Ontario, though it applies largely Ontario and Supreme Court of Canada authority.

Navy title card reading "Waiting 48 Hours in the Emergency Room: When does a delay become negligence?", labelled Patient Safety, from paulcahill.ca.

Waiting 48 Hours in the Emergency Room: When Does a Delay Become Negligence?

A new report finds one in 10 admitted patients now spend more than 48 hours waiting in the emergency department, and roughly 16,000 died while waiting for care last year. But a broken system is not the same as a winnable malpractice claim. Here is where an ER delay can cross into negligence in Ontario, and where it cannot.

Navy title card reading "Brown v Meaney: The limits of clinical judgment, affirmed on appeal" from paulcahill.ca, a Paul Cahill case comment.

Brown v Meaney: Clinical Judgment, Informed Consent, and Commonsense Causation on Appeal

The Court of Appeal dismisses the appeal in Brown v Meaney, upholding findings that two pediatric neurologists breached the standard of care and the duty to obtain informed consent when they abandoned a pyridoxine trial in an infant with a rare epilepsy. The decision affirms that a defensible first impression does not excuse the failure to revisit it, and that causation need not be proven with scientific precision.