Representing Victims of Medical Malpractice Across Ontario

Articles Tagged

Standard of Care

Standard of care is the legal benchmark for the conduct expected of physicians, nurses, and other regulated health professionals in Ontario. It is the first of the three elements a plaintiff must prove in a medical malpractice claim, and it is almost always proven or defended through the evidence of qualified medical experts.

Posts tagged Standard of Care analyze how Ontario courts have applied the test in specific cases, how expert evidence is used to define what a reasonable practitioner would have done in the circumstances, and where the standard is contested between specialties. The library covers obstetrical, emergency, surgical, anesthetic, and primary care decisions, along with appellate rulings that shape how trial courts approach the question.

For patients considering a claim, these case comments offer a sense of what Ontario courts have treated as a departure from the standard of care and what they have not.

104 articles View all topics →
Case header: Bradley v Wang with subtitle 'Direct observation outweighs a physician's evidence of usual practice' on a dark blue banner with 'Case Comment' and professional labels at top corners.

Bradley v Wang: A Misplaced Injection, Usual Practice Evidence, and the Mitigation Burden

The Court of Appeal for Ontario dismisses Dr. Wang’s appeal in Bradley v Wang, upholding findings that a tetanus vaccine was injected in the wrong part of the arm, that the misplacement caused an adhesive capsulitis, and that no mitigation defence was made out. The decision confirms that counterfactual proof can be assembled from evidence excluding the competing explanation, and that a defendant who cannot show suitable alternative work was available loses the mitigation argument regardless of the plaintiff’s own efforts.

Read More »
Navy title card reading "Dementia in the Hallway: Hallway care and the cognitively impaired patient in Ontario" from paulcahill.ca.

Five Days in a Hallway: Dementia, Delirium, and Hospital Liability in Ontario

A Saskatoon family went public this week after an 88-year-old man with early Alzheimer’s spent nearly five days on a bed in an emergency department hallway. The story is from Saskatchewan, but the conditions are familiar in Ontario, and the risks are sharpest for the patient who cannot orient himself, use a call bell, or tell anyone something has changed. Where the line falls between a strained system and an actionable failure is narrower than the headlines suggest.

Read More »
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.

Read More »
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.

Read More »
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.

Read More »
Navy title card reading "Ewashko v Hugo, Case Comment" with the line "A delayed urgent C-section and a preventable birth injury," from paulcahill.ca

Ewashko v Hugo: A Delayed C-Section and a Preventable Birth Injury

An Alberta court found that an urgent C-section taking 101 minutes fell below the standard of care, that two physicians’ combined 50 minutes of unnecessary delay was not a defensible judgment call, and that the delay caused a child’s cerebral palsy. A look at the timeliness standard, the causation reasoning, and why this Alberta decision is persuasive, not binding, in Ontario.

Read More »
Have a Case Like This?

Concerned about medical negligence?
Talk to Paul directly.

Free, confidential consultations. Paul reviews every potential case personally and tells you honestly whether it merits investigation.