Hospital must disclose line of treatment to patient, kin: Panel
New Delhi: The Delhi State Consumer Commission made it mandatory for a hospital to disclose to the patients or their attendants the line of treatment and the potential risks involved in it.
The judgment came in connection with the death of a 23year-old student, who died during a treatment at Indraprastha Apollo Hospital in 2004.
The commission’s judicial member, N P Kaushik, partly allowed the plea of the deceased’s father, Harish Kumar Chadha, who blamed the hospital for the death of his daughter, Anupama, and sought Rs 50 lakh compensation.
While the panel found no negligence on the part of the hospital, Kaushik pointed out, “No record shows if the pati- ent or her attendants were disclosed information relating to the diagnosis of the disease, nature of the proposed treatment, potential risk involved and consequences of the patient refusing the suggested line of treatment. All these things are fundamental requirements of law. In every field of medicine, an informed consent is mandatory. Though emergency medical circumstances are an exception.” The commission directed the ho- spital and the treating doctor to pay Rs 5 lakh to the family.
In July 2004, Anupama suffered from diarrhoea and was brought to Indraprastha Apollo Hospital where Tarun Sahani was appointed her treating doctor. Four days later, Anupama was diagnosed with systemic lupus erythematosus (SLE) and hemolytic anaemia.
Chadha claimed that Anupama was fit on July 28 and was about to get discharged the next day. However, he was later informed that her haemoglobin level was 7.1, and she needed blood. Blood transfusion was carried out, though Anupama had102 fever, he said. The steroids attacked the brain, leading to her death, he alleged.
The hospital and Dr Sahani had said Anupama’s condition warranted life saving measures. They also said that after the admission, routine investigations as well as evaluation for cause of anaemia were done.
A consumer forum, which heard the matter before the commission, received opinions from medical experts who said the allegations of medical negligence were not proved. However, they added that there was some degree of communication gap between the patient’s family and the doctor. The forum had granted Rs 25,000 compensation, but Chadha sought an enhancement.
The commission noted the hospital’s communication could have prepared the family for the treatment and the risks involved. “SLE disease had several risks, including death. It should have been explained to the patient or her attendants. There is no consent obtained while transfusing blood,” it said. opment to the undeveloped regions and hinterland in Rajasthan, Haryana and Madhya Pradesh to spur growth and some backward areas will also shine like Gurugram. Industrial and commercial development will generate jobs. We are now looking at building highways on new alignment rather than just expanding the existing stretches to decentralise development,” he said.
TOI on March 4 had first reported how the highways ministry will focus more on building greenfield roads rather than keep on expanding the existing ones.
Gadkari said the DelhiMumbai Expressway will provide connectivity to the proposed Chambal Expressway and a dozen more cities, including Jaipur, Kota, Sawai Madhopur, Ujjain, Godhra and Ahmedabad. There is al- so a proposal to have the provision for a high-speed rail corridor along the GurgaonVadodara stretch.
The minister said work will start at 40 locations simultaneously. Since the expressway will pass through unexplored regions and backward areas, the expenses for land acquisition will be less. The land acquisition expenses for the Gurgaon-Vadodara MAHARASHTRA
Existing Delhi-Mumbai highway carries 15% of country’s freight traffic stretch is likely to be in the range of Rs 5,000 crore to Rs 6,000 crore, which is almost one-third of what National Highway Authority of India would have spent for getting land for building the DelhiJaipur Expressway.
Sources said the highways ministry recently reworked its plan to extend the earlier proposed Delhi-Jaipur Expressway up to Vadodara.