We talk often in this
column and in our consulting work about the “under their roof” bias, in which
jurors hold a hospital responsible for any negative or unexpected outcome that
happens to a patient while he or she is at that hospital, no matter whose fault
it really is. In medical malpractice
defense, this bias is one of the most difficult to overcome.
A related phenomenon
we’ve observed during recent research is the juror expectation of guaranteed
patient safety, especially in cases involving custodial arrangements such as
assisted living facilities, nursing homes, intensive rehabilitation facilities or
in-patient psychiatric care. The
thinking goes that since these facilities charge money to take care of all a
patient’s needs, they essentially assume responsibility for anything and
everything that happens to the patient.
To many jurors, by
accepting a patient, the facility effectively guarantees not only that the
patient’s health care needs will be met, but also that nothing else bad will
happen to them, such as suicide, becoming the victim of a crime or escaping and
getting injured. These expectations can
be elevated depending on a facility’s admission and monthly price tags – and
you should also be aware that fully 57 percent of jurors in one of our recent
surveys indicated assisted living facilities are “overpriced” (compared to just
10 percent who said they were not and 33 percent who weren’t sure).
Complicating the issue is
that many facilities – especially those serving vulnerable populations such as
seniors or the mentally ill – unwittingly play into and encourage these expectations
by touting residents’ security and safety in marketing materials and mission
statements. It’s all too easy for a
plaintiff’s attorney to argue that the defendant “promised” nothing bad would
happen to a resident, so any unfortunate occurrence must be the facility’s
fault.
Like the “under their
roof” bias, the expectation of guaranteed safety can be difficult to overcome
at trial. For that reason, we recommend
you address it head on starting during voir dire. This will allow you to identify and eliminate
those potential jurors who hold this bias most strongly and will be unable to
overcome it no matter what evidence is presented, as well as start to erode the
idea of any “guarantee” in your jurors’ minds.
During trial, we believe
it is essential to attack the plaintiff’s contention the defendant is responsible
for anything that happens by demonstrating the event triggering the lawsuit –
whether it’s a crime or an unfortunate accident – was outside what such a
facility could reasonably anticipate or foresee. This will arm defense-minded jurors to advocate
to other jurors that there can be no guarantee none of life’s unforeseeable
tragedies will occur.
Of course, the best way to
overcome the presumption of guaranteed safety will vary greatly depending on
the unique facts of each case. If you’d
like our advice on how best to apply our findings to your circumstances, contact
Senior Vice President Claire Luna at 714-754-1010 or cluna@juryimpact.net.