Preservation of the patient's right to self-determination

Maintaining the patient's right to self-determination requires information about an alternative treatment option if several equally-valued treatment options are available for medically meaningful and indicated therapy

The appellate court correctly confirmed that the defendant had an obligation to provide information that two treatment alternatives were available, one of which was a new-country procedure at that time. According to the case law of the cognitive Senate, the choice of the treatment method is primarily the responsibility of the physician (Senate judgments BGHZ 102, 17, 22, 106, 153, 157, of the 11 May 1982 - VI ZR 171 / 80 - VersR 1982, 771, 772, 24, No-vember 1987 - VI ZR 65 / 87 - VersR 1988, 190, 191, and 15 March 2005 - VI ZR 313 / 03 - VersR 2005, 836; OLG two-bridges, OLGR 2001, 79, 81 with Senate decision of 19 December 2000 - VI ZR 171 / 00 - OLG Karlsruhe, MedR 2003, 229, 230).

The preservation of the patient's right to self-determination requires, however, information about an alternative treatment option if several equivalent treatment options are available for medically meaningful and indicated therapy, which lead to different strains on the patient or offer different risks and chances of success (Senate judgments BGHZ 102, 17 , 22; 106, 153, 157; of the 14 September 2004 - VI ZR 186 / 03 - VersR 2005, 227; of the 15 March 2005 - VI ZR 313 / 03 - aaO; Katzenmeier, Arzstaftung, 2002, S. 331 f ; MünchKommBGB / Wagner, 4., Ed., § 823 Rn. 707 f .; Staudinger / Hager, BGB, 13. Editing [1999], § 823, Rn. I 92 mwN).

That then in the dispute, the obligation to educate about the alternative possibilities of manual or computer-assisted operation was, the court of appeal affirmed without errors of law. The Court of Appeal's finding that the plaintiff was duly informed about the advantages and disadvantages of the treatment methods known at that time is not objectionable from the point of view of auditing, especially taking into account that even if a new method of treatment is used, as usual "The chances and risks of the treatment must be explained to all (permanent case law, see Senate Judgments XHZ 90, 103, 106, 144, 1, 7 and 7 April 1992 - VI ZR 192 / 91 - VersR 1992, 960, 961).

Insofar as the appeal raises procedural complaints against the findings on the extent of the information provided, the Senate has examined these and found them to be inconsistent (§ 564 ZPO). Nevertheless, the information given to the patient was not sufficient in every respect. Continue reading

In the absence of a statutory health insurance, the patient essentially remains the debtor in accordance with §§ 10 ff BPflV

Have the hospital owner and the patient (here: the mother of the minor
Patients) the common idea that a statutory health insurance
insisting on the costs of hospitalization,
and if this turns out to be a mistake, then that is missing between the
Hospital bearer and the patient (here the mother of the minor
Patients) closed the contract of employment.
The adjustment made in the absence of the business basis of the
the hospital owner and the patient (here: the patient's mother)
Closed treatment contract causes the hospital operator
the remuneration to be determined in accordance with §§ 10 ff BPflV for the
general hospital services of the patient (here: the mother
of the patient).
BGH, judgment of the 28. April 2005 - III ZR 351 / 04 - OLG Koblenz
LG Koblenz

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In the case of medical liability matters, the prohibition of over-acceleration applies equally to an expert's report

(a) in the case of a medical offense, there may be a breach of the constitutional prohibition of "over-acceleration" in particular if the defense allegedly rejected as late would have prompted an expert's opinion, which was generally written, but in the period between the end of the opposition anyway, could not have been obtained anyway.

b) Defensive means are generally not filed "after expiry of a period set for this purpose" (§ 296 para. 1 ZPO), if the court after the expiry of the (according to § 276 para. 1 sentence 2 ZPO set (and extended) Anwerwide- give the defendant an opportunity to reply to the complaint without setting a time-limit.
BGH, judgment of the 3. July 2012 - VI ZR 120 / 11 - OLG Karlsruhe

ZPO § 296 Abs. 1, § 340 Abs. 3 Satz 3 Continue reading

Assignment of an unnecessary human blood test by an external laboratory doctor

If the attending physician commissions an external laboratory doctor on behalf of his private patient with a non-required human genetic blood test, the laboratory doctor is not entitled to any compensation against the patient.

If the attending physician commissions an external laboratory doctor in the name of his private patient with a human blood test, which is objectively not necessary for a medically necessary medical care within the meaning of § 1 para. 2 sentence 1 GOÄ, then the laboratory doctor will not be entitled to claim remuneration from the patient if the laboratory doctor fulfilled the assignment assigned to him without errors and on the basis of his knowledge had no reason to doubt the necessity of the examination.
BGH, judgment of the 14. January 2010 - III ZR 188 / 09 - Brandenburg OLG
LG Neuruppin

GOÄ § 1 para. 2 sentence 1 Continue reading

Inspection of the treatment documents by the trial lawyers in medical liability proceedings

The original documents filed by the parties pursuant to § 134 ZPO or by third parties pursuant to § 142 para. 1 ZPO are not part of the court records. A claim for access to the file or the issue of copies does not follow directly from § 299 ZPO. For documents that are directly from the court gem. § 142 ZPO be requested from third parties, there is a claim to the production of photocopies but both from the provisions of §§ 131, 133 ZPO and an analogous application of § 299 ZPO in compliance with the principle of legal hearing acc. Art. 103 para. 1 GG.

§ 299 ZPO does not expressly provide for a transmission of the case files to the representatives of the parties. However, the shipment may be made in due discretion if the files are expendable and the recipient is trustworthy. The decision must respect the principle of the right to be heard.

The same applies to the documents and documents filed by the parties or pursuant to § 142 ZPO if the person between whom and the court established the custody relationship agrees to a transmission of the files to the authorized representatives of the parties. Before the court refuses to send it, it must first ask the third party whether they agree to a transmission of the documents to the representatives of both parties.

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