Reibl v. Hughes

Reibl v. Hughes

Failure to disclose material risks of a proposed surgical procedure constitutes negligence rather than battery where the operation performed is the one consented to; materiality and causation are to be assessed by the trier of fact taking into account patient‑specific considerations, and causation should be tested by whether a reasonable person in the patient’s position would have declined the surgery—on these grounds the trial judge’s findings of breach and causation were upheld and judgment restored.

Citation
[1980] 2 SCR 880
Parties
Appellant (plaintiff): John Reibl; Respondent (defendant): Robert A. Hughes
Court
Supreme Court of Canada
Jurisdiction
Canada
Judgment Date
7 October 1980
Procedural Posture
Civil Appeal Medical Negligence/tort / Appeal to the Supreme Court of Canada — Final Judgment on Liability
Outcome
Appeal allowed; order of Court of Appeal set aside; judgment of trial court restored holding defendant liable in negligence; costs to appellant.
Legal Topics
Informed Consent, Battery Vs Negligence, Duty of Disclosure, Causation Standard, Material Risk Disclosure
Source Language
English

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Parties

John Reibl

Appellant (plaintiff)

Robert A. Hughes

Respondent (defendant)

Procedural Posture

Civil Appeal Medical Negligence/tort / Appeal to the Supreme Court of Canada — Final Judgment on Liability

  1. 1 Whether failure to disclose material risks vitiates consent and creates battery or gives rise to negligence only
  2. 2 What is the scope and standard of the surgeon's duty to disclose material risks
  3. 3 Whether causation should be assessed subjectively (patient) or objectively (reasonable person in patient’s position)

Ratio Decidendi

Failure to disclose material risks of a proposed surgical procedure constitutes negligence rather than battery where the operation performed is the one consented to; materiality and causation are to be assessed by the trier of fact taking into account patient‑specific considerations, and causation should be tested by whether a reasonable person in the patient’s position would have declined the surgery—on these grounds the trial judge’s findings of breach and causation were upheld and judgment restored.

Court Disposition

Appeal allowed; order of Court of Appeal set aside; judgment of trial court restored holding defendant liable in negligence; costs to appellant.

Orders

  • Appeal allowed
  • Order of the Ontario Court of Appeal set aside