Bradley Center, Inc. v. Wessner

Decision Date27 October 1982
Docket NumberNo. 38636,38636
Citation296 S.E.2d 693,250 Ga. 199
PartiesThe BRADLEY CENTER, INC. v. William Kenneth WESSNER, et al.
CourtGeorgia Supreme Court

Lee R. Grogan, William C. Rumer, G. Michael Agnew, Columbus, Milton D. Jones, Manchester, for William Kenneth Wessner et al.

S.E. Kelly, Jr., J. Ronald Mullins, Jr., Columbus, Sidney F. Wheeler, Michael T. Bennett, D. Keith Calhoun, Atlanta, for Bradley Center, Inc.

GREGORY, Justice.

In a matter of first impression the Court of Appeals held that appellant, a private mental health hospital, may be held civilly liable for the murder of appellee's mother by appellee's father, a patient in appellant's facility. The Bradley Center, Inc. v. Wessner, et al., 161 Ga.App. 576, 287 S.E.2d 716 (1982).

Briefly, the relevant facts are as follows: Appellee's father, Matthew Wessner, and appellee's mother, Linda Wessner, had experienced long-term marital problems, apparently resulting from Mrs. Wessner's extramarital affair. Because of these problems Mr. Wessner became a "voluntary" patient in appellant's facility. Two months after he was discharged from his first voluntary admission, he attempted suicide and was voluntarily admitted into appellant's facility for the second time. Under appellant's voluntary admission program, patients must agree to comply with the restrictions imposed by appellant on their activities and mobility; if a patient seeks discharge against medical advice, appellant has authority to detain him from leaving for 48 hours while they attempt to persuade him to stay. The trial court was authorized to find that during this second period in the hospital, the treatment of Mr. Wessner revealed to appellant's staff that Mr. Wessner would likely cause bodily harm to his wife if he had the opportunity. In spite of this, Mr. Wessner was issued an unrestricted weekend pass privilege by appellant's staff. While exercising his pass, Mr. Wessner obtained his gun, confronted his wife and her paramour and shot and killed both of them. Mr. Wessner was tried and convicted of two counts of murder.

Appellees instituted this wrongful death action on the theory that their father's criminal act was reasonably foreseeable to appellant and that the death of their mother was proximately caused by appellant's negligence in issuing the weekend pass and in failing to exercise proper control over their father's freedom to leave the premises. The jury returned a substantial verdict for appellees, and the Court of Appeals affirmed.

The court found that: (1) Where the treatment of a mental patient involves an exercise of "control" over him by a physician who knows or should know that the patient is likely to cause bodily harm to others, an independent duty arises from that relationship and falls upon the physician to exercise that control with such reasonable care as to prevent harm to others at the hands of the patient; (2) the evidence supports the trial court's finding that appellant breached its duty to exercise control over Mr. Wessner; (3) the evidence demonstrated that appellant's action was the proximate cause of the death of appellees' mother; and (4) the damages awarded to appellees were not excessive as a matter of law.

We granted certiorari to consider whether an individual other than the patient can recover for the alleged malpractice of the physician where that person is injured by the criminal conduct of the patient and there is no privity between the injured party and the physician. Because we believe the Court of Appeals correctly decided this issue, we affirm.

1. To state a cause of action for negligence in Georgia, the following elements are essential: "(1) A legal duty to conform to a standard of conduct raised by the law for the protection of others against unreasonable risks of harm; (2) a breach of this standard; (3) a legally attributable causal connection between the conduct and the resulting injury; and (4) some loss or damage flowing to the plaintiff's legally protected interest as a result of the alleged breach of the legal duty." Lee Street Auto Sales, Inc. v. Warren, 102 Ga.App. 345(1), 116 S.E.2d 243 (1960). Our concern here is with the first element--specifically, whether a physician can owe a legal duty of care to an injured party who was not his patient.

Appellant argues that appellees' case must fail because Georgia law strictly requires privity between the plaintiff and physician in a medical malpractice action, citing Buttersworth v. Swint, 53 Ga.App. 602, 186 S.E. 770 (1936) and Norton v. Hamilton, 92 Ga.App. 727, 89 S.E.2d 809 (1955). It argues that this position in this physician case is supported by our case law requiring professional--client privity for the maintenance of malpractice actions against other professionals. Hughes v. Malone, 146 Ga.App. 341, 247 S.E.2d 107 (1978) (attorneys); MacNerland v. Barnes, 129 Ga.App. 367, 199 S.E.2d 564 (1973) (accountants); Mauldin v. Sheffer, 113 Ga.App. 874, 150 S.E.2d 150 (1966) (engineers). We have reviewed these cases and find that they do not preclude the cause of action set forth by appellees in this case.

The medical malpractice cases cited by appellant stand for the proposition that before a plaintiff may recover on the theory that he received negligent treatment from a defendant physician, the plaintiff must show that a doctor-patient relationship existed between them. In such cases, called "classic medical malpractice actions" by the Court of Appeals, doctor-patient privity is essential because it is this "relation which exists between physician and patient which is a result of a consensual transaction" that establishes the legal duty to conform to a standard of conduct. Norton v. Hamilton, 92 Ga.App. 727, 731, 89 S.E.2d 809.

The legal duty in this case did not arise out of this "consensual transaction" between doctor and patient, however, so there is no basis for a requirement of privity. The legal duty in this case arises out of the general duty one owes to all the world not to subject them to an unreasonable risk of harm. This has been expressed as follows: "... negligence is conduct which falls below the standard established by law for the protection of others against unreasonable risk of harm." Restatement, Torts, 2d, § 282.

We believe the Court of Appeals properly identified the legal duty in this case in that: "where the course of treatment of a mental patient involves an exercise of 'control' over him by a physician who knows or should know that the patient is likely to cause bodily harm to others, an independent duty arises from that relationship and falls upon the physician to exercise that control with such reasonable care as to prevent harm to others at the hands of the patient." The Bradley Center, Inc. v. Wessner, et al., 161 Ga.App. 576 at 581, 287 S.E.2d 716.

We agree with appellant that, as a general rule, there is no duty to control the conduct of third persons to prevent them from causing physical harm to others. Shockley v. Zayre, 118 Ga.App. 672, 165 S.E.2d 179 (1968); Restatement, Torts, 2d § 315. We find, however, that one of the exceptions to that rule applies here because of the special relationship which existed between appellant and appellees' father: "One who takes charge of a third person whom he knows or should know to be likely to cause bodily harm to others if not controlled is under a duty to exercise reasonable care to control the third person to prevent him from doing such harm." Restatement, Torts, 2d, § 319. 1 See also Prosser, Handbook of the Law of Torts, § 56, p. 349. The jury found appellant hospital failed in this case to exercise reasonable care in the control of appellees' father. As a result, appellees' mother was killed. In such a case, a wrongful death action is proper.

By finding appellant liable we have not created a "new tort," rather we have applied our traditional tort principles of negligence to the facts of this case. We also note that the duty to conform to a standard of conduct in this case is a well-recognized and well-established principle of law in other jurisdictions. See Lipari v. Sears, Roebuck & Co., 497 F.Supp. 185 (D.Neb.1980) (applying Nebraska law); Bellevance v. State, 390 So.2d 422 (Fla.App.1980); Rum River Lumber Co. v. State, 282 N.W.2d 882 (Sup.Ct. of Minn.1979); McIntosh v. Milano, 168 N.J.Super. 466, 403 A.2d 500 (1979); Homere and Stillman v. State, ...

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