Can a hospitalist be held liable for advising against admitting a patient to a hospital when he has no doctor-patient relationship and no direct contact with the patient? In Warren v. Dinter, 926 N.W.2d 370 (Minn. 2019), Susan Warren arrived at a health clinic with symptoms of abdominal pain, fever, and chills. A nurse practitioner (Simon) ordered tests and concluded that the patient had an infection that required hospitalization. Simon then called a local hospital to seek admission for the patient, and her call was randomly assigned to Dr. Richard Dinter, a hospitalist on call. Although the facts were disputed as to the nature of the conversation between Simon and Dr. Dinter, the Warren court accepted the nurse's account that Dr. Dinter decided that the patient did not need to be admitted to the hospital.
Three days later, the patient died at home. Her son sued the doctor and the hospital, alleging negligence in caring for the patient, including advising the nurse that the patient did not require hospitalization. The lower courts ruled that there was no liability, concluding that the relationship between the nurse and the doctor was merely an informal conversation and did not create a doctor-patient relationship.Read More