Ramcharan Patel & Ors. vs Director Sanjivani Nursing Home & Ors. on 29 April, 2016
// 9 //
6½] Heamatology, Biochemistry, Liver Function Tests, Serological Tests
Report fnukad&24-12-2013] 25-12-2013] 26-12-2013] 28-12-2013] 29-12-
2013] 30-12-20213 ¼nLrkost dz-7½] CyM cSad yscy ,oa dzkl eSp fjiksVZ
¼nLrkost dz-8½] ckg~; jksxh iphZ ,oa var% jksxh iath;u iphZ ¼nLrkost dz-
9½] MkW- Jherh ts- f=ikBh dk bZykt iphZ fnukad&22-12-2013 ¼nLrkost
dz- 10½] vUrokZlh jksxh fVdV ¼nLrkost dz-11½] MkW- lquhy jk=s dh fjiksVZ
fnukad&28-12-2013 ¼nLrkost dz-12½] tPpk&cPpk j{kk dkMZ ¼nLrkost dz-
13½] esfMdy fcYl ¼nLrkost dz-14½] xqIrk QkekZL;wfVdYl dk fjVsy
buokbZl fnukad&21-01-2014 ¼nLrkost dz-15½] vksfM+lk jsM dzkl CyM cSad
dh jlhn fnukad&14-01-2014 ,oa 17-01-2014 ¼nLrkost dz-16½] LokLF;
fcdkl lfefr dk fcy ¼nLrkost dz-17½] ykbZQ ds;j lsaVj dk fjVSy
buokbZl ¼nLrkost dz-18½] uhye esfMdy LVksj dk fcy ¼nLrkost dz-19½]
lathouh uflZax gkse dk fcy fnukad&31-12-2013 ¼nLrkost dz-20½]
lathouh uflZax gke dk fcy ¼nLrkost dz-21½] jsM dzkl esfMdy LVksj dk
fcy ¼nLrkost dz-22½] ohul Mk;XuksfLVd lsaVj dk fcy fnukad&28-12-
2013 ¼nLrkost dz-23½] lathouh Mk;XuksfLVDl lsaVj dk fcy fnukad&30-
12-2013 ¼nLrkost dz-24½] tequk esfMdYl dk fcy ¼nLrkost dz-25½]
xkM+h dh jlhn fnukad&28-01-2014 ¼nLrkost dz-26½] vf/koDrk uksfVl
fnukad&06-05-2014 ¼nLrkost dz-27½] iksLVy jlhn fnukad&07-05-2014
¼nLrkost dz-28½] izkfIr Lohd`fr jlhn ¼nLrkost dz-29½] vf/koDrk uksfVl
dk tokc fnukad&22-05-2014 ¼nLrkost dz-30½] vf/koDrk uksfVl dk
tokc fnukad&10-06-2014 ¼nLrkost dz-31½] :isUnz iVsy }kjk lh-,e- ,p-
vks- ,oa dysDVj] jk;x<+ ls dh xbZ f'kdk;r fnukad&11-02-2014
¼nLrkost dz-32 ,oa 33½] :isUnz iVsy }kjk dysDVj jk;x<+] eq[;ea=h ,oa
izsl Dyc dks dh xbZ f'kdk;r fnukad&31-12-2013 ¼nLrkost dz-34½]
iathd`r lwpuk dk tokc fnukad&10-06-2014 ¼nLrkost dz-35½] izkfIr
vfHkLohd`fr i= ¼nLrkost dz-36½] jk"Vªh; LokLF; chek ;kstuk dkMZ
// 10 //
¼nLrkost dz-37½ dh QksVks dkih rFkk ckg~; jksxh iphZ fnukad&03 tuojh
2015 dk vly ¼nLrkost dz-38½ izLrqr fd;k gSA
07- ftyk Qksje us mHk;i{k }kjk izLrqr vfHkopu ,oa nLrkosth lk{;
ds ifj'khyu Ik'pkr~ vkns'k ikfjr djrs gq, vihykFkhZ@ifjoknh ds
ifjokn dks fujLr fd;k gS] ftlds fo:) ;g vihy gSA
08- [email protected] dh vksj ls milatkr gksus okys fo)ku
vf/koDrk Jh :Ik uk;d dk ;g rdZ gS fd ftyk Qksje us =qfViw.kZ :Ik ls
ifjokn fujLr fd;k gSA ftyk Qksje us vius vkyksP; vkns'k dh
dafMdk&24 ,oa 25 esa ;g fu/kkZfjr fd;k gS fd mRrjoknh dz-5 ,oa
6@vukosnd dz-5 ,oa 6 }kjk fpfdRlh; mis{kk cjrk gS ijUrq ftyk Qksje
us vius vkyksP; vkns'k dh dafMdk&29 esa ;g fu/kkZfjr djrs gq, fd
[email protected] /kkjk&2 ¼1½ ¼D½ miHkksDrk laj{k.k vf/kfu;e]
1986] ds varxZr **miHkksDrk** ugha gS] ifjokn fujLr dj fn;k gSA ftyk
Qksje dk mDr vkns'k =qfViw.kZ gSA mRrjoknh dz-4 ls 6@vukosnd dz-4 ls
6 Hkh **lsok iznkrk** gSaA mlh izdkj mRrjoknh dz-1 ls 3@vukosnd dz-1
ls 3 ds }kjk Hkh fpfdRlh; mis{kk cjrh xbZ gS vkSj bu rF;ksa dks
[email protected] }kjk vius lk{; ls lkfcr fd;k x;k gS] ijUrq
ftyk Qksje us bu rF;ksa dks /;ku esa ugha fn;k gS vkSj =qfViw.kZ vkns'k
ikfjr fd;k gS vkSj vuqfpr :Ik ls mRRrjoknh dz-1 ls 3@vukosnd dz-1
ls 3 dks mUeksfpr fd;k gSA ,slh fLFkfr esa tcfd
[email protected] ds mRrjoknh dz-4 ls 6@vukosnd dz-4 ls 6
**lsok iznkrk** gSaA ,slh fLFkfr esa ;g izdj.k tc
[email protected] ds mRrjoknh dz-5 ,oa 6@vukosnd dz-5 ,oa 6
dks fpfdRlh; mis{kk ds fy, mRrjnk;h eku fy;k gS rks iqu% fopkj.k gsrq
// 11 //
ftyk Qksje dks izfrizsf"kr fd;k tkuk mfpr gksxkA vr%
[email protected] dh vihy Lohdkj fd;k tkos vkSj ;g izdj.k
ftyk Qksje dks iqu% fopkj.k gsrq izfrizsf"kr fd;k tkosA
09- mRrjoknh dz-1 ls 3@vukosnd dz-1 ls 3 dh vksj ls milatkr
gksus okys fo}ku vf/koDrk Jh eqds'k 'kekZ dk ;g rdZ gS fd ftyk Qksje
dk vkns'k iw.kZr% mfpr gSA mRrjoknh dz-1 ls 3@vukosnd dz-1 ls 3
}kjk fdlh izdkj dh dksbZ fpfdRlh; mis{kk ugha cjrh xbZ gSA e`frdk
Jherh izse'khyk ftlds }kjk iwoZ esa ifjokn lafLFkr fd;k x;k Fkk] dk
dksbZ izlo lathouh uflZax gkse] jk;x<+ esa ugha fd;k x;k Fkk vkSj u gh
dksbZ vkWijs'ku fd;k x;k gSA tc Jherh izse'khyk fnukad&23-12-2013 dks
lathouh uflZax gkse esa HkrhZ gqbZ Fkh ml le; mldh /kM+du dkQh rst
Fkh] CyM izs'kj lkekU; ls dkQh de Fkk vkSj mldh xaHkhj fLFkfr dks
ns[krs gq, vkWijs'ku gsrq HkrhZ fd;k x;k vkSj iSFkksykWth VsLV fd;k x;k
vkSj lksuksxzkQh djkus ij ;g Kkr gqvk fd xHkZ dk dqN Hkkx mlds xHkZ
esa gh jg x;k Fkk vkSj bl ij mRrjokfnuh dz-3@vukosfndk dz-3 MkW-
ekyrh ds }kjk ,d irys ikbZi ds }kjk lQkbZ dh xbZ Fkh vkSj mlds
Ik'pkr~ izse'khyk ds HkkbZ :isUnz iVsy us vius Lo;a ds fuosnu ij
izse'khyk iVsy dks fMLpktZ djkdj ys x;k FkkA bl izdkj mRrjoknh dz-
1 ls 3@vukosnd dz-1 ls 3 }kjk fdlh izdkj dh dksbZ fpfdRlh; mis{kk
ugha cjrh xbZ gSA [email protected] fdlh izdkj ls ;g lkfcr
ugha dj lds gSa fd mRrjoknh dz-1 ls 3@vukosnd dz-1 ls 3 us fdlh
izdkj dh dksbZ fpfdRlh; mis{kk cjrk gS vkSj ;fn mRrjoknh dz-5 ,oa
6@vukosnd dz-5 ,oa 6 }kjk fdlh izdkj dh dksbZ =qfV dkfjr fd;k
x;k gS rks mlds fy, mRrjoknh dz-1 ls 3@vukosnd dz-1 ls 3 dks
mRrjnk;h ugha Bgjk;k tk ldrk gSA ftyk Qksje us mRrjoknh dz-1 ls
3@vukosnd dz-1 ls 3 dks fpfdRlh; mis{kk ds fy, mRrjnk;h ugha
// 12 //
Bgjkrs gq, mUeksfpr fd;k gSA ftyk Qksje us vius vkyksP; vkns'k dh
dafMdk&18 esa tks fu"d"kZ fudkyk gS og iw.kZr% fof/k lEer gS vkSj mlesa
fdlh izdkj dh dkbZ =qfV ugha gS vkSj blfy, [email protected]
dh vihy mRrjoknh dz-1 ls 3@vukosnd dz-1 ls 3 ds fo:) fujLr
fd;s tkus ;ksX; gSA
10- mRrjoknh dz-4@vukosnd dz-4 dh vksj ls milatkr gksus okys
fo}ku vf/koDrk Jh jkds'k ,aFkksuh ,oa mRrjoknh dz-5 ,oa 6@vukosnd
dz-5 ,oa 6 dh vksj ls milatkr gksus okys fo}ku vf/koDrk Jh vkj- vkj-
flUgk dk ;g rdZ gS fd ftyk Qksje us vius vkyksP; vkns'k esa
mRrjoknh dz-5 ,oa 6@vukosnd dz-5 ,oa 6 dks mRrjnk;h Bgjk;k gS og
iw.kZr% =qfViw.kZ gSA ftyk Qksje }kjk rF;ksa dks /;ku esa ugha fy;k x;k gSA
Jherh izse'khyk iVsy dk fnukad&23-12-2013 dks fltsfj;u vkWijs'ku ds
ckn iw.kZ fgnk;r nh xbZ Fkh fd vkus okys 24 ?kaVs [krjukd gSa rFkk ,slh
fLFkfr esa izlwrk dks fgyuk&Mqyuk Hkh izfrcaf/kr Fkk] ijUrq :isUnz iVsy
}kjk vius fjLd ij izse'khyk iVsy dks fMLpktZ djkdj ys x;k Fkk vkSj
bl izdkj ;fn fdlh izdkj dh dksbZ {kfr dkfjr gqvk gS rks mlds fy,
mRrjoknh dz-5 ,oa 6@vukosnd dz-5 ,oa 6 mRrjnk;h ugha gSa] ijUrq
ftyk Qksje us vius vkyksP; vkns'k dh dafMdk&24 ,oa 25 esa tks
fu"d"kZ fudkyk gS og rF;ksa ls ijs gS vkSj fpfdRlh; fo'ks"kK dh fjiksVZ
ds vHkko esa ftyk Qksje dk mDr fu"d"kZ Lohdkj ;ksX; ugha gS vkSj ;fn
xHkZ esa fdlh izdkj dh dksbZ oLrq ik;k Hkh x;k Fkk rks mlds fy,
mRrjoknh dz-5 ,oa 6@vukosnd dz-5 ,oa 6 mRrjnk;h ugha gSa D;ksafd
Jherh izse'khyk iVsy dks Lo;a ds tksf[ke ij fMLpktZ djkdj ys tk;k
x;k Fkk vkSj mlds funsZ'k dk ikyu ugha fd;k gS rFkk mRrjoknh dz-4 ls
6@vukosnd dz- 4 ls 6 'kkldh; fpfdRlky; gS vkSj muds }kjk
fu%'kqYd fpfdRlk dh xbZ gS blfy, [email protected]] muds
// 13 //
**miHkksDrk** ugha gSaA vr% [email protected] dh vihy fujLr
fd;k tkos] ijUrq ftyk Qksje us vius vkyksP; vkns'k dh dafMdk&24
,oa 25 esa tks fu"d"kZ fudkyk gS mls foyksfir fd;k tkosA
11- geus mHk;i{k ds fo}ku vf/koDrkx.k dk rdZ Jo.k fd;k rFkk
ftyk Qksje ds vfHkys[k ,oa vkyksP; vkns'k dk Hkh ifj'khyu fd;kA
12- tgka rd ftyk Qksje ds vkns'k dh dafMdk&24 ,oa 25 dk tks
fu"d"kZ gS] mlds laca/k esa mRrjoknh dz-4 ls 6@vukosnd dz-4 ls 6 }kjk
dksbZ vihy lafLFkr ugha fd;k x;k gSA
13- ftyk Qksje us vius vkyksP; vkns'k dh dafMdk&24 ,oa 25 esa ;g
fu"d"kZ fudkyk gS fd%&
**24- Jherh izse'khyk ds vYVªk lksuksxzkQh fjiksVZ fnukad&28-11-
2013 dh izfr is'k dh xbZ gS ftlesa Bulky utrus with retained
products. vFkkZr~ xHkkZ'k; esa xHkZ ls mRiUu inkFkZ xHkZ esa jg x;s
FksA ftlls Li"V gksrk gS fd fltsfj;u vkWijs'ku ds lkFk xHkkZ'k;
dh lQkbZ ugha dh xbZ ftlls xHkkZoLFkk ds vo'ks"k xHkkZ'k; esa gh
jg x;sA ftlls ;g fu"d"kZ fudkyk tk ldrk gS fd xHkkZ'k; dh
lQkbZ u gksus o mlea dqN vo'ks"k NksM+ fn;s tkus dh otg ls
mlds ladze.k ¼bUQsD'ku½ gks x;kA mnj dh nhoky dk burst gks
tkuk rFkk xHkkZ'k; dh nhoky Hkh [kqy tkuk ;gh n'kkZrk gS fd
fltsfj;u vkWijs'ku ds le; vukosnd@fo:) ikVh dz-5 ,oa 6
ftUgksaus ;g vkWijs'ku fd;k Fkk] us vkWijs'ku esa ykijokgh dh xbZ
ftlds QyLo:Ik Jherh izse'khyk dh mnj rFkk xHkkZ'k; esa
tfVyrk,a mRiUu gqbZA
25- vukosnd@fo:) ikVh dz-5 ,oa 6 us bl laca/k esa dksbZ
larks"ktud Li"Vhdj.k ugha fn;k gSA esfMdy dkWyst cqykZ ds
// 14 //
fpfdRldksa us vius nLrkost esa ;g n'kkZ;k gS fd vkWijs'ku
fnukad&15-01-2014 dks mUgkasaus xHkkZ'k; ds vanj ls 18X7X3dk
Tissue Hkh fudkyk ftls fnukad&15-01-2014 dks fgLVksiSFkkSykWth
tkap ds fy, Hkstk vkSj mldh tkap fjiksVZ Hkh is'k dh xbZ gSA
ftldk vukosnd@fo:) ikVhZ dz-5 ,oa 6 dksbZ mRrj ugha fn;k
gSA esfMdy dkWyst cqykZ ds mDr nLrkost tgka
vukosnd@fo:) ikVhZ dz-5 ,oa 6 us Jherh izse'khyk dk
vkWijs'ku fnukad&23-12-2013 dk ykijokghiwoZd fd;k x;kA
xHkkZ'k; dks [kksydj cPps dks fudkyk] fdUrq mlds lkFk xHkkZ'k;
esa xHkZ ds vo'ks"k NksM+ fn;k x;k rFkk xHkkZ'k; esa Vkads rFkk isV
dh nhoky esa Vkads ykijokgh ds lkFk yxk;sA mDr ykijokgh ds
QyLo:Ik gh xHkkZ'k; ds Hkhrj Sepsis vFkkZr~ ladze.k gks x;kA
esfMdy dkWyst cqykZ ds nLrkost ls Li"V gS fd
vukosnd@fo:) ikVhZ dz-5 ,oa 6 us bZykt o vkWijs'ku esa
ykijokgh dh gSA ,slh fLFkfr esa Res Ipsa Loquitur dk fl}kUr
ykxw gksrk gS tks vukosnd@fo:) ikVhZ dz-5 ,oa 6 dh ykijokgh
izekf.kr djus ds fy, Ik;kZIr gSA**
14- ftyk Qksje us Dr. Jasbir Singh Sandhu Vs. Dharam Sing & Ors.
2010 (4) CPR 315 (Punjab) ds U;k; n`"Vkar dk voyacu ysrs gq, ;g
fu/kkZfjr djrs gq, fd izse'khyk iVsy dk fu%'kqYd bZykt mRrjoknh dz-4
yxk;ra 6@vukosnd dz- 4 yxk;r 6 }kjk fd;k x;k gS] blfy,
[email protected]] mRrjoknh dz-4 yxk;r 6@vukosnd dz-4
yxk;r 6 ds **miHkksDrk** ugha gSa vkSj ifjokn dks fujLr fd;k gSA
15- ftyk Qksje }kjk mijksDr U;k; n`"Vkar ds ifjizs{; esa tks fu"d"kZ
fudkyk x;k gS og =qfViw.kZ gS vkSj mls fLFkj ugha j[kk tk ldrk gSA
// 15 //
16- Indian Medical Association Vs. V.P. Shantha & ors., (1995) 6 SCC
651, esa ekuuh; loksZPp U;k;ky; }kjk vkns'k dh dafMdk&55 esa ;g
fu/kkZfjr fd;k x;k gS fd%&
"55. On the basis of the above discussion, we arrive at the
following conclusions;