In the case of Boyle v. Mainline Health, Inc., No. 2454 EDA 2023 (Pa. Super. Sept. 10, 2025 Lazarus, P.J., King, J., and Lane, J.) (Op. by King, J.), the Pennsylvania Superior Court ruled that a failure to provide a Patient Safety Report (PSRS) to the hospital’s Patient Safety Committee or governing board meant that the hospital could not rely upon the statutory privilege under the Medical Care Availability and Reduction of Error Act (MCARE).
The court otherwise ruled that the creation of other records as part of a patient safety evaluation system did trigger the privilege under the Patient Safety and Healthcare Quality Improvement Act (PSQIA). As such, the discovery Order of the trial court was affirmed in part and reversed in part.
This matter arose out of a medical malpractice action in which the Plaintiff’s alleged that there child suffered birth injuries. During the discovery, the Plaintiffs sought documents related to the investigation of the baby’s delivery.
In response, the Defendants produced a privilege log identifying four (4) responsive documents, the Patient Safety Occurrence Worksheet, the Situation Background Assessment/Recommendations, the Patient Safety Reporting System, and the Potential Compensible Event Report. The Defendants asserted that these documents were privileged under the MCARE Act and the PSQIA.
The Plaintiff responded with a Motion to Compel.
After the trial court granted the Plaintiff’s Motion to Compel, the case went up on appeal. As noted, the Superior Court affirmed in part and reversed in part. The Superior Court found that the Defendants did not meet their burden of establishing the PSRS report arose out of a matter reviewed by a patient safety committed or governing board pursuant to their Section 311(b) MCARE Act responsibilities. As such, the Defendants were required to disclose the PSRS report.
After the trial court granted the Plaintiff’s Motion to Compel, the case went up on appeal. As noted, the Superior Court affirmed in part and reversed in part. The Superior Court found that the Defendants did not meet their burden of establishing the PSRS report arose out of a matter reviewed by a patient safety committed or governing board pursuant to their Section 311(b) MCARE Act responsibilities. As such, the Defendants were required to disclose the PSRS report.
The appellate court also reversed the portion of the trial court's Order finding that the Defendants failed to establish that the PSQIA privilege applied to certain other documents.
Anyone wishing to review a copy of this decision may click this LINK.
Anyone wishing to review a copy of this decision may click this LINK.
The Concurring/Dissenting Opinion by Judge Lane can be viewed HERE.
Source: The Legal Intelligencer State Appellate Case Alert, www.Law.com (Sept. 30, 2025).
Source: The Legal Intelligencer State Appellate Case Alert, www.Law.com (Sept. 30, 2025).
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