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Todos los casos
Medical Negligence
House of Lords
1988

Wilsher v Essex Area Health Authority

[1988] AC 1074

Ratio Decidendi

Where there are multiple possible causes of the claimant's injury, the claimant must prove on the balance of probabilities that the defendant's negligence was a cause. The McGhee material contribution approach does not apply where there are distinct competing causes.

Hechos

A premature baby was given excess oxygen due to a junior doctor's negligence. The baby developed retrolental fibroplasia (blindness), but this condition had five possible causes.

Resumen de la sentencia

The House of Lords ordered a retrial. The claimant had to prove that the excess oxygen was a cause of the blindness, not merely that it increased the risk. McGhee did not establish a general principle that increasing risk equated to causation.

Citas clave

"A plaintiff must prove on the balance of probabilities that the defendant's breach of duty caused or materially contributed to his injury."

Lord Bridge

Tratamiento posterior

Good law

Key authority distinguishing material contribution from material increase in risk.