Proximate Cause in Florida Medical Malpractice

Medical malpractice is when a healthcare provider, like a doctor or nurse, makes a mistake that causes harm to a patient. These cases can be complicated, especially when trying to prove that the healthcare provider's actions directly caused the injury. One important legal concept in these cases is "proximate cause."


In this blog, we’ll explain what proximate cause means, how it works in Florida medical malpractice cases, and why it’s important if you believe you've been a victim of medical negligence. 


What is Medical Malpractice? 


Medical malpractice happens when a healthcare provider doesn’t give the expected level of care, leading to harm. This could include mistakes like: 


  • Misdiagnosing a condition 
  • Performing surgery incorrectly 
  • Prescribing the wrong medication 

To win a medical malpractice case, you need to prove four things: 


  1. Duty of Care: The healthcare provider had a responsibility to care for you. 
  2. Breach of Duty: The provider didn’t meet the expected standard of care. 
  3. Causation: The provider’s actions caused your injury. 
  4. Damages: You suffered harm, like an injury, pain, or financial loss. 


What is Proximate Cause? 


Proximate cause is a legal term that means the main reason why an injury happened. It’s not enough to show that a healthcare provider made a mistake; you also need to show that the mistake directly caused the injury. 


Think of it like this: If a doctor leaves a sponge inside a patient after surgery and the patient later gets an infection, the doctor’s mistake would be the proximate cause of the infection. The injury (infection) wouldn’t have happened without that mistake. 


The "But For" Test 


Florida courts use something called the "but for" test to decide if proximate cause exists. This test asks, "Would the injury have happened but for the healthcare provider’s actions?" If the answer is no, then the provider’s actions are considered the proximate cause of the injury. 


For example, if a doctor fails to diagnose a serious illness, and the patient’s condition gets worse, you might ask: "Would the patient’s condition have worsened but for the doctor’s failure to diagnose the illness?" If the answer is no, then the doctor’s failure is considered the proximate cause of the worsened condition. 

Proximate Cause in Florida Medical Malpractice Cases 


In Florida, you need to prove that the healthcare provider’s mistake directly caused your injury. This can be tricky, especially when there are other factors involved. For instance, if you already had a health problem that got worse after treatment, it might be hard to show whether the worsening was due to the provider’s mistake or just the natural progression of the disease. 

Case Example: Mem'l Hosp., S. Broward Hosp. Dist. v. Doring 


To understand how proximate cause works in real life, let’s look at a Florida case: Mem'l Hosp., S. Broward Hosp. Dist. v. Doring


In this case, a 68-year-old man named Otto Doring was admitted to the hospital after a heart attack. The doctors said he needed "absolute bed rest," meaning he shouldn’t get out of bed at all. However, the hospital didn’t put bed rails on his bed, which would have helped prevent him from falling. Unfortunately, Mr. Doring tried to get up, fell, and broke his arm. 


Mr. Doring sued the hospital, saying that their failure to use bed rails caused his injury. The hospital argued that the lack of bed rails didn’t prove they were negligent and that his injury wasn’t their fault. 


The court had to decide if the hospital’s failure to use bed rails was the proximate cause of Mr. Doring’s injury. The court asked, "Would Mr. Doring have fallen and broken his arm but for the hospital’s failure to use bed rails?" The court decided that the hospital’s mistake was the proximate cause of the injury because it was likely that a patient in his condition might try to get up and fall without bed rails. 


The Role of Expert Witnesses 


In medical malpractice cases, expert witnesses are crucial. An expert witness is usually a medical professional who can explain whether the healthcare provider’s actions met the standard of care and whether those actions were the proximate cause of the patient’s injury. 


For example, if a patient has a stroke after a delayed diagnosis, an expert witness might testify about whether the delay in diagnosis was below the standard of care and whether it directly caused the stroke. The expert’s testimony is often key in proving proximate cause. 


Proximate Cause vs. Other Causes 


It’s important to know that proximate cause is different from other causes that might come up in a medical malpractice case. Proximate cause is the direct link between the provider’s actions and the injury, but there might be other factors involved. 


For example, if a patient develops an infection after surgery, the infection might be a known risk of the surgery itself, or it could be due to a mistake made during the surgery. The key question is whether the healthcare provider’s specific actions were the proximate cause of the infection. If the infection would have happened even if the provider hadn’t made a mistake, then proximate cause may not be established. 


Challenges in Proving Proximate Cause 


Proving proximate cause in a medical malpractice case can be tough. Here’s why: 


  1. Complex Medical Issues: Medical problems are often complicated, with many factors contributing to the patient’s condition. This can make it hard to show that the healthcare provider’s actions were the direct cause of the injury. 
  2. Pre-Existing Conditions: If you had a pre-existing condition, the healthcare provider might argue that your injury was due to that condition, not their negligence. You’ll need to prove that the provider’s mistake was a major factor in causing the injury. 
  3. Standard Medical Procedures: Sometimes, a healthcare provider might follow all the standard procedures, but the patient still gets hurt. Just because a patient is hurt doesn’t mean medical malpractice occurred. You must show that the provider’s actions didn’t meet the standard of care and that those actions were the proximate cause of the injury. 


Why You Need a Medical Malpractice Lawyer 


Because proving proximate cause can be so challenging, it’s important to have an experienced medical malpractice lawyer on your side. A good lawyer can help you gather evidence, work with expert witnesses, and build a strong case to show that the healthcare provider’s actions directly caused your injury. 


If you think you or a loved one has been harmed by medical negligence, it’s important to get legal advice quickly. Medical malpractice cases have strict deadlines, known as statutes of limitations, which limit the time you have to file a lawsuit. A lawyer can help make sure your case is filed on time and that your rights are protected. 


Conclusion 


Understanding proximate cause in a Florida medical malpractice case is key to pursuing a successful claim. Proximate cause is the connection between the healthcare provider’s actions and the harm you suffered. By proving that the provider’s actions directly caused your injury, you can hold them accountable and seek the compensation you deserve. 


Medical malpractice can have serious, lasting effects on your life. If you or a loved one has been hurt because of a healthcare provider’s mistake, don’t wait to take action. Contact an experienced medical malpractice lawyer who can guide you through the process, explain your rights, and help you explore your options for recovery. 


By nasser September 16, 2025
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