Superior Court Addresses Discoverability of Internal Post-Incident Investigative Reports in Medical Malpractice Case

In the case of Griffin v. The Bryn Mawr Hospital, No. 3361 EDA 2024, 2026 Pa. Super. 53 (Pa. Super. March 19, 2026 Bowes, J., Murray, J., and Beck, J.) (Op. by Beck, J.) (Concurring and Dissenting Op. by Murray, J.), the Pennsylvania Superior Court addressed whether four internal documents created by the medical providers after the hospital allegedly mishandled fetal remains were protected from disclosure under Pennsylvania’s Medical Care Availability and Reduction of Error Act (MCARE) and the Federal Patient Safety and Quality Improvement Act.

According to the Opinion, the case arose out of a lawsuit filed by parents who alleged that the hospital mistakenly cremated the placenta instead of their fetus and later admitted to a “mix up.”

During discovery, the hospital withheld four internal reports tied to its investigation. The hospital asserted that these documents were privileged patient-safety materials generated as part of its compliance and internal review processes.

In its Opinion, the court addressed how far hospitals can shield internal investigation documents from discovery under the above-referenced state and federal patient-safety laws.

The Superior Court majority ruled that the documents were not protected under MCARE. The court found that the MCARE statute applied only to events involving direct patient care and not post-treatment conduct. The court here found that the allegations in this case did not implicate any medical treatment issues.

With regards to the application of the federal law, the federal law under the PSQIA, this court entered a split decision. The court held that three of the documents at issue were shielded under the broader scope of the PSQIA law because they were created as part of the hospital’s internal patient safety evaluation system.

Anyone wishing to review a copy of the Majority's decision may click this LINK.

Judge Murray's Concurring and Dissenting Opinion can be viewed HERE.

Source: Article – “Pa. Superior Court Splits On MCARE Patient-Safety Privilege Case,” By Tristin Hoffman of The Legal Intelligencer (March 25, 2026).

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