{"id":6095,"date":"2019-02-26T16:01:57","date_gmt":"2019-02-26T15:01:57","guid":{"rendered":"https:\/\/guillermou-avocats.fr\/?p=6095"},"modified":"2024-12-30T18:36:42","modified_gmt":"2024-12-30T17:36:42","slug":"prejudice-moral-verification-du-consentement-du-patient","status":"publish","type":"post","link":"https:\/\/guillermou-avocats.fr\/fr\/jurisprudences\/prejudice-moral-verification-du-consentement-du-patient","title":{"rendered":"Pr\u00e9judice moral\u00a0: v\u00e9rification du consentement du patient"},"content":{"rendered":"
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Pr\u00e9judice moral du patient qui a \u00e9t\u00e9 op\u00e9r\u00e9 sans que son consentement ne soit v\u00e9rifi\u00e9<\/h2>\n

Un homme de 39 ans subit le 9 novembre 2004 en centre hospitalier une op\u00e9ration chirurgicale consistant \u00e0 pr\u00e9lever son rein gauche en vue d\u2019une greffe au b\u00e9n\u00e9fice de son fr\u00e8re, atteint d\u2019une insuffisance r\u00e9nale.<\/p>\n

Depuis cette op\u00e9ration, il pr\u00e9sente des douleurs<\/a> abdominales et thoraco-lombaires, accompagn\u00e9es de crises de type neurologique, ainsi qu\u2019une symptomatologie anxio-d\u00e9pressive r\u00e9actionnelle.<\/p>\n

Le patient, qui avait, dans la nuit pr\u00e9c\u00e9dant cette intervention, marqu\u00e9 son intention de quitter l\u2019\u00e9tablissement hospitalier et de renoncer \u00e0 ce don d\u2019organe, saisit la commission r\u00e9gionale de conciliation et d\u2019indemnisation<\/a> (CRCI) afin d\u2019obtenir une indemnisation des pr\u00e9judices<\/a> qu\u2019il estime avoir subis.<\/p>\n

Par un avis du 10 juin 2009, la commission conclut \u00e0 la responsabilit\u00e9 du CHU. La SHAM, assureur de cet \u00e9tablissement hospitalier, ayant refus\u00e9 de l\u2019indemniser, il conclut avec l\u2019ONIAM<\/a>, le 3 octobre 2010, un protocole d\u2019indemnisation transactionnelle pour un montant de 68 070,88 euros, portant sur certains postes de pr\u00e9judice.<\/p>\n

Il saisit ensuite le tribunal administratif de Nantes afin d\u2019obtenir du centre hospitalier une indemnisation au titre des autres postes de pr\u00e9judice.<\/p>\n

Le tribunal administratif, par un jugement du 23 septembre 2015, fait partiellement droit \u00e0 sa demande en condamnant le CHU \u00e0 lui verser la somme de 2 149,90 euros et fait enti\u00e8rement droit aux conclusions pr\u00e9sent\u00e9es par l\u2019ONIAM.<\/p>\n

La victime<\/a> forme un appel contre ce jugement en tant qu\u2019il ne faisait pas droit \u00e0 l\u2019int\u00e9gralit\u00e9 de ses demandes indemnitaires.<\/p>\n

Par un arr\u00eat du 29 septembre 2017, la cour administrative d\u2019appel a port\u00e9 \u00e0 36 198,10 euros l\u2019indemnit\u00e9. Mais la victime se pourvoit en cassation contre cet arr\u00eat en tant qu\u2019il rejette le surplus de ses conclusions.<\/p>\n

Elle souhaite voir reconnue la responsabilit\u00e9<\/a> du CHU sur les terrains retenus par le tribunal administratif, \u00e0 savoir l’ignorance de sa volont\u00e9 de r\u00e9tractation et le d\u00e9faut d’information suffisante ainsi que \u00a0sur le terrain du d\u00e9faut de consentement \u00e9clair\u00e9 du patient, au titre de l’article L. 1111-4 du code de la sant\u00e9 publique\u00a0<\/a>;<\/p>\n

Alors que la Cour administrative d\u2019appel avait \u00e9dict\u00e9\u00a0:\u00a0\u00ab\u00a0 que c’est, par suite, de mani\u00e8re superf\u00e9tatoire que la victime invoque la faute suppl\u00e9mentaire qui r\u00e9sulterait de ce que le CHU \u00a0ne l’aurait pas correctement inform\u00e9 des r\u00e9sultats pr\u00e9visibles de la greffe pour le receveur\u00a0\u00bb<\/p>\n

Et que s’agissant du pr\u00e9judice permanent exceptionnel<\/a> invoqu\u00e9 par la victime:<\/p>\n

\u00ab\u00a0 Consid\u00e9rant que si M. X…fait valoir que l’op\u00e9ration chirurgicale en cause, qui n’avait pas de vis\u00e9e th\u00e9rapeutique pour lui, a \u00e9t\u00e9 r\u00e9alis\u00e9e sans qu’il soit tenu compte de sa volont\u00e9 de r\u00e9tractation et affirme devoir regretter \u00e0 jamais y avoir finalement \u00e9t\u00e9 contraint, ces circonstances, alors notamment que les circonstances de sa r\u00e9tractation ne sont pas clairement \u00e9tablies, ne sont pas, en l’esp\u00e8ce, de nature \u00e0 caract\u00e9riser un pr\u00e9judice permanent exceptionnel dont l’int\u00e9ress\u00e9 serait en droit d’obtenir r\u00e9paration\u00a0\u00bb<\/em><\/p>\n

Indemnisation du pr\u00e9judice moral<\/h3>\n

Par arr\u00eat du 15 f\u00e9vrier 2019 n\u00b0 415988<\/a>, le Conseil d\u2019\u00c9tat reconna\u00eet un pr\u00e9judice moral<\/strong> du patient pour avoir \u00e9t\u00e9 op\u00e9r\u00e9 sans que son consentement ne soit v\u00e9rifi\u00e9\u00a0:<\/p>\n

\u00ab\u00a05. En dernier lieu, en jugeant, au point 2 de son arr\u00eat, que le centre hospitalier avait commis une faute en s\u2019abstenant de v\u00e9rifier le consentement de M. A…apr\u00e8s que celui-ci eut, la veille de l\u2019intervention, exprim\u00e9 sa volont\u00e9 de se r\u00e9tracter, tout en \u00e9cartant, au point 13 de cet arr\u00eat, le pr\u00e9judice moral, pr\u00e9sent\u00e9 comme \u201c pr\u00e9judice permanent exceptionnel \u201c, que l\u2019int\u00e9ress\u00e9 soutenait avoir subi de ce fait, au motif que \u201c les circonstances de sa r\u00e9tractation ne sont pas clairement \u00e9tablies \u201c, la cour a entach\u00e9 son arr\u00eat d\u2019une contradiction de motifs.<\/em><\/p>\n

6.Il r\u00e9sulte de tout ce qui pr\u00e9c\u00e8de que M. A…est fond\u00e9 \u00e0 demander l\u2019annulation de l\u2019arr\u00eat du 29 septembre 2017 de la cour administrative d\u2019appel de Nantes en tant qu\u2019il statue sur ses conclusions tendant \u00e0 la r\u00e9paration de pertes de gains professionnels pour la p\u00e9riode post\u00e9rieure au 9 novembre 2006, d\u2019une incidence professionnelle, de pertes de droits \u00e0 pension de retraite et d\u2019un pr\u00e9judice moral tenant au fait d\u2019avoir \u00e9t\u00e9 op\u00e9r\u00e9 sans v\u00e9rification de son consentement.\u00a0<\/em><\/p>\n

(\u2026)\u00a0<\/em><\/p>\n

D E C I D E :\u00a0<\/em><\/p>\n

————–<\/em><\/p>\n

Article 1er : L\u2019arr\u00eat du 29 septembre 2017 de la cour administrative d\u2019appel de Nantes est annul\u00e9 en tant qu\u2019il statue sur les conclusions de M. A…tendant \u00e0 la r\u00e9paration de pertes de gains professionnels pour la p\u00e9riode post\u00e9rieure au 9 novembre 2006, d\u2019une incidence professionnelle, de pertes de droits \u00e0 pension de retraite et d\u2019un pr\u00e9judice moral tenant au fait d\u2019avoir \u00e9t\u00e9 op\u00e9r\u00e9 sans v\u00e9rification de son consentement. (\u2026)\u00a0\u00bb<\/em><\/p>\n<\/div>

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