What Are the Steps in a Medical Malpractice Case?

Medical malpractice cases are complex legal matters that involve claims of negligence or wrongful actions by healthcare providers, which result in harm or injury to a patient. When a patient or their family believes they have been a victim of medical malpractice, they may seek compensation through a settlement. Understanding the medical malpractice settlement process in Virginia is essential for those pursuing justice and compensation for their injuries or losses. The following is a brief overview of that process. For more detailed information, call our office to speak with a seasoned Virginia Beach medical malpractice attorney.

Consultation with an Attorney

The medical malpractice settlement process typically begins with a consultation with an experienced medical malpractice attorney. During this initial meeting, the attorney will review the details of the case, including medical records, witness statements, and other relevant evidence.

A Virginia Beach injury attorney will assess the merits of the case, identify potential defendants (such as healthcare providers and medical facilities), and determine if there is a valid claim for medical malpractice. If the attorney believes the case has merit, they will discuss the legal options available, including the possibility of pursuing a settlement.

Investigation and Gathering Evidence

Once the decision to pursue a medical malpractice claim is made, the attorney will initiate a thorough investigation. This process involves:

  • Collecting medical records: The attorney will obtain the patient’s medical records, including charts, test results, and treatment notes, to establish a timeline of events and identify potential areas of negligence.
  • Consulting medical experts: Under Virginia law, medical malpractice cases require the involvement of expert witnesses who can evaluate the standard of care provided by the healthcare provider and testify regarding any deviations from that standard.
  • Interviewing witnesses: Witnesses, including the patient and healthcare staff, may be interviewed to gather additional information and statements related to the case.
  • Reviewing policies and procedures: The attorney will examine the policies and procedures of the medical facility to determine if any violations or lapses in protocol contributed to the alleged malpractice.

Demand Letter

The attorney will serve the potential defendants with a demand letter. This letter is a formal notification to the potential defendants that a lawsuit is being considered and should include:

  • A description of the alleged malpractice.
  • The injuries or damages suffered.
  • The standard of care that should have been provided.
  • The expert witness information.

Settlement Negotiations

Once the demand letter has been sent, the parties involved may engage in settlement negotiations. These negotiations may involve discussions between the claimant’s attorney, the healthcare provider’s attorney, and the respective insurance companies.

The goal of settlement negotiations is to reach a mutually agreeable resolution without going to trial. Settlement offers may include financial compensation to cover medical expenses, lost wages, pain and suffering, and other damages resulting from the alleged malpractice.

Mediation or Arbitration

In some cases, mediation or arbitration may be used to facilitate settlement negotiations. Mediation involves a neutral third party who helps the parties reach a settlement agreement. Arbitration, on the other hand, is a more formal process where an arbitrator hears the evidence and renders a decision that may be binding or non-binding, depending on the agreement.

Both mediation and arbitration can be useful tools for resolving medical malpractice cases without the need for a trial.

Filing a Lawsuit

If settlement negotiations are unsuccessful and the parties cannot reach a satisfactory resolution, the next step is to file a lawsuit. The lawsuit is initiated by filing a complaint in the appropriate Virginia court, outlining the allegations of medical malpractice and the damages sought.


Discovery is a critical phase of the legal process in which both parties gather evidence and exchange information related to the case. This may include:

  • Depositions: Witnesses, including medical professionals and experts, may be deposed, providing sworn testimony that can be used in court.
  • Interrogatories: Written questions may be submitted to the opposing party, requiring written responses.
  • Document production: Both sides may request and exchange relevant documents, such as medical records, policies, and expert reports.
  • Expert witness testimony: Expert witnesses may be called to provide testimony during the discovery phase.


If a settlement cannot be reached during pre-trial proceedings, the case will proceed to trial. At trial, both parties present their evidence, including witness testimony and expert opinions, before a judge or jury. The judge or jury will then render a verdict, determining whether medical malpractice occurred and the extent of damages, if any.


Following a trial, either party may choose to appeal the verdict if they believe errors in the legal process occurred. The appeals process can extend the resolution of the case.


Once the legal process is complete, the case is resolved either through a court verdict or a negotiated settlement. If a verdict is reached in favor of the claimant, they will be awarded damages as determined by the court. If a settlement is reached, the terms of the settlement agreement will dictate the compensation provided to the claimant.

Consultation with an Attorney

Navigating the medical malpractice settlement process in Virginia requires legal expertise, thorough investigation, and skilled negotiation. If you believe you have a medical malpractice claim, it’s essential to consult with an experienced Virginia Beach medical malpractice attorney who can guide you through the process, protect your rights, and advocate on your behalf to seek the compensation you deserve for your injuries and losses. Contact Shapiro, Washburn & Sharp for a free and confidential case evaluation and find out what legal recourse you may have.