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Smith v. Christiana Care Health Services

2026-08-26

Summary

Holding. The court determined that the plaintiff's affidavit of merit complies with the statutory requirements of 18 Del. C. §§ 6853(a)(1) and (c).

Christiana Care Health Services moved the court to review whether the plaintiff's affidavit of merit satisfied the statutory requirements for healthcare negligence cases under Delaware law. The court conducted an in camera review of the affidavit and accompanying expert curriculum vitae. The court found that the affidavit met all required elements: it was signed by a qualified expert witness (a registered nurse with over thirty years of experience and current board certifications in emergency and critical care nursing), included a current curriculum vitae, established that the expert was currently licensed, demonstrated the expert's relevant practice experience, and contained the expert's opinion that the defendant breached the applicable standard of care and that this breach proximately caused the plaintiff's injuries.

Summary generated by law.co from the public-domain opinion. The opinion text itself is public domain.

Key issues

  • Compliance of affidavit of merit with Delaware healthcare negligence statute
  • Qualification of expert witness in healthcare malpractice litigation
  • Sufficiency of expert opinion regarding standard of care and causation

Procedural posture

The defendant filed a motion requesting in camera court review of the plaintiff's affidavit of merit to determine statutory compliance.

Authorities cited

No cited authorities resolved to law.co cases yet.

Opinion

majority opinion

IN THE SUPERIOR COURT OF THE STATE OF DELAWARE

ANDREW SMITH, )

)

Plaintiff, )

) C.A. No.: K26C-05-013 RLG

v. )

)

CHRISTIANA CARE )

HEALTH SERVICES, )

)

Defendant. )

Submitted: July 24, 2026

Decided: August 26, 2026

ORDER

Upon Review of the Affidavit of Merit – COMPLIANT

On July 24, 2025, Defendant Christiana Care Health Services (“CCHS”) filed

a motion1 seeking the Court’s review of Plaintiff Andrew Smith’s affidavit of merit,

in camera, to determine whether it complies with 18 Del. C. § 6853(a)(1) and (c).2

Specifically, CCHS requested the Court review the affidavit of merit to ensure: (1)

it is signed by an expert witness; (2) it is accompanied by that witness’s curriculum

vitae; (3) the expert opined there are reasonable grounds to believe that CCHS

breached the applicable standard of care; (4) said breach was the proximate cause of

1

D.I. 9.

2

See 18 Del. C. § 6853(d) (“Upon motion by the defendant[,] the Court shall determine in camera if the affidavit of merit complies with paragraph (a)(1) and subsection (c) of this section.”).

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the injuries alleged in the Complaint; (5) the expert was licensed to practice medicine

as of the date of the affidavit; and (6) the curriculum vitae establishes the expert has

been engaged in the treatment of patients, or the academic side of medicine, in the

three years immediately preceding the alleged negligent act.3 Mr. Smith has filed an

expert’s affidavit and an accompanying curriculum vitae.4 The Court has conducted

the review requested.

18 Del. C. § 6853(a) requires all healthcare negligence lawsuits be

accompanied by “an affidavit of merit as to each defendant signed by an expert

witness … and accompanied by a current curriculum vitae of the witness, stating

that there are reasonable grounds to believe that there has been healthcare medical

negligence committed by each defendant.” Under 18 Del. C. § 6853(c), the affidavit

of merit must “set forth the expert’s opinion that there are reasonable grounds to

believe that the applicable standard of care was breached by the named defendant or

defendants and that the breach was a proximate cause of injury or injuries claimed

in the complaint.” The requirements of 18 Del. C. § 6853 “are purposefully

minimal.”5

3

D.I. 9 at 3-4.

4

D.I. 1.

5

Dishmon v. Fucci, 32 A.3d 338, 342 (Del. 2011) (citing Green v. Weinger, 766 A.2d 492, 495-96 (Del. 2001)).

2

Having reviewed the affidavit of merit and the expert witness’s curriculum

vitae, the Court finds:

1. The expert signed the affidavit.

2. The expert attached a current curriculum vitae.

3. The expert is currently licensed to practice medicine.

4. The expert has been treating patients in the same or similar field of

medicine as CCHS pertaining to the injuries alleged in the Complaint.

Specifically, the affidavit and accompanying curriculum vitae identify

the expert as a registered nurse with board certifications in emergency

and critical care nursing. The expert possesses over thirty years of

experience in nursing, and currently practices as a clinical nurse.

5. The expert opines there are reasonable grounds to believe CCHS

breached the standard of care in its care of Mr. Smith. The expert

further opines that breach was the proximate cause of Mr. Smith’s

injuries.

The affidavit of merit contains the information required by 18 Del. C. §§ 6853(a)(1)

and (c) as to the allegations involving Integrated Health. Therefore, the affidavit of

merit is COMPLIANT.

3

IT IS SO ORDERED.

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