Joann Abshure v. Jeremiah Upshaw, M.D. ( 2009 )


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  •                  IN THE COURT OF APPEALS OF TENNESSEE
    AT JACKSON
    January 21, 2009 Session
    JOANN ABSHURE, ET AL. v. JEREMIAH UPSHAW, M.D., ET AL.
    Direct Appeal from the Circuit Court for Shelby County
    No. CT-004109-03     John R. McCarroll, Jr., Judge
    No. W2008-01486-COA-R3-CV - Filed March 17, 2009
    This is a medical malpractice action filed against individual Defendants/Physicians and Defendant
    Hospital. Following Plaintiffs’ second Tennessee Rule of Civil Procedure 41.01 voluntary dismissal
    of individual Defendants, Defendant Hospital moved for summary judgment. The trial court
    awarded Hospital summary judgment upon concluding that the evidence demonstrated negligence
    on part of one Defendant/Physician only, and Plaintiffs had failed to assert a claim of vicarious
    liability against Hospital for the alleged negligence of its agent, Defendant/Physician prior to twice
    dismissing Physician. The trial court determined Plaintiffs’ cause of action had been extinguished
    where the statute of repose applicable to claim against Physician had expired, and that Plaintiffs had
    conferred on Physician an affirmative right not to be sued again. Plaintiffs appeal. We reverse in
    part, affirm in part, and affirm the award of summary judgment to Defendant Hospital.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Circuit Court Affirmed in part;
    Reversed in part; and Remanded
    DAVID R. FARMER , J., delivered the opinion of the court, in which HOLLY M. KIRBY , J., and
    J. STEVEN STAFFORD , J., joined.
    Kenneth Raymond Besser and Al H. Thomas, Memphis, Tennessee, for the Appellants, Joann
    Abshure and Billy Jack Abshure.
    William Lynn Bomar, Memphis, Tennessee, for the Appellee, Methodist Healthcare Memphis
    Hospitals.
    OPINION
    This is a medical malpractice action arising from the treatment of Plaintiff Joann Abshure
    (Ms. Abshure) in May 2001. The facts relevant to our analysis of the issues raised on appeal are
    undisputed. On May 2, Defendant Jeremiah Upshaw, M.D. (Dr. Upshaw) performed a colonoscopy
    on Ms. Abshure. On May 6, 2001, Ms. Abshure went to the emergency room of Defendant
    Methodist Healthcare - Memphis Hospitals (“Methodist”) complaining of abdominal pain. She was
    treated at Methodist by emergency room physician Defendant Luther Ogle, III, M.D. (Dr. Ogle). Dr.
    Ogle is directly employed by T.M. Carr, M.D., P.C., which contracts with Methodist to cover its
    emergency room.
    Dr. Ogle ordered a CT scan of Ms. Abshure’s abdomen and pelvis. He also ordered three
    enemas to be given to Ms. Abshure to relieve the pain. Dr. Ogle apparently ordered the enemas
    before reviewing the CT scan. The CT scan revealed several conditions, and Ms. Abshure
    underwent emergency surgery. During the surgery, Dr. Clay Jones discovered a perforated colon
    with fecal contamination of the peritoneum with secondary peritonitis. He performed a colostomy
    and Ms. Abshure was taken to the ICU. She developed respiratory distress and sepsis syndrome in
    the ICU. She underwent surgery to close the abdominal wound on May 30, 2001, and was
    discharged from Methodist on May 31. She continues to have a colostomy.
    On July 18, 2002, Ms. Abshure and her husband, Billy Jack Abshure (collectively, “the
    Abshures”) filed an action against Methodist, Dr. Upshaw, and Dr. Ogle in general sessions court.
    Defendants were properly served. The Abshures voluntarily nonsuited their action pursuant to
    Tennessee Rule of Civil Procedure 41.01 (“Rule 41.01") in August 2002. On June 23, 2003, within
    the one-year period provided by the savings statute, the Abshures recommenced their medical
    malpractice action in the Shelby County Circuit Court. Defendants answered and denied claims of
    negligence.
    In December 2003, Dr. Upshaw moved for summary judgment. In his expert affidavit,
    statement of undisputed facts, and memorandum of law, Dr. Upshaw asserted he had performed the
    colonoscopy within the recognized standard of care and that there had been no apparent
    complications. He asserted that the Abshures had failed to submit any evidence to demonstrate a
    disputed issue of material fact despite having an ample opportunity to do so, and that he was entitled
    to a judgment as a matter of law. Dr. Ogle moved for summary judgment in September 2004. In
    his expert affidavit, statement of undisputed facts and memorandum of law, Dr. Ogle asserted he had
    treated Ms. Abshure within the recognized standard of care and was entitled to summary judgment
    as a matter of law.
    In June 2005, the Abshures filed the expert affidavit of Kandarp K. Shaw, M.D. (Dr. Shaw).
    In his affidavit, Dr. Shaw asserted that, after reviewing the medical records, in his opinion the
    emergency room “staff of Methodist Hospital acted with less than or failed to act within acceptable
    standards of care.” He opined that, “based upon a reasonable degree of medical certainty, that as a
    proximate result of Methodist Hospital ER staffs’ acts or omissions, Ms. JoAnn Abshure suffered
    injuries that would not otherwise have occurred.” Dr. Shaw stated,
    [m]ore specifically, it is my opinion that the Methodist Hospital ER staffs’ improper
    administration of enemas to a post-colonoscopy patient with possible perforation
    more likely than not contributed to the spread of feces from the colon into the
    peritoneal cavity, which caused Ms. Abshure to have more severe complications of
    perforation after colonoscopy than she would have, if enemas were not given.
    -2-
    Although the Abshures’ motion is not included in the record transmitted to this Court, on July
    8, 2005, the trial court granted their motion to voluntarily dismiss Dr. Upshaw and Dr. Ogle, for the
    second time. In the meantime, on May 6, 2004, the statute of repose applicable to Dr. Ogle expired.
    In October 2007 and March 2008, the Abshures filed the expert affidavits of Frank C.
    Westmeyer, M.D. (Dr. Westmeyer). In his October 2007 affidavit, Dr. Westmeyer stated that, after
    reviewing Ms. Abshure’s medical records, it was his opinion that Dr. Ogle had not acted within the
    acceptable standard of care. He stated that Dr. Ogle had deviated from the standard of care when
    he ordered that enemas be administered to Ms. Abshure before knowing the results of the CT scan
    where Dr. Ogle knew Ms. Abshure had recently undergone a colonoscopy. He opined that Dr.
    Ogle’s acts proximately caused injuries to Ms. Abshure that would not have occurred otherwise. In
    his March 2008 affidavit, Dr. Westmeyer stated that, in his opinion, the ER staff of Methodist
    Hospital failed to act within the acceptable standard of care. He stated that the ER staff should have
    realized Ms. Abshure was a post-colonoscopy patient with suspected perforation who could have
    colonic perforation, and that the improper administration of enemas more likely than not contributed
    to the severe complications experienced by Ms. Abshure.
    Methodist took Dr. Westmeyer’s deposition in June 2008. In his deposition, Dr. Westmeyer
    stated that the only ER staff member who, in his opinion, had failed to act within the standard of care
    was Dr. Ogle. When asked, “[a]nd those are the only opinions of negligence about any of the health
    care providers in this case that you have in this case that you’re going to give is that Dr. Ogle was
    negligent; correct?” Dr. Westmeyer replied, “[t]hat is correct.”
    Methodist filed a motion to dismiss/motion for summary judgment in May 2008. In its
    statement of undisputed facts and memorandum of law, Methodist asserted two alternate and
    independent reasons for dismissal. First, Methodist asserted that, because the Abshures’ claim
    against it was based solely on vicarious liability, and because the Abshures had nonsuited their claim
    against Dr. Ogle in July 2005 and could not sue him again, and because the statute of repose had run
    with respect to Dr. Ogle, extinguishing both the Abshures’ remedy and right of action, Methodist
    could not be held vicariously liable for the alleged negligence of Dr. Ogle. Methodist further
    asserted that vicarious liability under an apparent agency theory had been eliminated by the
    Abshures’ execution of “certain documents.”
    Methodist filed two supplemental memoranda in June 2008. In its first supplemental
    memorandum, Methodist noted that the Abshures’ nonsuit of Dr. Ogle in circuit court was the
    second nonsuit and asserted that the Abshures did not allege that Dr. Ogle was an employee or agent
    of Methodist in their complaint. Methodist asserted this allegation was “recently deduced” from Dr.
    Westmeyer’s deposition. Methodist withdrew its assertion that Dr. Ogle could not be considered an
    agent of Methodist under its General Conditions of Admission documents in light of the supreme
    court’s decisions in Boren v. Weeks, 
    251 S.W.3d 426
     (Tenn. 2008) and Dewald v. Hospital
    Corporation of America, 
    251 S.W.3d 423
     (Tenn. 2008) in May 2008. Methodist asserted, however,
    that under this Court’s opinions in Rankhorn v. Sealtest Foods, 
    479 S.W.2d 649
     (Tenn. Ct. App.
    1971) and Huber v. Marlow, No. E2007-01879-COA-R9-CV, 
    2008 WL 2199827
     (Tenn. Ct. App.
    -3-
    May 28, 2008), the passing of the statute of repose applicable to Dr. Ogle extinguished any vicarious
    liability of Methodist for the alleged negligence of Dr. Ogle. Methodist asserted that, where Dr. Ogle
    had been nonsuited and the savings statute, statute of limitations, and statute of repose had run,
    extinguishing the Abshures’ right of action against Dr. Ogle, Methodist could not be held vicariously
    liable for the negligence of Dr. Ogle. Methodist further argued that the Abshures extinguished Dr.
    Ogle’s liability by nonsuiting Dr. Ogle in spite of Dr. Shah’s affidavit and Dr. Ogle’s motion for
    summary judgment.
    In its second supplemental memorandum, Methodist asserted that the Abshures’ second
    nonsuit of Dr. Ogle in effect operated as a dismissal with prejudice where it was the second
    voluntary nonsuit of Dr. Ogle and where the savings statute, statute of limitations, and statute of
    repose had run. Methodist asserted that it could not be held to be vicariously liable for Dr. Ogle’s
    acts where the Abshures’ right of action against Dr. Ogle had been extinguished and where the
    Abshures had conferred a substantive right on Dr. Ogle by nonsuiting him a second time after the
    running of the statute of limitations, statute of repose, and/or savings statute.
    The Abshures filed a memorandum in opposition to summary judgment and the matter was
    heard by the trial court on June 19, 2008. On July 2, 2008, the trial court entered final judgment
    awarding summary judgment to Methodist.
    In its July 2 order, the trial court found that, upon the second nonsuit of Dr. Ogle in July
    2005, any claims against him “were effectively dismissed with prejudice and barred as no case could
    be refiled against Dr. Ogle.” The trial court further found that the Abshures failed to allege vicarious
    liability against Methodist for the acts or omissions of Dr. Ogle in their complaint “in a manner
    sufficient to permit a reasonable inference that Methodist was on notice of such a claim within the
    [time frame] of the running of the statute of repose,” and that Methodist was not put on notice of the
    vicarious liability claim until it took Dr. Westmeyer’s deposition in April 2008. The court concluded
    that, as a matter of law, Methodist could not be held vicariously liable where the claims against Dr.
    Ogle were barred by the statute of repose.
    The trial court alternatively and independently determined that the Abshures’ claim against
    Dr. Ogle was effectively dismissed with prejudice when the Abshures nonsuited their claim for the
    second time. The court concluded that the second nonsuit
    had the effect of extinguishing any claim or cause of action against Dr. Ogle
    (exonerating him) and/or conferred upon Dr. Ogle an affirmative, substantive right
    that precluded assessment of liability against him (i.e., the vested substantive right
    not to be sued and rely upon the running of the statute of limitations and/or repose).
    The trial court stated, “[t]his also extinguishes and bars any vicarious liability on the part of
    Methodist for the alleged acts or omissions of Dr. Ogle.” The Abshures filed a timely notice of
    appeal to this Court.
    -4-
    Issues Presented
    The Abshures present the following issues for our review:
    1.     Whether the trial court erred in finding that, during the pendency of a medical
    malpractice lawsuit against both a medical provider agent and his hospital
    principal, plaintiffs taking a second non-suit of claims against the doctor
    agent, extinguished the cause of action against the doctor agent such that the
    plaintiffs could also no longer continue their case for vicarious liability
    against the hospital principal?
    2.     Whether the trial court erred in finding that a plaintiffs Complaint for medical
    malpractice failed to allege vicarious liability against the hospital principal
    for the alleged acts or omissions of the medical provider agent in a manner
    sufficient [to] overcome a motion for summary judgment?
    3.     Whether the trial court erred in finding that, during the pendency of a lawsuit
    originally filed against both a principal hospital and its medical provider
    agent and subsequently dismissed twice as to the agent, the lapsing of the
    statute of repose as to the agent prevented the plaintiffs from continuing their
    lawsuit against the principal hospital?
    4.     Whether the trial court erred in finding that, during the pendency of a lawsuit
    originally filed against both a principal hospital and its medical provider
    agent and subsequently dismissed twice as to the agent, Plaintiffs taking the
    second non-suit as to the agent conferred upon the agent an affirmative,
    substantive right that barred any vicarious liability on the part of the agent's
    principal hospital for the alleged acts or omissions of the agent?
    The issues as we perceive and reword them are:
    (1)    Whether the trial court erred in determining that the Abshures failed to assert
    a claim of vicarious liability against Methodist in their complaint.
    (2)    Whether the expiration of the statute of repose applicable to Dr. Ogle
    extinguished the Abshures’ claim against Methodist by operation of law.
    (3)    Whether the Abshures conferred an affirmative, substantive right upon Dr.
    Ogle when they voluntarily dismissed him pursuant to Rule 41.01 for the
    second time and beyond the one-year period provided by the savings statute,
    thereby extinguishing their vicarious liability claim against Methodist.
    -5-
    (4)     Whether the Abshures’ second Rule 41.01 voluntary dismissal of Dr. Ogle,
    filed beyond the one year period for refiling permitted by the savings statute,
    effectively operated as a dismissal with prejudice, thereby extinguishing
    and/or barring the Abshures’ vicarious liability claim against Methodist.
    Standard of Review
    Our review of a trial court’s award of summary judgment is well-settled and recently has
    been clarified more definitively by the supreme court. We review the trial court’s judgment award
    of summary judgment de novo with no presumption of correctness, reviewing the evidence in the
    light most favorable to the nonmoving party and drawing all reasonable inferences in that party’s
    favor. Martin v. Norfolk Southern Ry. Co., 
    271 S.W.3d 76
    , 84 (Tenn. 2008)(citations omitted).
    Summary judgment is appropriate only where the “pleadings, depositions, answers to
    interrogatories, and admissions on file, together with the affidavits . . . show that there is no genuine
    issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.”
    Id. at 83 (quoting Tenn. R. Civ. P. 56.04). The burden of persuasion is on the moving party to
    demonstrate, by a properly supported motion, that there are no genuine issues of material fact and
    that it is entitled to judgment as a matter of law. Id. (citations omitted).
    After the moving party has made a properly supported motion, the nonmoving party must
    establish that genuine issues of material fact exist. Id. (citations omitted). To satisfy its burden, the
    nonmoving party may: (1) point to evidence of over-looked or disregarded material factual disputes;
    (2) rehabilitate evidence discredited by the moving party; (3) produce additional evidence that
    establishes the existence of a genuine issue for trial; or (4) submit an affidavit asserting the need for
    additional discovery pursuant to Rule 56.06 of the Tennessee Rules of Civil Procedure. Id. (citations
    omitted). The court must accept the nonmoving party’s evidence as true, resolving any doubts
    regarding the existence of a genuine issue of material fact in that party’s favor. Id. (citations
    omitted). A disputed fact that must be decided to resolve a substantive claim or defense is material,
    and it presents a genuine issue if it reasonably could be resolved in favor of either one party or the
    other. Id. (citations omitted). With this standard in mind, we turn to the issues raised on appeal.
    Analysis
    In its brief to this Court, the Abshures assert that the trial court erred by determining that their
    complaint did not state a cause of action against Methodist under a theory of vicarious liability; that
    their cause of action against Methodist was not extinguished by operation of law by the expiration
    of the three-year statute of repose applicable to medical malpractice actions; and that their second
    voluntary nonsuit of Dr. Ogle did not extinguish their claim against Methodist by operation of law
    or by conferring upon Dr. Ogle an affirmative substantive right that would preclude an assessment
    of liability against him. Methodist’s assertions are the polar opposite. It contends it had no notice
    that the Abshures were pursuing a claim against it on the basis of vicarious liability until it took Dr.
    Westmeyer’s deposition in 2008. Methodist further asserts that the Abshures’ Rule 41.01 voluntary
    -6-
    nonsuit of Dr. Ogle extinguished their vicarious liability claim by operation of law where the statute
    of repose applicable to medical malpractice actions had expired. Finally, Methodist asserts that the
    Abshures’ claim was extinguished by operation of law when the Abshures voluntarily dismissed Dr.
    Ogle for the second time beyond the one-year period provided by the savings statute, and/or that the
    second nonsuit conferred upon Dr. Ogle an affirmative, substantive right precluding an assessment
    of liability against him. We address these arguments in turn.
    Sufficiency of the Complaint
    We first turn to whether the trial court erred in determining the Abshures had failed to assert
    a claim of vicarious liability against Methodist in their complaint. In their June 2003 complaint, the
    Abshures named as Defendants “Jeremiah Upshaw, M.D., Luther C. Ogle III, M.D., Methodist
    Healthcare Memphis Hospital.” They asserted injury as the result of negligence on the part of Dr.
    Upshaw in paragraph 18 of the complaint, and injury as the result of negligence on the part of Dr.
    Ogle in paragraph 19. Paragraph 20 stated,
    Defendant Methodist Healthcare Memphis Hospital was negligent in not seeing that
    proper care was furnished to Plaintiff Abshure, and further Methodist Healthcare
    Memphis Hospitals’ agents and/or employees were negligent in the medical care and
    attention rendered to Plaintiff and did not exercise the degree of care, skill, and
    diligence used by medical facilities and their staff generally and under the
    circumstances which presented themselves, including but not limited to the choice
    of medical techniques employed by Methodist Healthcare Memphis Hospitals in
    caring for Plaintiff.
    As the Abshures note, a plaintiff is not required to name in his complaint the agents or
    employees of the entity against which it asserts a claim of vicarious liability for the negligence of
    those agents or employees. Knight v. Hosp. Corp. of Am., No. 01A01-9509-CV-00408, 
    1997 WL 5161
    , at *3 (Tenn. Ct. App. Jan. 8, 1997). Additionally, the failure to use the term “vicarious
    liability” is not fatal in the face of a motion for summary judgment where the claim has been
    presented or framed within the context of the materials submitted by the parties. Id. at *4. The
    primary purpose of the pleadings is to give notice of the claims asserted. Keisling v. Keisling, 
    92 S.W.3d 374
    , 377 (Tenn. 2002).
    As noted, the Abshures named Dr. Ogle, Methodist’s agent, in their complaint. Additionally,
    in its October 2003 answer, Methodist recited, as its sixth affirmative defense, “[t]his defendant
    affirmatively denies any liability, vicarious or otherwise, for the acts or omissions of any co-
    defendants or any of their agents, servants or employees.” In light of its answer, we find Methodist’s
    contention that it had no notice that the Abshures were asserting a claim of vicarious liability until
    it took Dr. Westmeyer’s deposition to be somewhat disingenuous. We reverse the order of the trial
    court insofar as it concluded the Abshures had failed to assert a claim of vicarious liability in their
    complaint.
    -7-
    Expiration of the Statute of Repose
    In its brief to this Court, Methodist cites Rankhorn v. Sealtest Foods, 
    479 S.W.2d 659
     (Tenn.
    Ct. App. 1971) and Huber v. Marlow, E.2007-01879-COA-R9-CV, 
    2008 WL 2199827
     (Tenn. Ct.
    App. May 28, 2008), for the proposition that the Abshures’ claim under a theory of vicarious liability
    is barred by operation of law in accordance with Johnson v. LeBonheur Children’s Medical Center,
    
    74 S.W.3d 338
     (Tenn. 2002), because the statute of repose applicable to Dr. Ogle has expired.1 Had
    the Abshures failed to assert a claim against Methodist under a theory of vicarious liability, we
    would agree that, under Rankhorn and Huber, they would be unable to amend their complaint to
    assert such a claim after the statute of repose applicable to Dr. Ogle had expired. In light of our
    construction of the Abshures’ complaint and Methodist’s answer, however, whether the Abshures
    may amend their complaint is moot. Additionally, the running of the statute of repose during the
    pendency of this lawsuit is without effect.
    As Methodist asserts, the running of the three year statute of repose applicable to medical
    malpractice actions set forth in Tennessee Code Annotated § 28-3-104 is substantive and
    extinguishes both the plaintiff’s right and remedy with respect to the filing of an initial cause of
    action. Methodist’s reliance on Rankhorn for the proposition that the running of the statute of repose
    operates to extinguish a plaintiff’s right and remedy following a voluntary nonsuit, however, is
    misplaced. Subsequent to our holding in Rankhorn, the supreme court held that a plaintiff who
    timely files his action within the statutes of limitations and repose and voluntarily nonsuits his action
    may rely on the savings statute and re-file his action within one year despite the expiration of the
    statute of repose. Cronin v. Howe, 
    906 S.W.2d 910
    , 914-915 (Tenn. 1995). Thus, where an initial
    claim is timely filed, the expiration of the statute of repose will not extinguish a claim for vicarious
    liability by operation of law where the plaintiff voluntarily nonsuits his action in accordance with
    Tennessee Rules of Civil Procedure 41.01 and the savings statute.
    The Second Rule 41.01 Dismissal
    1
    Tennessee Code Annotated § 29-26-116 (2000) provides, in pertinent part:
    (a)(1) The statute of limitations in malpractice actions shall be one (1) year as set forth in § 28-3-104.
    (2) In the event the alleged injury is not discovered within such one (1) year period, the
    period of limitation shall be one (1) year from the date of such discovery.
    (3) In no event shall any such action be brought more than three (3) years after the date on
    which the negligent act or omission occurred except where there is fraudulent concealment on the part
    of the defendant, in which case the action shall be commenced within one (1) year after discovery that
    the cause of action exists.
    -8-
    The determinative issue presented by this appeal is the substantive effect of the Abshures’
    second Rule 41.01 voluntary dismissal,2 which was taken well beyond the one-year savings period
    provided by the savings statute as codified at Tennessee Code Annotated § 28-1-1053 and while Dr.
    Ogle’s motion for summary judgment was pending before the trial court. The trial court’s July 2005
    order dismissing the Abshures’ claims against Dr. Upshaw and Dr. Ogle pursuant to Rule 41.01 does
    not state whether the dismissal was with or without prejudice. In its order granting Methodist’s
    motion for summary judgment, however, the trial court determined that the second nonsuit
    effectively resulted in a dismissal with prejudice where the savings statute had expired and the
    Abshures could not refile their action against Dr. Ogle. The trial court also determined that the
    second dismissal served to exonerate Dr. Ogle and/or confer a substantive right upon Dr. Ogle that
    precluded the assessment of liability against him.
    2
    Tennessee Rule of Civil Procedure 41.01 provides:
    (1) Subject to the provisions of Rule 23.05, Rule 23.06, or Rule 66 or of any statute, and
    except when a motion for summary judgment made by an adverse party is pending, the plaintiff shall
    have the right to take a voluntary nonsuit to dismiss an action without prejudice by filing a written
    notice of dismissal at any time before the trial of a cause and serving a copy of the notice upon all
    parties, and if a party has not already been served with a summons and complaint, the plaintiff shall
    also serve a copy of the complaint on that party; or by an oral notice of dismissal made in open court
    during the trial of a cause; or in jury trials at any time before the jury retires to consider its verdict and
    prior to the ruling of the court sustaining a motion for a directed verdict. If a counterclaim has been
    pleaded by a defendant prior to the service upon the defendant of plaintiff's motion to dismiss, the
    defendant may elect to proceed on such counterclaim in the capacity of a plaintiff.
    (2) Notwithstanding the provisions of the preceding paragraph, a notice of dismissal operates
    as an adjudication upon the merits when filed by a plaintiff who has twice dismissed in any court an
    action based on or including the same claim.
    (3) A voluntary nonsuit to dismiss an action without prejudice must be followed by an order
    of voluntary dismissal signed by the court and entered by the clerk. The date of entry of the order will
    govern the running of pertinent time periods.
    3
    Tennessee Code Annotated § 28-1-105 (2000) provides:
    (a) If the action is commenced within the time limited by a rule or statute of limitation, but
    the judgment or decree is rendered against the plaintiff upon any ground not concluding the plaintiff's
    right of action, or where the judgment or decree is rendered in favor of the plaintiff, and is arrested,
    or reversed on appeal, the plaintiff, or the plaintiff's representatives and privies, as the case may be,
    may, from time to time, commence a new action within one (1) year after the reversal or arrest.
    Actions originally commenced in general sessions court and subsequently recommenced pursuant to
    this section in circuit or chancery court shall not be subject to the m onetary jurisdictional limit
    originally imposed in the general sessions court.
    (b) In the case of a contract which limits the time within which an action arising out of such
    contract must be brought, if such action is commenced within the time as limited by the contract but
    the judgment or decree is rendered against the plaintiff upon any ground not concluding the plaintiff's
    right of action, or where the judgment or decree is rendered in favor of the plaintiff, and is arrested,
    or reversed on appeal, the plaintiff, or the plaintiff's representatives or successors, as the case may be,
    m ay, from time to time, commence a new action within one (1) year after the nonsuit, dism issal
    without prejudice, reversal or arrest.
    -9-
    On appeal, the Abshures assert that to hold that the
    procedural effect of the Abshures’ decision to allow a second non-suit as to the agent,
    Dr. Ogle, . . . operate[s] to substantively extinguish the right to a cause of action
    against him such that Methodist as his principal [w]ould also be allowed to get out
    ‘scot-free’ from the pending litigation alleging Methodist is vicariously liable . . .
    [would] undo at least a century of case law that in cases of respondeat superior, a
    plaintiff may sue either or both the agent and his principal.
    The Abshures further cite Rankhorn for the proposition that the taking of a voluntary nonsuit “just
    makes it seem as though a nonsuited defendant had never been sued.”
    The supreme court definitively established the three instances in which a principal may not
    be held vicariously liable for the acts of its agent in Johnson v. LeBonheur Children’s Medical
    Center, 
    74 S.W.3d 338
     (Tenn. 2002). The Johnson court defined these instances as:
    (1) when the agent has been exonerated by an adjudication of non-liability, (2) when
    the right of action against the agent is extinguished by operation of law, or (3) when
    the injured party extinguishes the agent’s liability by conferring an affirmative,
    substantive right upon the agent that precludes assessment of liability against the
    agent.
    Johnson, 74 S.W.3d at 345 (citing see Rankhorn v. Sealtest Foods, 
    63 Tenn. App. 714
    , 721, 
    479 S.W.2d 649
    , 652 (1971)). Although there has been no exoneration by an adjudication of non-
    liability in the present case, we agree with Methodist that the Abshures’ right of action against Dr.
    Ogle has been extinguished by operation of law and that the Abshures have conferred upon Dr. Ogle
    an affirmative substantive right that precludes an assessment of liability against him.
    We acknowledge that, as the Abshures assert, in Rankhorn we stated that the plaintiff’s
    voluntary nonsuit of the principal/defendant’s agent did not extinguish plaintiffs cause of action
    against the principal under the doctrine of respondeat superior. See Rankhorn, 479 S.W.2d at 652.
    We further stated that, under the circumstances present in Rankhorn, the plaintiff’s voluntary
    dismissal of the agent did not confer any affirmative substantive right on the agent that would
    prevent recovery against him. Id. Rather, the nonsuit “produced the same effect as if the employee
    had never been sued.” Id. The case now before us, however, differs circumstantially.
    Although Rule 41.01 permits two voluntary nonsuits before a voluntary dismissal is
    considered an adjudication on the merits, it is well-settled that Rule 41.01 is subject to the time
    limitations contained in the savings statute. Payne v. Matthews, 
    633 S.W.2d 494
    , 496 (Tenn. Ct.
    App. 1982). Thus, despite the provision in Rule 41.01 that a plaintiff might twice voluntarily
    dismiss an action without prejudice, the savings statute limits the plaintiff’s right to refile his action
    to one year following the date of entry of the first order of voluntary dismissal. Id. The Payne court
    -10-
    held that although Rule 41.01 provides a “right” to two voluntary nonsuits, “this right is subject to
    the provisions” of the savings statute. Id. Accordingly, the expiration of the one year provided by
    the savings statute extinguishes both the remedy and the right of action where an action is voluntarily
    nonsuited and is not refiled within one year of the date of the original nonsuit. See id.
    In the case now before us, the Abshures undisputedly moved for a second voluntary nonsuit
    well beyond one year following the date of entry of the order granting their first nonsuit of Dr. Ogle.
    The general sessions court entered its order on the original voluntary nonsuit in August 2002, and
    the Abshures moved to voluntarily nonsuit Dr. Ogle for the second time in June 2005. Therefore,
    regardless of whether the second nonsuit is properly considered a “dismissal with prejudice,” by
    operation of the savings statute, the Abshures’ right of action against Dr. Ogle, Methodist’s agent,
    was extinguished in July 2005 upon entry of the order granting their second Rule 41.01 voluntary
    dismissal.
    Likewise, the Abshures’ second nonsuit of Dr. Ogle nearly three years after the general
    sessions court’s order granting the first Rule 41.01 voluntary dismissal extinguished Dr. Ogle’s
    liability by conferring upon him an affirmative, substantive right that precludes an assessment of
    liability against him in accordance with the third category recited in Johnson v. LeBonheur.
    Although the Abshures’ voluntary dismissal of Dr. Ogle does not preclude a finding of negligence,
    the Abshures voluntary dismissal in this case operated as a complete bar to any further action against
    Dr. Ogle where it was taken beyond the period provided by the savings statute for the refiling of an
    action. The voluntary dismissal in this case is the substantive equivalent of a covenant not to sue.
    It operated to relieve Dr. Ogle from any assessment of liability against him. Like a covenant not to
    sue, therefore, the second voluntary dismissal in this case gives rise to the third instance wherein a
    principal may not be held vicariously liable based upon the acts of its agent recited in Johnson v.
    LeBonheur. See Johnson v. LeBonheur Children’s Med. Ctr., 
    74 S.W.3d 338
    , 345 (Tenn.
    2002)(citing Stewart v. Craig, 
    344 S.W.2d 761
     (Tenn. 1961))(holding a covenant not to sue with
    employee barred a suit for negligence against employer based on vicarious liability).
    Less clear, however, is whether the trial court correctly concluded that its July 2005 order
    granting the Abshures’ second Rule 41.01 voluntary dismissal is properly considered a dismissal
    with prejudice. Rule 41.01 provides that a party has the right to take a voluntary nonsuit to dismiss
    an action without prejudice “except when a motion for summary judgment made by an adverse party
    is pending” or, in a jury trial, “any time before the jury retires to consider its verdict and prior to the
    ruling of the court sustaining a motion for a directed verdict.” In a jury trial, the trial court has no
    authority to grant a Rule 41.01 voluntary dismissal without prejudice where a plaintiff moves for the
    dismissal while the jury is deliberating. Lacy v. Cox, 
    152 S.W.3d 480
    , 481 (Tenn. 2002). Such a
    dismissal must be deemed to be with prejudice. Id.
    Similarly, a plaintiff has no right to a Rule 41.01 voluntary dismissal without prejudice when
    the adverse party’s summary judgment motion is pending. Stewart v. Univ. of Tennessee, 
    519 S.W.2d 591
    , 592 (Tenn. 1974). Notwithstanding this similarity in Rule 41.01, the decision to grant
    a Rule 41.01 voluntary dismissal during the pendency of the defendant’s motion for summary
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    judgment is within the sound discretion of the trial court. Id. Less clear, however, is whether the
    trial court may grant a plaintiff’s motion for dismissal under Rule 41.01 and deem it to be with
    prejudice where the motion was filed while the defendant’s motion for summary judgment was
    pending.
    Although the supreme court’s holding in Lacy suggests that Rule 41.01 contemplates
    circumstances under which a dismissal under the Rule may be deemed to be “with prejudice,” the
    Lacy court addressed a situation wherein the trial court lacked authority to grant a voluntary
    dismissal without prejudice under the rule. Thus it held that the “plaintiff’s voluntary dismissal in
    [that] case shall be with prejudice.” Lacy, 152 S.W.3d at 481. In Garrett v. Corry Foam Products
    Inc., 
    596 S.W.2d 808
    , 809-810 (Tenn. 1980), however, the supreme court reaffirmed that Tennessee
    does not recognize retraxit, “an open and voluntary renunciation of [a] suit in court, by [which] [a
    plaintiff] forever loses his action.” Garrett, 596 S.W.2d at 809-810 (citation omitted). The Garrett
    court observed that Tennessee Rule of Civil Procedure 41 governs both voluntary and involuntary
    dismissals, and that the words “with prejudice” in an order granting a voluntary dismissal were
    “surplusage.” Id. at 810. The Garrett court held that a consent order voluntarily dismissing an
    action operated as a nonsuit, and that it did not constitute a res judicata or bar a subsequent action.
    Id. The resolution of whether a trial court may exercise its discretion to grant a Rule 41.01 motion
    for voluntary dismissal during the pendency of an adverse party’s motion for summary judgment and
    deem it to be “with prejudice” will be left to another day, however, where it is unnecessary to our
    holding in this case.
    Holding
    In light of the foregoing, we reverse the order of the trial court insofar as it concluded the
    Abshures had failed to assert a claim of vicarious liability in their complaint and we affirm the trial
    court’s award of summary judgment to Methodist Healthcare Memphis Hospital. Costs of this
    appeal are taxed to the Appellants, Joann Abshure and Billy Jack Abshure, and their surety, for
    which execution may issue if necessary.
    ___________________________________
    DAVID R. FARMER, JUDGE
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