BLACKWELL, Justice.
Deloris Gaulden experienced cardiac arrest, and she died in the emergency department of Liberty Regional Medical Center. Her daughter sued Bobby L. Herrington, M.D., the medical director of the emergency department, alleging that Gaulden could have been saved, if only her treating physician and nurse had promptly and properly implemented a chest pain protocol that the hospital had adopted.
To make out a case of medical malpractice, the plaintiff usually must prove that she was, in fact, a patient of the defendant-physician. See Bradley Center v. Wessner, 250 Ga. 199, 201, 296 S.E.2d 693 (1982) (in "classic medical malpractice actions," "doctor-patient privity is essential because it is this relation which exists between physician and patient which is a result of a consensual transaction that establishes the legal duty to conform to a standard of conduct" (Citation and punctuation omitted)). See also Rindsberg v. Neacsu, 317 Ga.App. 269, 272, 730 S.E.2d 525 (2012); Schrader v. Kohout, 239 Ga.App. 134, 136-137, 522 S.E.2d 19 (1999). In this case, of course, it is undisputed that Dr. Herrington did not treat Gaulden. But the usual rule has a few recognized exceptions, and in this case, the Court of Appeals found such an exception, relying upon its own decision in Gray v. Vaughn, 217 Ga.App. 872, 460 S.E.2d 86 (1995), as well as Restatement (Second) of Torts § 324A (a). We conclude, however, that neither Gray nor Section 324A (a) properly applies in this case.
In Gray, a young boy presented in a hospital emergency room with certain symptoms, but his treating physician failed to diagnose spinal meningitis as the cause of those symptoms. The failure of the physician to properly diagnose the condition of the boy arguably was, at least in part, a consequence of the failure of the hospital nursing staff to properly document his medical history. The parents of the boy sued a professional corporation that had contracted with the hospital to, among other things, supervise the hospital nursing staff. Pointing specifically to the provision of the contract in which the professional corporation agreed to "be responsible for determining the manner and method in which [the nursing staff] assist [emergency physicians] in the diagnosis and treatment of illness or injury," the Court of Appeals held that the corporation owed a duty to the boy to supervise the provision of nursing care in the emergency room. 217 Ga.App. at 873-874(1), 460 S.E.2d 86. In this case, the Court of Appeals understood Gray broadly to stand for the proposition that "the failure to adequately supervise emergency room staff can result in liability for any damages resulting from such failure by one whose responsibility it is to provide such supervision." Gaulden, 319 Ga.App. at 87(1), 733 S.E.2d 802 (punctuation omitted). But any precedential decision must be read in the light of the facts presented in that case, see Thomas County Bd. of Tax Assessors v. Thomasville Garden Center, 277 Ga.App. 591, 592(1), 627 S.E.2d 192 (2006), and in Gray, the defendant-professional corporation undertook not only to supervise the nursing staff, but also to direct the method and manner of care rendered by the nursing staff, a circumstance that the Gray court explicitly noted. Gray, 217 Ga.App. at 873-874(1), 460 S.E.2d 86. Unlike the professional corporation in Gray, Dr. Herrington had no responsibility or authority as medical director to control or direct "the manner and method" of care rendered to Gaulden by her treating physician
About Section 324A, our Court has adopted it as an accurate statement of the common law. Huggins v. Aetna Casualty & Surety Co., 245 Ga. 248, 249, 264 S.E.2d 191 (1980). See also Argonaut Ins. Co. v. Clark, 154 Ga.App. 183, 184-185(2), 267 S.E.2d 797 (1980). Under Section 324A,
Huggins, 245 Ga. at 249, 264 S.E.2d 191 (citation and punctuation omitted). In this case, the Court of Appeals pointed to Section 324A (a), and it reasoned that,
Gaulden, 319 Ga.App. at 91(1), 733 S.E.2d 802. This reasoning, we think, is unsound in an important respect.
As our Court of Appeals previously has explained, Section 324A (a) applies only to the extent that the alleged negligence of the defendant "exposes the injured person to a greater risk of harm than had existed previously." Taylor v. AmericasMart Real Estate, 287 Ga.App. 555, 559(1)(b), 651 S.E.2d 754 (2007) (punctuation and footnote omitted). Accordingly, Section 324A (a) "applies when a nonhazardous condition is made hazardous through the negligence of a person who changed its condition or caused it to be changed.... Liability ... does not attach for failing to decrease the risk of harm." BP Exploration & Oil v. Jones, 252 Ga.App. 824, 830(2)(a), 558 S.E.2d 398 (2001) (punctuation and footnote omitted). Put another way, the mere failure to abate a hazardous condition — without making it worse — does not trigger the application of Section 324A (a). See id. In this case, we find no evidence in the record that the risk to Gaulden was "escalated," see id., by the alleged failure of Dr. Herrington to adequately supervise the training of emergency department physicians and staff. At most, Dr. Herrington might be said to have failed to resolve a misunderstanding of the physicians and staff about the precise requirements of the chest pain protocol, a misunderstanding that no evidence suggests was of his own making. As such, there is no evidence that he affirmatively increased the risk of harm to patients such as Gaulden, and Section 324A (a) does not apply.
The decision of the Court of Appeals rests entirely upon its application of the principles of law set forth in Gray and Section 324A (a). Neither principle properly applies in this case. Accordingly, the judgment of the Court of Appeals is reversed.
Judgment reversed.
All the Justices concur.