When a healthcare provider’s negligence causes serious injury or the death of a loved one, our attorneys fight to hold them accountable — and to recover the full compensation your family deserves. We have obtained one of Iowa’s largest medical malpractice verdicts in history.
FEATURED RESULT – NOVEMBER 2025
Past results do not guarantee a similar outcome.
Verdict against Mayo Clinic — among the largest medical malpractice verdicts in Iowa history
Every case is different. Speak with our attorneys directly — it’s free and confidential.
At Hixson & Brown, P.C., our medical malpractice attorneys bring decades of experience to patients and families across Iowa, Minnesota, and the United States who have been seriously harmed by negligent healthcare providers. We represent patients injured by surgeons, hospitals, emergency rooms, primary care physicians, specialists, and pharmacists — and families who have lost a loved one due to medical negligence.
In November 2025, we obtained a $19.8 million verdict against Mayo Clinic on behalf of Linette Nelson — one of the largest medical malpractice verdicts in Iowa history. This result reflects what our firm brings to every case: thorough preparation, national expert resources, and the willingness to take difficult cases all the way to trial.
We handle all medical malpractice cases on a contingency fee basis. There are no upfront costs and no attorney fees unless we recover compensation for you.
Medical malpractice is among the most complex areas of personal injury law. Winning requires far more than proving something went wrong — it requires proving what the correct standard of care was, how the provider deviated from it, and that the deviation directly caused the injury. That demands qualified medical experts, thorough record review, and attorneys who understand both the medicine and the law.
Preventable medical errors cause serious patient harm in the U.S. each year
Typical timeline from filing to trial in Iowa under Supreme Court standards
Iowa statute of limitations from discovery — contact an attorney immediately
Our attorneys represent patients and families in a wide range of medical negligence claims across Iowa, Minnesota, and the country. Every case receives the same depth of investigation, expert resources, and trial preparation.
Wrong-Site, Wrong-Patient & Wrong-Procedure Surgery
These are classified as "never events" — errors so egregious they should never occur under any circumstances. They represent a fundamental failure of the surgical safety systems every hospital is required to maintain. When they occur, liability is typically clear, though proving the full extent of damages still requires expert testimony.
Bowel Surgery Errors
Bowel perforations, anastomotic leaks, improper resections, and failure to diagnose post-operative complications are among the most serious surgical errors. Delays in recognizing a bowel injury can lead to sepsis, multiple additional surgeries, and permanent disability.
Gallbladder Surgery Errors
Bile duct injuries during laparoscopic cholecystectomy are a leading source of surgical malpractice claims. These injuries — often caused by misidentification of anatomy — can require complex reconstructive procedures and cause chronic, debilitating complications.
Diverticulitis & Colon Resection Errors
Improper surgical technique, failure to recognize post-operative complications, or premature discharge after colon resection can lead to catastrophic harm including fistula formation, peritonitis, and permanent colostomy.
Retained Surgical Objects
Sponges, instruments, or other objects left inside a patient following surgery lead to infection, organ damage, and additional invasive procedures to locate and remove them. These cases typically involve clear liability.
Bariatric Surgery Complications
Weight-loss surgeries carry significant risks that are compounded when providers fail to properly screen candidates, use inappropriate technique, or fail to monitor for post-operative leaks, strictures, or nutritional deficiencies.
Anesthesia Errors
Dosing miscalculations, failure to monitor vital signs during a procedure, improper intubation, or failure to account for a patient's drug interactions can cause permanent brain damage, cardiac arrest, or death.
Failure to Diagnose / Delayed Diagnosis
Missed or late diagnoses of cancer, heart attack, stroke, pulmonary embolism, appendicitis, meningitis, and other serious conditions can dramatically worsen outcomes and reduce survival rates. Many of these cases hinge on what a provider knew, when they knew it, and what further testing was indicated under the applicable standard of care.
Misdiagnosis
Treating the wrong condition causes direct harm from inappropriate treatment and delays the care needed for the actual illness. Misdiagnosis of cancer as a benign condition — or a stroke as a migraine — are common patterns we investigate.
Medication Errors & Prescription Errors
Administering the wrong drug, an incorrect dosage, or failing to account for dangerous drug interactions can cause serious, permanent injury. We represent patients harmed by hospital pharmacists, nurses who administer medications, and prescribing physicians who failed to review a patient's complete medication profile.
Failure to Order Appropriate Testing
A provider who does not order indicated imaging, labs, or specialist consultations — and who thereby fails to diagnose a serious condition in time — may be liable for the harm that results from the diagnostic delay.
Hospital Malpractice
Hospitals are responsible not only for the actions of their employed physicians and staff, but also for systemic failures — inadequate staffing, broken equipment, poor infection control, and deficient nursing care. We represent patients harmed by all forms of institutional negligence.
Emergency Room Errors
Overcrowded ERs and time-pressure decision-making create conditions for serious errors — misdiagnosis of heart attack or stroke, failure to order critical imaging, improper triage, and premature discharge of patients with unrecognized critical illness. These cases are time-sensitive because ER records and surveillance footage must be preserved quickly.
Obstetrical Errors & Birth Injuries
Negligent care during pregnancy, labor, or delivery — including failure to diagnose preeclampsia, HELLP syndrome, or fetal distress, delayed C-section, or improper use of delivery instruments — can cause catastrophic injury to both mother and baby. Our firm has specific depth in birth injury cases. See our dedicated Birth Injury page for complete information.
University of Iowa Hospitals & Clinics (UIHC)
As a state-run institution, UIHC is subject to the Iowa Tort Claims Act — which requires a formal notice of claim within 60 days of the incident and follows a separate procedural framework from standard malpractice litigation. Our firm has specific experience with UIHC claims and understands how to navigate these requirements without missing the critical notice deadline.
Post-Operative Care Failures
Many surgical injuries occur not in the operating room but in the post-operative period — when nursing staff fail to monitor for complications, when warning signs are dismissed, or when patients are discharged before they are medically stable. These cases often require detailed nursing standards experts in addition to surgical specialists.
Medical Malpractice Wrongful Death
When a provider's negligence causes a patient's death, surviving family members may pursue a wrongful death claim. Iowa law allows spouses, children, and parents to recover for the financial support, companionship, and care they have lost, in addition to medical expenses and funeral costs. There is no cap on economic damages in wrongful death cases.
Deep Vein Thrombosis (DVT) & Pulmonary Embolism (PE)
DVT and pulmonary embolism are preventable conditions in many hospitalized patients. Failure to implement DVT prophylaxis, failure to recognize DVT symptoms during recovery, or failure to act promptly on signs of PE can be fatal. When a provider's failure to meet the standard of care causes or worsens a DVT or PE, a malpractice claim may be warranted.
Sepsis & Infection Failures
Sepsis is a life-threatening response to infection that progresses rapidly. Hospitals have established protocols for early sepsis recognition and intervention. Failure to identify sepsis signs, administer antibiotics promptly, or follow established protocols can allow sepsis to progress to septic shock — causing organ failure, amputation, or death.
Failure to Monitor Post-Operative Patients
Inadequate monitoring of vital signs, oxygen saturation, or neurological status during recovery from surgery or anesthesia can allow deteriorating conditions to go unrecognized until they become catastrophic. These cases often require nursing standards experts and anesthesiology consultants.
We also handle claims involving Erb’s palsy, uterine rupture, and medical errors caused at long-term care and rehabilitation facilities.
Medical malpractice cases require attorneys who understand both the medicine and the law. Our team has investigated and litigated cases well beyond Iowa’s borders, working with medical experts, life care planners, and economists across the country. Medical malpractice laws vary significantly by state — including statutes of limitations, damages caps, expert witness requirements, and pre-suit notice rules. Our firm’s multi-state experience means we can guide families through the legal process regardless of where the injury occurred.
Our co-counsel partnership with Trial Lawyers for Justice (TL4J) extends our reach further for complex national cases requiring broader resources and expert networks. The $19.8M verdict against Mayo Clinic — a national healthcare institution headquartered in Minnesota — demonstrates our ability to take on major institutional defendants wherever they operate.
Iowa has specific procedural requirements for medical malpractice claims that differ significantly from other personal injury cases. Understanding these rules — and acting before critical deadlines — is essential to protecting your rights.
Under Iowa Code § 614.1(9)(a), medical malpractice claims must generally be filed within two years from the date you knew — or through reasonable diligence should have known — of your injury and its cause. This is known as the discovery rule, and it means the clock does not necessarily start on the date the malpractice occurred but on the date you had sufficient information to know a claim existed.
Iowa also imposes a six-year statute of repose — meaning no claim may be filed more than six years after the alleged malpractice occurred, regardless of when it was discovered. Narrow exceptions exist for cases involving foreign objects left in the body.
Special rule for minors: For children under age eight when the malpractice occurred, claims must generally be filed no later than the child's 10th birthday or within the standard two-year window — whichever is later. This recognizes that some developmental injuries may not be fully apparent until the child is older.
UIHC and government facility claims: Claims against the University of Iowa Hospitals and Clinics and other state-run facilities require a separate notice of claim filed within 60 days of the incident under the Iowa Tort Claims Act — far shorter than the general two-year period. Missing this deadline can permanently bar your claim regardless of its merit.
Because investigating malpractice cases takes time — often six months or more before a lawsuit can even be filed — contact an attorney as soon as you suspect negligence may have occurred.
Iowa families who successfully pursue a medical malpractice claim may recover compensation for:
In 2023, Iowa enacted caps on non-economic damages in medical malpractice cases: $1 million for claims against individual healthcare providers and $2 million for claims against hospitals. These caps apply only to non-economic damages such as pain and suffering and loss of enjoyment of life.
There are no caps on economic damages — medical expenses, lost wages, and future care costs are fully recoverable regardless of amount. In catastrophic injury cases, economic damages often represent the largest component of the total recovery, making the cap far less limiting in practice than it may initially appear.
Iowa Code § 147.136 also addresses recovery of economic damages replaced by "collateral sources" such as health insurance payments. An experienced attorney can help you understand how this affects your specific case.
Iowa law requires that before filing a medical malpractice lawsuit, the plaintiff must obtain a certificate of merit affidavit from a qualified medical expert. This affidavit must confirm there is a reasonable basis to believe that the healthcare provider's actions fell below the applicable standard of care and that this breach caused the claimed injury.
The expert providing the certificate of merit must be qualified in the same or a substantially similar specialty as the defendant — meaning a claim against a surgeon requires a surgical expert, a claim against an obstetrician requires an obstetric expert, and so on. Our attorneys work with a national network of qualified medical specialists to obtain the required certificate and build a strong expert foundation for every case we file.
Failure to obtain a certificate of merit within the required timeframe — or obtaining one from a provider who does not meet Iowa's qualification standards — can result in dismissal of the case with prejudice. This is one of several procedural requirements that make experienced legal representation essential from the earliest stages of a malpractice case.
The certificate of merit requirement is also one reason why investigating a malpractice case takes time. Gathering and analyzing complete medical records, identifying qualified experts, and obtaining their written opinions typically takes several months — another reason to contact an attorney as early as possible.
Not every bad medical outcome is malpractice. Medicine involves inherent risk, and sometimes serious complications occur even when a provider does everything correctly. Malpractice requires proving that the provider deviated from the accepted standard of care — meaning what a reasonably competent provider in the same specialty would have done in the same circumstances — and that this deviation directly caused the harm you suffered.
Common warning signs that warrant a legal review include: an unexpected complication that was not discussed as a known risk, a diagnosis of a condition that your provider recently told you was something else, a surgical outcome that does not match what was described before the procedure, or being told by a different provider that something was missed or done incorrectly. The only reliable way to know is to have a qualified attorney review your complete medical records with the assistance of a medical expert — which we do at no cost during the initial case evaluation.
In Iowa, the general rule is two years from the date you knew or should have known about the injury and its possible connection to medical care. Iowa also has a six-year statute of repose — meaning no claim can be filed more than six years after the malpractice occurred regardless of when it was discovered, with narrow exceptions.
For claims against state-run facilities like the University of Iowa Hospitals and Clinics, a formal notice of claim must be filed within 60 days of the incident — a much shorter deadline that is easy to miss if you don't know it applies. For children injured before age eight, claims must generally be filed by the child's 10th birthday. Because malpractice investigations take months before a lawsuit can be filed, contacting an attorney as soon as you suspect a problem is always the right move.
Compensation typically covers past and future medical expenses, lost wages and diminished earning capacity, pain and suffering, and loss of enjoyment of life. In wrongful death cases, surviving family members may recover for funeral expenses, the financial support the deceased would have provided, and loss of companionship and consortium.
Iowa enacted caps on non-economic damages in 2023 — $1 million against individual providers and $2 million against hospitals. Importantly, there are no caps on economic damages — meaning past and future medical costs, lost income, and future care expenses are fully recoverable regardless of amount. In serious malpractice cases involving permanent disability or long-term care needs, economic damages typically represent the largest portion of the recovery.
From the time we begin the investigation to resolution, most Iowa medical malpractice cases take two to four years. The pre-filing investigation alone typically takes six months to a year — gathering records, consulting experts, and obtaining the required certificate of merit. Once filed, Iowa's court system schedules cases to trial within approximately two to three years under Iowa Supreme Court standards.
Some cases settle before trial during the discovery process, which can shorten the timeline. Cases that require trial preparation to the point of jury selection — which we are always prepared to do — run the full course. We keep clients informed at every stage and never recommend accepting a settlement that doesn't fully reflect the long-term costs of the injury.
At Hixson & Brown, P.C., we handle all medical malpractice cases on a contingency fee basis. There are no upfront costs, no hourly fees, and no charge for your initial consultation. You pay attorney fees only if we successfully recover compensation — and only as a percentage of that recovery.
This ensures that every patient and family — regardless of financial circumstances — has access to the same quality of legal representation. It also means our incentives are aligned with yours: we are motivated to build the strongest possible case and recover the maximum compensation because our fee depends on your outcome.
The information on this website is for general informational purposes only and is not intended as legal advice. You should consult a qualified attorney regarding your specific situation.
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Every case is different. Prior results do not guarantee a similar outcome in your case.
Questions? Call (515) 222-2620