The doctrine that lets an injured person prove negligence from the accident itself when the cause is unknown but the event is one that does not ordinarily happen without carelessness - its elements, the exclusive-control requirement and how it has loosened, what the doctrine does procedurally (an inference, or a presumption shifting the burden), and where it is and is not used.
A negligence plaintiff must prove what the defendant did wrong. Sometimes that is impossible even though the accident plainly resulted from carelessness - a surgical instrument left inside a patient, a barrel falling from a warehouse window, an elevator dropping, a bottle exploding on a shelf, a bus leaving the road on a clear day. Res ipsa loquitur ("the thing speaks for itself") is the rule of circumstantial evidence that allows a fact-finder to infer negligence from the character of the accident when the plaintiff can show three things: that the event is of a kind that ordinarily does not occur without someone's negligence; that it was caused by an agency or instrumentality within the defendant's exclusive control (or, in the modern formulation, that other responsible causes, including the plaintiff's own conduct, are sufficiently eliminated); and that the plaintiff did not contribute to the harm. The plaintiff need not identify the specific act; the doctrine supplies the missing proof.
The exclusive-control element is applied with common sense rather than literally: a hotel is responsible for a chair thrown from an upper window only if the evidence points to the hotel rather than to a guest, while a manufacturer can be reached for a sealed product that failed even though it passed through a distributor and a retailer, because the evidence shows nothing happened to it along the way. Courts have relaxed the element further in medical cases where an unconscious patient is injured in a way unrelated to the procedure and several providers had control at different moments; in that situation some states let the inference run against all of them and require each to explain, since the patient cannot. Expert testimony is usually needed to establish the first element where the subject is technical - that a particular surgical outcome does not happen without negligence - but not where common experience supplies the answer.
What the doctrine does procedurally varies by state and is the point most often litigated. In most states it creates a permissible inference: the case goes to the jury, which may find negligence from the circumstances but need not, and the defendant may rebut with evidence of due care or of another cause. In some states it creates a presumption that shifts to the defendant the burden of producing evidence, or even of persuading the jury, that it was not negligent. The doctrine does not apply where the plaintiff has direct evidence of the specific negligent act (though the two can be pleaded in the alternative), where the accident is one that commonly occurs without fault, or where the cause is as consistent with an innocent explanation as with a negligent one. In strict-liability product cases the parallel "malfunction theory" lets a plaintiff prove a defect from the failure of a product in normal use without identifying the defect, and several states recognise a comparable inference for aviation and common-carrier accidents.
The doctrine is a tool for the case where the injury is obvious and the mechanism is not - a retained surgical object, a collapsing structure, an object falling from a building, a product that failed in normal use - and a lawyer should be asked whether it applies before the client assumes that not knowing what went wrong means having no case. It rarely wins on its own; the defendant will offer an innocent explanation, and the plaintiff's lawyer has to eliminate the other causes with evidence. Preserving the instrumentality - the product, the equipment, the records - immediately after the accident is what makes the doctrine usable later.
Choose your state. Each link opens the directory page for the city in that state with the most currently published law firms in this practice area; a +n beside the city is how many other cities in the state also have one. The list is generated when this page loads, so a state whose listings have lapsed drops out rather than becoming a dead link.