Nicole G. Andrews

Ms. Andrews has 16 years of experience as a litigator. She concentrates her practice on civil litigation, primarily medical malpractice defense. Her approach to cases is to make complex concepts accessible to the jury. Clients' issues and concerns are approached personally and resolved collaboratively. Client collaboration remains a focus with new secure internet tools to keep the client involved in the litigation process. Ms. Andrews has served as lead counsel in the defense of hospitals and nurses in a broad range of cases involving such issues as maternal and fetal injuries during labor and delivery, neurological damage, paralysis, drug overdose, respiratory depression as a result of conscious sedation procedures, pulmonary embolus, loss of limb, sexual misconduct in the hospital setting, aortic dissection, decubitus ulcer, sepsis and many others.

Ms. Andrews' practice covers all phases of defense of health care liability claims, including discovery, witness preparation, expert retention, pretrial matters, motion practice, settlement negotiations and trial. Many of these cases involve large document production against aggressive, well-financed plaintiff's counsel.

As a result of her experience in litigating cases from start to finish, Ms. Andrews is frequently called upon to lecture and advise health care providers regarding issues relating to documentation, HIPAA violation, dangers of social media, chain of command violations, and effects of being reported to boards of nursing examiners. She has presented and lectured to physicians, hospital directors, risk managers and charge nurses on the defense of medical malpractice claims. In addition, Ms. Andrews advises clients on a wide variety of matters, including HIPAA compliance, Physician and Nursing Peer Review matters, Implementing and formulating Policies and Procedures Root Cause Analysis and Sentinel Events.

Ms. Andrews has successfully negotiated 90 percent of all claims to resolution. Those that did not resolve ended in defense verdicts or settlements significantly below the settlement demand. Ms. Andrews has worked on a number of high-profile cases including one involving a patient claiming to have had an episiotomy that was improperly repaired leading to grave issues. The case was ultimately dismissed against the client. She has also secured reasonable settlements where the claims have been extremely high. Ms. Andrews’ thorough preparation, aggressive approach and keen negotiations have resulted in highly favorable results for her clients. Ms. Andrews’ Texas trial experience includes courts in Harris, Galveston, Fort Bend, and Brazos counties.

Clients praise Ms. Andrews’ frank and honest evaluations, her quick grasp of and ability to clearly and concisely communicate complex issues and her ability to resolve and settle legitimate claims with minimal legal costs.

Areas of Practice

  • Medical Malpractice
  • General Litigation
  • Premises Liability
  • Products Liability

Relevant Experience

  • Secured a non-suit for the labor and delivery department of a major provider in the Texas Medical Center against claims involving the birth of a baby with a congenital deformity
  • Obtained a defense verdict at trial involving a fall from a hospital bed resulting in lumbar damage
  • Secured a non-suit in a multi-million dollar lawsuit involving blindness in triplets following treatment for Retinopathy of Prematurity
  • Obtained a summary judgment of allegations brought against a hospital for claims of false imprisonment of a trespasser
  • favorable settlement in second week of trial in adult brain/neurological damage based on improper care by nurses
  • Secured dismissal of hospital on courthouse steps in a serious, high profile case regarding allegations of improper care
  • Secured a directed verdict at trial involving an infectious process to patient’s arm which ultimately led to arm amputation
  • Successfully defended slip and fall cases on hospital property that were ultimately dismissed or settled for nominal value
  • Obtained a summary judgment of allegations brought against a hospital for negligent credentialing
  • Second chair trial in a products liability case during first year of practice


  • University of Houston Law Center, J.D., 1994
  • University of Houston, B.A., 1988, cum laude


  • State Bar of Texas, 1995
  • United States District Courts for the Southern District of Texas

Memberships and Affiliations

  • Texas Bar Association
  • Houston Bar Association
  • Greater Houston Society for Healthcare Risk Managers
  • Defense Research Institute
  • Child Advocacy Program

Publications & Presentations

  • All day case presentation on medical malpractice litigation - How improper documentation, chain of command, BNP and social media do’s and don’ts can affect a case, 2010
  • Tort Reform Presentation to Medical Staff Physicians, 2009
  • Pitfalls of electronic Documentation, improper documentation, late entries by health care personnel presentation, 2008
  • Nurse Education Week; Mock Trial Demonstration, 2008
  • Documentation Issues, Informed Consent and Hospital Response, Woman's Hospital of Texas, Spring 2008
  • Chain of Command, Electronic Documentation, Meditech and litigation presentation at Conroe Regional Medical Center, 2007
  • Nurse Education Week; Preparing for litigation – importance of documentation when giving depositions, 2007
  • Documentation Issues & Medical Records, Bayshore Medical Center, Fall 2007
  • East Houston Medical Center, Fall 2005; Conroe Regional Medical Center, Spring 2006
  • Examples of Excellent, Good, Fair to Bad Documentation, Woman's Hospital of Texas, Fall 2004