Department File Number : | M201885743 |
Claim Number : | 2016FL198 |
Date Submitted : | 6/25/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS CASUALTY RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
27-3867083 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jody | Schwahn | |||
Street Address | |||||
611 Druid Road E, Suite 512 | |||||
City | State | Zip | |||
Clearwater | FL | 33756 | |||
Phone | Ext | Fax | E-Mail Address | ||
(727) 581 - 6400 | 6400 | kim@physicianscasualty.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Angel | Tejeda | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 4305 E. 8th Avenue | ||||
City | State | Zip Code | County | ||
Hialeah | FL | 33013 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PCX-2016-263 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME65366 | Nephrology - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
PALM SPRINGS GENERAL HOSPITAL | 100050 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/12/2014 | 11/9/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient was admitted to the hospital after an abnormal electrocardiogram and abnormal D-dimer. He was complaining of generalized weakness and the labs indicated elevated troponins. He was found to be thrombocytopenic. He also had a rise in BUN and creatine. He underwent a prostate biopsy from which he became septic and was being followed by infectious disease, a hematologist who was managing the thrombocytopenia, nephrology managing BUN and creatine. The patient also underwent a cardiac assessment. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
During the patient's hospital admission he had a prostate biopsy on May 10, 2014 and became septic. The insured was a nephrology consulted days after the procedure on May 12 through the time of the patient's death on May 14, 2014 due to the patient's elevated levels of BUN and creatine. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Allegation is that various doctors and nurses at the hospital failed to timely diagnose and treat the patient's sepsis resulting in his demise. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/8/2017 | 2016-000672 CA 01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 6/13/2018 | ||||
Other Defendants Involved in this Claim | |||||
De la Cruz, Fernando Dieguez, Francisco Palm Springs General Hospital, Inc. | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
6/13/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $30,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $35,487 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $16,308 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
If the insured issues orders over the phone to a nurse, once he sees the patient he reviews the notes and double checks to make sure they were written down correctly. |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Department File Number : | M201887036 |
Claim Number : | 2016FL184 |
Date Submitted : | 11/15/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS CASUALTY RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
27-3867083 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jody | Schwahn | |||
Street Address | |||||
611 Druid Road E, Suite 512 | |||||
City | State | Zip | |||
Clearwater | FL | 33756 | |||
Phone | Ext | Fax | E-Mail Address | ||
(727) 581 - 6400 | 6400 | jschwahn@physicianscasualty.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Angel | Tejeda | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 4305 E 8th Avenue Suite C | ||||
City | State | Zip Code | County | ||
Hialeah | FL | 33013 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PCX-2016-263 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME65366 | Nephrology - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/10/2014 | 11/9/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Chronic kidney disease | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Monitoring blood pressure and diet | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Thyroid cancer | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/11/2017 | 17-007536 CA 10 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 11/14/2018 | ||||
Other Defendants Involved in this Claim | |||||
La Colonia Medical Center, Inc. Castaneda, Emilio Pestano ARNP, Wilfredo Zas MD, Orestes A | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
10/30/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $25,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $21,301 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $12,874 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
None |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. ANGEL TEJEDA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ANGEL TEJEDA, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).