Department File Number : | M201886276 |
Claim Number : | 165433 |
Date Submitted : | 8/27/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
NORCAL MUTUAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
94-2301054 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Richard | Petersen | |||
Street Address | |||||
4651 Salisbury Rd. #410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 309 - 8142 | (904) 394 - 7134 | rpetersen@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Daniel | S | Phillips | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 3100 E Fletcher Avenue | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33613 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FL-16030904 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Licensed Practical Nurse | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ARNP9198217 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
Florida Hospital Wesley Chapel | 23960099 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/2/2015 | 8/9/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Intestinal Condition. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
On 12/03/15, the patient presented to the ER at Florida Hospital at 8:10 p.m. as he was not eating; he was initially seen by ARNP Daniel Scott Phillips at 8:31 p.m.; Abdominal films taken at 9:17 p.m. revealed distended bowel; at 10:30 p.m., a rectal exam performed by nursing showed no "abnormal" findings; at 10:39 p.m., ARNP Phillips reported Jonathan was comfortable, resting and in no distress and was to be discharged with fecal impaction; the plaintiffs returned to the ER with their son at 3:16 a.m. for continuing complaints of abdominal pain, worsening distention, and vomiting; ARNP Phillips immediately had the decedent admitted, but expired later that morning. Defense review of the standard of care opined that the patient was suffering from a bowel infarct and that the patient presented as a complex case that required time to work up via different imaging, etc. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
On 12/03/15, the patient presented to the ER at Florida Hospital at 8:10 p.m. as he was not eating; he was initially seen by ARNP Daniel Scott Phillips at 8:31 p.m.; Abdominal films taken at 9:17 p.m. revealed distended bowel; at 10:30 p.m., a rectal exam performed by nursing showed no "abnormal" findings; at 10:39 p.m., ARNP Phillips reported Jonathan was comfortable, resting and in no distress and was to be discharged with fecal impaction; the plaintiffs returned to the ER with their son at 3:16 a.m. for continuing complaints of abdominal pain, worsening distention, and vomiting; ARNP Phillips immediately had the decedent admitted, but expired later that morning. Defense review of the standard of care opined that the patient was suffering from a bowel infarct and that the patient presented as a complex case that required time to work up via different imaging, etc. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/9/2017 | 165433 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 8/13/2018 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
Other | Settled between parties | ||||
Arbitration | |||||
Claim subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
8/13/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $700,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Facts of the case discussed with practitioner & risk management. |
Updates | |
No updates found. |
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Does Dr. DANIEL S PHILLIPS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DANIEL S PHILLIPS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).