Department File Number : | M201885845 |
Claim Number : | 352723 |
Date Submitted : | 7/10/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | Andrews | |||
Street Address | |||||
12724 Gran Bay Parkway, W., Suite 400 | |||||
City | State | Zip | |||
Jacksonville | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3038 | kandrews@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Erin | P | Kelleher | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 511 West Alexander Street Suite 2 | ||||
City | State | Zip Code | County | ||
Plant City | FL | 33563 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0917457 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME117482 | Pediatrics - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Hillsborough | ||||
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 | ||||
Other | Physician's office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
2/2/2015 | 2/21/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Streptococcus pneumoniae bacteremia in a fully immunized infant. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
General pediatric follow-up to recent Emergency Department visit. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Parent reported to insured that the infant had been re-called to the Emergency Department the previous day for repeat blood culture after an initial culture showed preliminary results that the hospital deemed to be consistent with a skin contaminant. At the time the child was seen by insured; results of the repeat culture were pending. When she was seen by insured, the infant was afebrile, the mother reported that her condition was improving and the exam was benign. Insured felt that the child's condition was consistent with a resolving viral syndrome. The child was scheduled to return to insured early the next morning for continued follow-up. She was returned to the ED roughly 7 hours later after her fever returned. Both blood cultures eventually were reported to be growing Strep pneumoniae. | |||||
Principal Injury Giving Rise To The Claim | |||||
S. pneumoniae bacteremia, meningitis and cerebritis resulting in profound neurologic sequelae. | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/2/2017 | 17-CA-5401 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 6/22/2018 | ||||
Other Defendants Involved in this Claim | |||||
Juarbe, MD, Marifel Gompf, MD, Timothy Wooten, MD, Hope L Shepard, MD, Brooke M Gaspar, MD, Tamas Sastry, MD, Sridhara Parsons, ARNP, Stephen South Florida Baptist Hospital (Baycare Heatlh Systems) | |||||
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 | |||||
6/22/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $500,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $48,121 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $13,269 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
Updates | |
No updates found. |
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Does Dr. ERIN P KELLEHER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ERIN P KELLEHER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).