Department File Number : | M201679415 |
Claim Number : | 1324072 |
Date Submitted : | 8/10/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
H. Lee Moffitt Cancer Center & Research Institute, Inc. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
3238634 | 4334 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Brenda | C | Warren | ||
Street Address | |||||
17107 LONGACRES LN | |||||
City | State | Zip | |||
ODESSA | FL | 33556-187 | |||
Phone | Ext | Fax | E-Mail Address | ||
(813) 792 - 1588 | (321) 972 - 0122 | bcwarren957@verizon.net |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | PATRICIA | JUDSON | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 12902 Magnolia Drive | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33612 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PFP_1000044_P-5 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME106770 | Surgery - Gynecology |
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 | ||||
SAINT JOSEPH'S HOSPITAL | 100075 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/1/2012 | 3/17/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Large pelvic mass causing a urethral obstruction. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient underwent a radical hysterectomy and suffered an iatrogenic injury to the left ureter. Alleged failure to appreciate complications including a vaginal fistula during follow-up visits. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Non-applicable | |||||
Principal Injury Giving Rise To The Claim | |||||
Iatrogenic injury to the left ureter and vaginal fistula. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/16/2015 | 2015-CA-004644 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 7/15/2016 | ||||
Other Defendants Involved in this Claim | |||||
H. Lee Moffitt Cancer Center & Research Institute, Inc. Dora, MD, Chandler Florida Urology Partners,LLP A/K/A Family Florida Partners, Gonzalez, MD, Alberto The Vein & Vascular Institute of Florida Baycare heatlhSystem, Inc. d/b/a St. Joseph's Hospital Abdallah, MD, Reem University of South Florida Board of Trustees | |||||
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 | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $66,500 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $5,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Reviewed internally by risk management. |
Updates | |
No updates found. |
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Does Dr. PATRICIA JUDSON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. PATRICIA JUDSON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).