Department File Number : | M201574608 |
Claim Number : | 2011-31-01-0019 |
Date Submitted : | 5/13/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS INDEMNITY RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-5245060 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Robert | Dewhurst | |||
Street Address | |||||
635 Eichenfeld Drive | |||||
City | State | Zip | |||
Brandon | FL | 33511 | |||
Phone | Ext | Fax | E-Mail Address | ||
(813) 684 - 6000 | rdewhurs@yahoo.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Robert | Dewhurst | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 635 Eichenfeld Drive | ||||
City | State | Zip Code | County | ||
Brandon | FL | 33511 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PIR100168-4-15 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME87892 | Cardiovascular Disease - Minor 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 | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BRANDON REGIONAL HOSPITAL | 100243 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Special Procedure Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
6/23/2009 | 9/21/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Complete heart block in the setting of acute myocardial infarction. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Dual chamber pacemaker implantation with venous access J-wire being retained in the patient. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Retained J-wire not immediately removed and subsequently found after DVT of the lower extremity and ultimately by x-ray of the leg. | |||||
Principal Injury Giving Rise To The Claim | |||||
Lower extremity DVT. Percutaneous retrieval of retained J-wire. | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/19/2011 | 12-CA-011955 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 1/6/2014 | ||||
Other Defendants Involved in this Claim | |||||
Brandon Regional Hospital | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
After arbitration is initiated or prior to suit being filed. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $100,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Counting of items used in pacemaker expanded to include access J wires. Securing the retained wire while manipulating the active wire is now standard procedure. |
Updates | |
No updates found. |
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Does Dr. ROBERT DEWHURST, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ROBERT DEWHURST, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).