Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Department File Number : | M202091548 |
Claim Number : | 01092018307 |
Date Submitted : | 2/19/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Univ of FL JHMHC Self-Insurance Program | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-600205 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kristin | Belyew | |||
Street Address | |||||
PO BOX 112735 | |||||
City | State | Zip | |||
Gainesville | FL | 32611 | |||
Phone | Ext | Fax | E-Mail Address | ||
(352) 273 - 7232 | (352) 273 - 5424 | belyewK@ufl.edu |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | William | Driscoll | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 580 W. Eighth Street | ||||
City | State | Zip Code | County | ||
Jacksonville | FL | 32209 | Duval | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
UFBOT17J | $300,000 | *NR | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS9541 | Neonatal/Perinatal Medicine |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Duval | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
UNIVERSITY MEDICAL CENTER (DUVAL) | 100001 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/25/2017 | 1/9/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Prematurity | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
UVC placed in the right atrium | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Cardiac arrest, brain damage | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/25/2019 | 162019CA2390 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Duval | 11/13/2019 | ||||
Other Defendants Involved in this Claim | |||||
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 | |||||
11/13/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $300,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $8,432 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $20,602 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Assessment of treatment with physician. |
Updates | |
No updates found. |
Does Dr. WILLIAM DRISCOLL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. WILLIAM DRISCOLL, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).