Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
This page is not displaying certain sensitive information. |
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
This page is not displaying certain sensitive information. |
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
This page is not displaying certain sensitive information. |
Department File Number : | M201575882 |
Claim Number : | 307291 |
Date Submitted : | 9/24/2015 |
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 | Ajay | Kalra | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 6821 Palisades Park Court, Suite 1 | ||||
City | State | Zip Code | County | ||
Fort Myers | FL | 33912 | Lee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FP-CL098255 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME85409 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
GULF COAST HOSPITAL (FORT MYERS) | 111522 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Emergency Room | ||||
Date of Occurrence | Date Reported to Insurer | ||||
4/6/2013 | 6/20/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
66 year old admitted from surgery center after angioplasty and stent placement. Femoral plug failed and hemostasis could not be achieved with compression leading to hypotension and anemia. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
During Emergency Room stay, patient continued to have progressive hypotension and drop in hemoglobin and hematocrit. Consult called for vascular surgeon but patient in Emergency Room for 4 hours and became unconscious requiring ventilation before surgeon arrived and took to surgery successfully repairing femoral artery. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Hypovolemic anoxic encephalopathy. Life support removed after brain death declared. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/29/2014 | 14 CA 2587 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Lee | 9/2/2015 | ||||
Other Defendants Involved in this Claim | |||||
Surgical Specialists of SW Florida Southwest Florida Emergency Physicians Phelps, Dwight | |||||
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 | ||||
Other | Voluntary Dismissal | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $10,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $29,030 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $11,762 | ||||||||||||||||||||
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. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. AJAY KALRA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. AJAY KALRA, MD has at least 4 medical malpractice case(s), lawsuit(s), or complaint(s).