Department File Number : | M201678582 |
Claim Number : | SAM-IG-006855 |
Date Submitted : | 5/26/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
SAMARITAN RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3433505 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | NANCY | CARR | |||
Street Address | |||||
11440 SW 88th STREET | |||||
City | State | Zip | |||
MIAMI | FL | 33176 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 274 - 4070 | (305) 274 - 2701 | carol.lobacz@nccrms.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | CLARINES | R | ROSA-DE JESUS | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 8900 North Kendall Drive | ||||
City | State | Zip Code | County | ||
Miami | FL | 33176 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
SPL 1066 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME110997 | Pediatrics - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BAPTIST HOSPITAL OF MIAMI | 100008 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/14/2014 | 10/26/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Colic. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
There was no operation, diagnostic or treatment procedure rendered causing the injury. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
There was no misdiagnosis made of this patient. | |||||
Principal Injury Giving Rise To The Claim | |||||
Death. The patient was initially brought to the ED for difficulty feeding. The patient had seen his primary care doctor earlier in that day. He recommended follow-up in that ED, however, he did not contact the ED directly. The patient was seen and evaluated in the ED. The evaluation revealed a well appearing, non-toxic, and vigorously feeding baby. All vital signs including heart rate, temperature and respiratory rate, were within normal limits for age. The patient was discharged home with the father. Instructions were given to return if the patient had any worsening symptoms. The next day, after being seen in the ED for colic, the infant was brought back to the ED by Fire-Rescue. The autopsy listed the cause of death as hyperammonia, which is caused by a genetic condition. The death was investigated by homicide and DCF. The claimant alleged a failure to perform diagnostic testing resulting in death. Expert review by several well-qualified physicians was supportive based upon the physical findings, stable vital signs and that the infant was feeding when first seen in the ED, as such diagnostic testing was not indicated. This case was settled by the insurance carrier as a business decision without an admission of liability in order to avoid protracted litigation and potential excess exposure to the practitioner. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 4/28/2016 | ||||
Other Defendants Involved in this Claim | |||||
Baptist Hospital of Miami, Inc. | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
4/28/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $31,650 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $19,373 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Not applicable. |
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. CLARINES R ROSA-DE JESUS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CLARINES R ROSA-DE JESUS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).