| Department File Number : | M201886276 |
| Claim Number : | 165433 |
| Date Submitted : | 8/27/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| NORCAL MUTUAL INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 94-2301054 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Richard | Petersen | |||
| Street Address | |||||
| 4651 Salisbury Rd. #410 | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32256 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 309 - 8142 | (904) 394 - 7134 | rpetersen@norcal-group.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Daniel | S | Phillips | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 3100 E Fletcher Avenue | ||||
| City | State | Zip Code | County | ||
| Tampa | FL | 33613 | Hillsborough | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| FL-16030904 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Licensed Practical Nurse | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ARNP9198217 | Emergency Medicine - No Major Surgery | ||||
| 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 | ||||
| Florida Hospital Wesley Chapel | 23960099 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 12/2/2015 | 8/9/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Intestinal Condition. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| On 12/03/15, the patient presented to the ER at Florida Hospital at 8:10 p.m. as he was not eating; he was initially seen by ARNP Daniel Scott Phillips at 8:31 p.m.; Abdominal films taken at 9:17 p.m. revealed distended bowel; at 10:30 p.m., a rectal exam performed by nursing showed no "abnormal" findings; at 10:39 p.m., ARNP Phillips reported Jonathan was comfortable, resting and in no distress and was to be discharged with fecal impaction; the plaintiffs returned to the ER with their son at 3:16 a.m. for continuing complaints of abdominal pain, worsening distention, and vomiting; ARNP Phillips immediately had the decedent admitted, but expired later that morning. Defense review of the standard of care opined that the patient was suffering from a bowel infarct and that the patient presented as a complex case that required time to work up via different imaging, etc. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| On 12/03/15, the patient presented to the ER at Florida Hospital at 8:10 p.m. as he was not eating; he was initially seen by ARNP Daniel Scott Phillips at 8:31 p.m.; Abdominal films taken at 9:17 p.m. revealed distended bowel; at 10:30 p.m., a rectal exam performed by nursing showed no "abnormal" findings; at 10:39 p.m., ARNP Phillips reported Jonathan was comfortable, resting and in no distress and was to be discharged with fecal impaction; the plaintiffs returned to the ER with their son at 3:16 a.m. for continuing complaints of abdominal pain, worsening distention, and vomiting; ARNP Phillips immediately had the decedent admitted, but expired later that morning. Defense review of the standard of care opined that the patient was suffering from a bowel infarct and that the patient presented as a complex case that required time to work up via different imaging, etc. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 8/9/2017 | 165433 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Hillsborough | 8/13/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| 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 | ||||
| Other | Settled between parties | ||||
| Arbitration | |||||
| Claim subject to arbitration, but settlement reached in lieu of award. | |||||
| Date of Payment | |||||
| 8/13/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $700,000 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Facts of the case discussed with practitioner & risk management. | |||||||||||||||||||||
| 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. DANIEL S PHILLIPS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DANIEL S PHILLIPS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).