Department File Number : | M201676898 |
Claim Number : | 2014-FL-2-14-13 |
Date Submitted : | 1/21/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS CASUALTY RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
27-3867083 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kimberly | Pollick | |||
Street Address | |||||
510 Druid Road, Suite D | |||||
City | State | Zip | |||
Clearwater | FL | 33756 | |||
Phone | Ext | Fax | E-Mail Address | ||
(727) 581 - 6400 | kim@physicianscasualty.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denis | Stewart | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 6806 Cecelia Drive | ||||
City | State | Zip Code | County | ||
New Port Richey | FL | 34653 | Pasco | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PC-2013-129 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME63242 | Radiology - Diagnostic - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pasco | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/14/2011 | 12/16/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Left Hip/Pelvis Pain | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Left Hip Arthrogram | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
The patient fell while attempting to stand after the insured administered anesthetic with the help of a technician and the patient fell and claims knee injury. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/24/2014 | 2014-CA-001125 WS | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pasco | 1/14/2016 | ||||
Other Defendants Involved in this Claim | |||||
Radiology Associates LLC | |||||
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 | |||||
1/19/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $25,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $15,578 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $2,943 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Find a place in his limited records to document that patients are specifically instructed to not attempt to get up from the table on their own in the face of the anesthetic, but instead, cooperate fully with the trained staff to assist in their post study movement and ambulation. |
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. DENIS STEWART, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DENIS STEWART, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).