| Department File Number : | M201680523 |
| Claim Number : | 2015FL140 |
| Date Submitted : | 12/2/2016 |
| 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 | Jody | Schwahn | |||
| Street Address | |||||
| 401 Corbett Street | |||||
| City | State | Zip | |||
| Clearwater | FL | 33756 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 581 - 6400 | jschwahn@physicianscasualty.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | EDUARDO | REYES | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 5590 West 20th Avenue Suite 401 | ||||
| City | State | Zip Code | County | ||
| Hialeah | FL | 33016 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| PCX-2014-227 | $100,000 | $300,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME100147 | Internal Medicine - 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 | ||||
| PALMETTO GENERAL HOSPITAL | 100187 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/26/2013 | 6/18/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Gastrointestinal hemorrhage, acute posthomorrhagic anemia, hypotension and cardiac arrest. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Patient presented to the ED after experiencing an episode of syncope at home while standing and became unresponsive and collapsed. He was evaluated in the ED, given a unit of blood and was stabilized. The insured was contacted by the ED physician and told the patient was hemodynamically stable. The insured then ordered the patient to the telemetry floor for continued monitoring; however, the hospital moved him to the medial floor without continued monitoring. That afternoon, before rounds, the insured was told the patient was on the medical floor and again ordered him moved to telemetry. Shortly thereafter the patient's oxygen saturation dropped, patient intubated and moved to ICU. The patient underwent continued mechanical ventilation, venous catheterization and arterial catheterization and packed cell fusion with no response. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Death due to gastrointestinal hemorrhage. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 9/19/2014 | 201424306 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 11/23/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| Palmetto General Hospital Paragon Contracting Services | |||||
| 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 | |||||
| 9/6/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $100,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $22,525 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $7,537 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| N/A as the insured is not in management and the patient was not admitted to the correct floor due to a hospital issue. | |||||||||||||||||||||
| 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. EDUARDO REYES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. EDUARDO REYES, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).