Department File Number : | M201680721 |
Claim Number : | FL-IDC-09 |
Date Submitted : | 12/22/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
APPLIED MEDICO-LEGAL SOLUTIONS RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
81-0603029 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Julie | Moore | |||
Street Address | |||||
101 E. Park Blvd. | |||||
City | State | Zip | |||
Plano | TX | 75074 | |||
Phone | Ext | Fax | E-Mail Address | ||
(866) 520 - 6896 | jmontague@bpmp.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JAROSLAV | ONDRUSEK | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 2901 Coral Hills Drive, Suite 220 | ||||
City | State | Zip Code | County | ||
Coral Springs | FL | 33065 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
G-AMS-116439 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME69418 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/29/2015 | 6/29/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
HIV positive, Abacavir hypersensitivity syndrome | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Insured Physician prescribed Abacavir for ongoing treatment of HIV. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
HIV | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient filled the prescription and began taking the medication despite insured physician's instructions to wait until they were able to further discuss the use of this new medication. five days later the patient complained of headache and fever and was diagnosed with hypersensitivity syndrome. Patient alleged Insured Physician improperly ordered this medication despite being contraindicated. | |||||
Severity Of Injury | |||||
Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 12/15/2016 | ||||
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 | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
9/9/2016 |
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 | $11,220 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Restrict prescriptions of new medication until patient fully understands the use, risks and side effects of medication. |
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.
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Does Dr. JAROSLAV ONDRUSEK, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JAROSLAV ONDRUSEK, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).