Department File Number : | M201576027 |
Claim Number : | CL-00330 |
Date Submitted : | 10/7/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Martin Memorial Medical Center, Inc. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-063787 | 4102 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Maureen | Williams | |||
Street Address | |||||
P.O. Box 9010 | |||||
City | State | Zip | |||
Stuart | FL | 34995 | |||
Phone | Ext | Fax | E-Mail Address | ||
(772) 288 - 5899 | maureen.williams@martinhealth.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lora | Duggan | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | PO BOX 9010 | ||||
City | State | Zip Code | County | ||
Stuart | FL | 33495 | Martin | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
Trust-2015 HPL | $5,000,000 | *NR | |||
Profession or Business | Other Profession or Business | ||||
Registered Nurse | |||||
License Number | Specialty Code & Classification | Certification Number | |||
RN9293338 | General Preventative Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Martin | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
MARTIN MEMORIAL MEDICAL CENTER | 100044 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/17/2013 | 4/16/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Cardiogenic shock secondary to viral syndrome, pneumonia and bacterial endocarditis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Pt evaluated in the ER for symptoms of viral syndrome. Developed ARDS requiring intubation and transfer to higher level of care. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged failure to diagnose cardiogenic shock | |||||
Principal Injury Giving Rise To The Claim | |||||
Death | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 9/11/2015 | ||||
Other Defendants Involved in this Claim | |||||
Martin Memorial Medical Center, Inc. CABRERA, ERNESTO Paragon Contracting Services, Inc. The Schumacher Group of FL, Inc Martin Memorial Health Systems, Inc. Sailfish ER SVCS Partnership, LLC Paragon Contracting Services, LLC Martin Medical Center West Hialeah Pediatric Associates, PA Emergency Pediatric Services, PA Kidz Medical Services, Inc. Tenet St Mary's Inc., d/b/a St Mary Krabbe, Janice Catullo, Leah Leal, Domingo Bolumen, Eduardo Soler, Yadira A | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
No Payment Made | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $5,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
The NOI against the nurse was withdrawn |
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. LORA DUGGAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. LORA DUGGAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).