| Department File Number : | M201781263 |
| Claim Number : | wc/100297-14 |
| Date Submitted : | 2/21/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Watson Clinic LLP | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-070493 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Diane | Szymanski | |||
| Street Address | |||||
| 1600 Lakeland Hills Blvd | |||||
| City | State | Zip | |||
| Lakeland | FL | 33805 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (863) 680 - 7620 | (863) 616 - 2430 | aszymanski@watsonclinic.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Rafael | Nunez | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 1600 Lakeland Hills Blvd | ||||
| City | State | Zip Code | County | ||
| Lakeland | FL | 33805 | Polk | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| PH1303749 | $2,000,000 | $18,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME105494 | Internal Medicine - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Polk | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| Lakeland Regional Medical Center | 100157 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 4/1/2013 | 6/30/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Diverticulitis and right temporal parietal intracerebral hemorrhage | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Patient admitted to hospital service on 3/26/13 due to complaints of abdominal pain for one week. Medication reconciliation was completed by the hospital nursing staff and incorrectly recorded warfarin dosage as 2mg and 5mg on alternating days. On 3/26/13, 2mg of warfarin was given and her INR on 3/27/13was noted at 2.4. On 3/27/13 patient was given 5mg of warfarin pursuant to the established orders. They were the only doses of warfarin which the patient received during this hospitalization. On 3/28/13, the patient's INR had increased to 4.3, and therefore the anticoagulation therapy was held. However, the patient's INR continued to rise, reaching 8.9 on 3/29/13. Anticoagulation therapy remained on hold and vitamin K was started to treat the high INR values By 4/1/13 the patient's warfarin associated coagulopathy had resolved with an INR of 3.4, but the patient developed a headache, drowsiness, and limited extremity movement. A head CT conducted later that day showed an area of acute parenchymal hemorrhage. Neurosurgery was ultimately performed on 4/4/13. The patient did not show any improvement and the family requested withdrawal of care and comfort measures only. Ms. Williams expired on 4/9/13. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| There was no misdiagnosis involved in this medical event. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Intracranial bleed in 80 year old patient due to incorrect anticoagulation medication reconciliation by the hospital nursing staff. Other risk factors unrelated to INR status for intracranial bleed identified were age and hypertension. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 7/2/2015 | 2015CA002428000000 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Polk | 1/27/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| 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 | |||||
| 1/27/2017 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $200,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $40,583 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $24,710 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Circumstances of event have been reviewed with the individual party involved. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. RAFAEL NUNEZ, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RAFAEL NUNEZ, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).