| Department File Number : | M201678619 |
| Claim Number : | LSA800501 |
| Date Submitted : | 6/3/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| LONE STAR ALLIANCE, INC., A RISK RETENTION GROUP | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 46-3209483 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | John | D | King | ||
| Street Address | |||||
| 901 S. Mopac Bldg. 5 Ste. 500 | |||||
| City | State | Zip | |||
| Austin | TX | 78746 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (512) 425 - 5940 | (512) 328 - 8067 | john-king@tmlt.org | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Stephen | B | Davis | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 291 Southhall Lane | ||||
| City | State | Zip Code | County | ||
| Maitland | FL | 32751 | Orange | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 4-100057 | $500,000 | $1,500,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME56203 | Anesthesiology | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Seminole | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Outpatient Facility | |||||
| Name of Institution | Code | ||||
| FLORIDA HOSPITAL - ALTAMONTE | 120004 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Special Procedure Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/7/2014 | 5/19/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient presented for surgery to repair a parastomal hernia on March 7, 2014. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Insured was the supervising anesthesiologist for the surgical procedure. Patient was a 62 year old male with a history of chronic thrombocytopenia. The surgical team were aware of this condition and the surgeon consulted with a hematologist before surgery to ensure it was appropriate to proceed with surgery. Patient was given one unit of platelets before the surgery and another unit of platelets during the surgery to where his platlelet count reached 76,000. During surgery, the surgeon inadvertently created a small enterotomy in the distal colon. Procedure was converted to an open procedure and the rent was repaired. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Plaintiffs allege the surgical team were negligent in proceeding with an elective surgery with a patient with chronic thrombocytopenia and with a low platelet count below 50,000. Plaintiffs allege the patient should have had further workup to determine the cause of his low platelet. As a result of the surgical complication, the patient sustained a abdominal bleed which required a second operation. The patient lost significant blood and eventually developed DIC and died the following morning after surgery. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 8/24/2015 | 2015 CA 002055 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Seminole | 4/14/2016 | ||||
| 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 | ||||
| Other | Dismissal with Prejudice | ||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 4/6/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $195,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Ensure surgical teams communicates and obtain proper clearance before proceeding to surgery | |||||||||||||||||||||
| 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. STEPHEN B DAVIS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. STEPHEN B DAVIS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).