Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Department File Number : | M201677043 |
Claim Number : | 13-0246-A-11 |
Date Submitted : | 2/9/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FD INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3704679 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Dionysia | Lawson | |||
Street Address | |||||
560 Davis Street | |||||
City | State | Zip | |||
San Francisco | CA | 94111 | |||
Phone | Ext | Fax | E-Mail Address | ||
(415) 735 - 2013 | (415) 735 - 2097 | dlawson@norcalmutual.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Taweh | Beysolow | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1111 12th Street, Ste. 203 | ||||
City | State | Zip Code | County | ||
Key West | FL | 33040 | Monroe | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MS000879 | $500 | $1,500 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME103891 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Monroe | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
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 | ||||
10/20/2011 | 11/22/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented on 10/20/11 with a ventral hernia repair | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Different procedures were performed by various physicians. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
none shown | |||||
Principal Injury Giving Rise To The Claim | |||||
The patient developed injuries to her bladder, ureters, intestines, kidneys & lumbosacral nerves resulting in bilateral foot drop. | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/15/2014 | 14-CA-322k | ||||
County Suit Filed in | Date of Final Disposition | ||||
Monroe | 1/4/2016 | ||||
Other Defendants Involved in this Claim | |||||
Internal Medicine & Kidney Assoc. PA Calleja, MD, John Key Medical Group, PA d/b/a Southern Medical Group Fariss, MD, Bruce Key West HMA Physician Management, LLC dba Lower Keys Urolog Schultz, MD, Sandy Radiology In Paradise, LLC Klitenick, MD, Michael Larruari, MD, Juan Larruari, Klitenick & Smith, MD, PA Schroeder, RN, Karen Key West HMA, LLC dba Lower Keys Med Grp | |||||
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 | |||||
No Payment Made | |||||
Court Decision | Other | ||||
Summary judgment for the defendant. | |||||
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 | $69,858 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
The circumstances of this case were discussed with the insured and risk management was notified. Risk Management discussed the case with the insured. |
Updates | |
No updates found. |
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Does Dr. TAWEH BEYSOLOW, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. TAWEH BEYSOLOW, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).