M201677943 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition Hypokalemic (low potassium) Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury Allegations that wrong medication (insulin instead of the ordered potassium) resulting in hypoglycemia, EKG changes, elevated cardiac enzymes, and the 85 year-old patient's death 3 months later. Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition *NR Principal Injury Giving Rise To The Claim Allegations that the wrong medication was administered. Severity Of Injury Permanent: Death. Financial Information Was there a settlement Resulting in payment to the Plaintiff? Yes Indemnity Paid by Insurer on behalf of Insured $225,000 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 Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0 Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely The involved nurse has been educated regarding the "5 Rights" of medication administration. ==================== M201576092 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition The patient presented to her OB/GYN with complaints of abdominal pain, irregular menses, burning with urination, and vaginal discharge. A cervical biopsy and Pap smear were sent out for pathology review. Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury Cytology review and interpretation of a cervical biopsy and Pap smear. Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition Disputed allegations of failing to correlate biopsy findings with Pap smear retrospectively (cervical biopsy was signed out first before the Pap smear due to inherent longer processing time for molecular studies), resulting in delay in diagnosis and treatment of adenocarcinoma of the cervix. Principal Injury Giving Rise To The Claim Death. Severity Of Injury Permanent: Death. Financial Information Was there a settlement Resulting in payment to the Plaintiff? Yes Indemnity Paid by Insurer on behalf of Insured $500,000 Loss Adjust Expense Paid to Defense Counsel $10,690 All Other Loss Adjustment Expense Paid $6,804 Injured Person's Total Non-Economic Loss $0 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0 Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate ================================ M201677268 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition PATIENT WAS WITH AIDE FOR SEVEN HOURS; SUFFERED FRACTURE UNTIL DIED DUE TO ALLEGED NEGLIGENCE. Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury Suffered a severely comminuted femur fracture. Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition Failure to monitor patient Principal Injury Giving Rise To The Claim PATIENT WAS WITH AIDE FOR SEVEN HOURS; SUFFERED FRACTURE UNTIL DIED DUE TO ALLEGED NEGLIGENCE. Severity Of Injury Permanent: Death. Financial Information Was there a settlement Resulting in payment to the Plaintiff? Yes Indemnity Paid by Insurer on behalf of Insured $20,000 Loss Adjust Expense Paid to Defense Counsel $3,533 All Other Loss Adjustment Expense Paid $3,903 Injured Person's Total Non-Economic Loss $0 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0 Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely N/A ============================ M201677527 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition Newborn infant delivered vaginally. Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury Alleged failure to observe fetal monitor strips and report abnormality. Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition Alleged failure to recognize fetal abnormality on monitoring strips. Principal Injury Giving Rise To The Claim Stillborn. Severity Of Injury Permanent: Death. 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 $9,314 All Other Loss Adjustment Expense Paid $8,453 Injured Person's Total Non-Economic Loss $200,000 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0 Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely Staff inserviced on monitoring fetal strips. ============================== M201677021 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition Pat presented at ER with complaint of abnormality of gait Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury Alleged that physician noted IV line infection and did not remove line. Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition No misdiagnosis was made. Principal Injury Giving Rise To The Claim Alleged later septicemia resulted in death. Severity Of Injury Permanent: Death 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 $7,056 All Other Loss Adjustment Expense Paid $2,925 Injured Person's Total Non-Economic Loss $0 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0 Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely ============================== M201678071 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition Patient presented to ER with complaint of fever. Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury Alleged failure to diagnose pneumonia. Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition Alleged failure to diagnose pneumonia. Principal Injury Giving Rise To The Claim Alleged pneumonia resulted in death. Severity Of Injury Permanent: Death. Financial Information Was there a settlement Resulting in payment to the Plaintiff? Yes Indemnity Paid by Insurer on behalf of Insured $300,000 Loss Adjust Expense Paid to Defense Counsel $0 All Other Loss Adjustment Expense Paid $0 Injured Person's Total Non-Economic Loss $300,000 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0 Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely No safety management steps indicated. ============================= M201573932 Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition 55 yof Patient with hx of diabetes, anemia, hypertension presented to the ER for abdominal pain, nausea, vomiting and diarhhea after a wedding ceremony. everyone that went with her had similar complaints. Family members claimed possible food poisioning. CBC, CMP, PT/PTT, EKG, Chest X-ray done and was interpreted by me as within reasonable normal limit for the patient. Pt tolerated both IV fluids and oral fluids. was well appearing and stable upon discharge . Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury Pt went home and two days later continued to complained about abdominal pain . EMS was called . Upon EMS arrival, pt went into cardiopulmonary arrest and died later that day. Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition NO misdiagnosis on patients condition on the day of initial presentation to the er. Principal Injury Giving Rise To The Claim 1. Alleged failure/delay to admit to the hospital 2. Alleged failure to Diagnose ?? Severity Of Injury Permanent: Death. 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 $0 All Other Loss Adjustment Expense Paid $0 Injured Person's Total Non-Economic Loss $0 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0 Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely Will admit all pt with nausea, vomiting, diarrhea and abdominal pain ========================= M201576105 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition CERVICAL FRACTURE Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury C1-C4 FUSION Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition NO MISDIAGNOSIS OCCURRED Principal Injury Giving Rise To The Claim FAILURE TO PROPERLY MAINTAIN BLOOD PRESSURE R/I CARDIAC ARREST Severity Of Injury Permanent: Death. 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 $24,637 All Other Loss Adjustment Expense Paid $0 Injured Person's Total Non-Economic Loss $0 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0 Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely NURSING POLICIES REVIEWED ============================= M201677719 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition ACUTE MYOCARDIAL INFARCTION Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury FAILURE TO DIAGNOSE Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition FAILURE TO DIAGNOSE ACUTE MYOCARDIAL INFARCTION Principal Injury Giving Rise To The Claim DEATH Severity Of Injury Permanent: Death. 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 $19,136 All Other Loss Adjustment Expense Paid $2,495 Injured Person's Total Non-Economic Loss $500,000 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0 Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely NURSING POLICIES REVIEWED ================================= M201677721 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition CRITICALLY ANEMIC Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury FAILURE TO PROPERLY MONITOR Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition NO MISDIAGNOSIS OCCURRED Principal Injury Giving Rise To The Claim FAILURE TO PROPERLY MONITOR RESULTING IN ASPIRATION AND DEATH Severity Of Injury Permanent: Death. Financial Information Was there a settlement Resulting in payment to the Plaintiff? Yes Indemnity Paid by Insurer on behalf of Insured $150,000 Loss Adjust Expense Paid to Defense Counsel $15,095 All Other Loss Adjustment Expense Paid $0 Injured Person's Total Non-Economic Loss $0 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0 Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely NURSING POLICIES REVIEWED ========================= M201677009 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition IUP at 38 weeks, SROM. Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury After receiving spinal anesthesia, patient complained of shortness of breath, rapidly declined & coded. Code was prolonged & STEMI code was also called during that time. Patient was admitted to ICU & serial CT scans & EEG's showed anoxic encephalopathy. Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition *NR Principal Injury Giving Rise To The Claim Anoxic brain injury, death. Severity Of Injury Permanent: Death. 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 $9,437 All Other Loss Adjustment Expense Paid $11,407 Injured Person's Total Non-Economic Loss $0 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0 Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely Review of policies and procedures. ============================ M201677623 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition Acute cholecystitis with gangrenous perforated cholecystectomy with right upper quadrant abscess. Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury Patient underwent laparoscopic cholecystectomy which was converted to open & drainage of right upper quadrant abscess. Patient suffered respiratory arrest on post operative day 2 then began having violent seizures. Patient eventually expired. Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition *NR Principal Injury Giving Rise To The Claim Death. Severity Of Injury Permanent: Death. 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 $4,872 All Other Loss Adjustment Expense Paid $1,802 Injured Person's Total Non-Economic Loss $0 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0 Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely Review of policies and procedures. ============================== M201677624 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition Acute cholecystitis, gangrenous gallbladder. Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury Patient underwent laparoscopy with subsequent open cholecystectomy & drainage of right upper quadrant abscess. Three days later patient was found unresponsive & expired. Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition *NR Principal Injury Giving Rise To The Claim Death. Severity Of Injury Permanent: Death. 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 $4,872 All Other Loss Adjustment Expense Paid $1,801 Injured Person's Total Non-Economic Loss $0 Deductible $0 Injured Person's Total Economic Loss =============================== M201677347 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition Acute CVA. Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury Allege physician inappropriately ordered administration of Lovenox. Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition *NR Principal Injury Giving Rise To The Claim Large hemorrhagic conversion, death. Severity Of Injury Permanent: Death. Financial Information Was there a settlement Resulting in payment to the Plaintiff? Yes Indemnity Paid by Insurer on behalf of Insured $827,795 Loss Adjust Expense Paid to Defense Counsel $79,862 All Other Loss Adjustment Expense Paid $69,887 Injured Person's Total Non-Economic Loss $450,000 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $42,795 $0 Other Expenses $65,000 $270,000 Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely Review of policies and procedures ================== M201677348 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition Acute CVA. Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury Allege physician inappropriately ordered administration of Lovenox. Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition *NR Principal Injury Giving Rise To The Claim Large hemorrhagic conversion, death. Severity Of Injury Permanent: Death. Financial Information Was there a settlement Resulting in payment to the Plaintiff? Yes Indemnity Paid by Insurer on behalf of Insured $91,977 Loss Adjust Expense Paid to Defense Counsel $8,874 All Other Loss Adjustment Expense Paid $7,765 Injured Person's Total Non-Economic Loss $50,000 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $6,977 $0 Other Expenses $5,000 $30,000 Safety Man ======================== M201676890 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition Pneumonia. Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury Outside pharmacist entered another patient's orders into patient's chart. Medications were given to patient for three days until onsite pharmacist discovered error. Patient's condition deteriorated & patient developed respiratory failure & expired. Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition *NR Principal Injury Giving Rise To The Claim Death. Severity Of Injury Permanent: Death. 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 $5,701 All Other Loss Adjustment Expense Paid $12,491 Injured Person's Total Non-Economic Loss $0 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $0 $0 Wage Loss $0 $0 Other Expenses $0 $0 ============================ M201576263 Diagnostic Information Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition Dehydration, nausea & vomiting. Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury Allege failure to monitor for stroke symptoms & failure to timely report changes to physician. Diagnostic Code : Misdiagnosis Made, If Any, Of Patient's Actual Condition *NR Principal Injury Giving Rise To The Claim Stroke, death. Severity Of Injury Permanent: Death. Financial Information Was there a settlement Resulting in payment to the Plaintiff? Yes Indemnity Paid by Insurer on behalf of Insured $600,000 Loss Adjust Expense Paid to Defense Counsel $43,136 All Other Loss Adjustment Expense Paid $7,716 Injured Person's Total Non-Economic Loss $300,000 Deductible $0 Injured Person's Total Economic Loss Incurred to Date Anticipated Medical Expense $200,000 $0 Wage Loss $50,000 $50,000 Other Expenses $0 $0 Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely Review of policies and procedures. ========================