Claims Made

10% of Candello (2008-17)
59% high severity
$197K average total incurred
70% ambulatory (29% inpatient)
44% diagnosis-related (29% medical treatment)

Closed

63% of defendants = MDs
35% close with payment
$360K average indemnity

Injuries in high-severity cases

  • death
  • malignancy
  • adverse reaction
  • infarction
  • infection
  • embolism/thrombosis
  • organ damage
  • arrest
  • sepsis
  • hemorrhage

Final diagnosis in high-severity cases

  • diseases of the heart
  • poisoning
  • cerebrovascular disease
  • cancer of bronchus; lung
  • substance-related disorders
  • bacterial infection
  • complications
  • colorectal cancer
  • diseases of arteries; arterioles; and capillaries
  • cancer of male genital organs

Top contributing factors

  • failure to order a consult/referral
  • failure to order a diagnostic test
  • failure to appreciate new signs/findings
  • provider-provider communication regarding patient’s condition
  • fail to establish a differential diagnosis
  • inadequate assessment: history and physical

Case abstracts

All Candello CMY `08-`17 = 67,617 cases

All Candello Closed `08-`17 = 73,444 cases

Related Articles

    kc_video_claimsteam

    Meet Your Defense Team (Video Series)

    Article
    Video interviews from the dedicated team of seasoned professionals who work behind the scenes of every claim against a CRICO-insured provider. The team is comprised of the following roles:

    Senior Vice President, Claims
    Manager
    Claim Representative
    Legal Counsel
    Medical Consultant

    PCPs Miss Chances with MIs

    Article
    Nearly a quarter of patients who present to emergency rooms with a heart attack had been seen with cardiac symptoms by their primary care physician previous 30 days. In almost half of those cases, the primary care physicians sent the patient home instead of to the hospital.

    Repeat ED Visits, Delayed Diagnosis, Lost Ovary

    Article
    A case where a sign-out checklist or documentation of an order may have prevented the patient's poor outcome.
X
Cookies help us improve your website experience.
By using our website, you agree to our use of cookies.
Confirm