America: New York—Statement of the affairs of the Sun Mutual Insurance Company

1852 ◽  
Vol 2 (3) ◽  
pp. 291-292
2007 ◽  
Vol 106 (6) ◽  
pp. 1108-1114 ◽  
Author(s):  
Richard L. Rovit ◽  
Arlene Stolper Simon ◽  
Josephine Drew ◽  
Raj Murali ◽  
James Robb ◽  
...  

Object Neurosurgeons are a high-risk group for allegations of malpractice. To determine the kinds of cases and the neurosurgical practice patterns associated with the highest proportion of litigation, the authors examined the experience over a 5-year period of a major physician-owned and -administered insurance company dealing with this issue, the Medical Liability Mutual Insurance Company (MLMIC) of New York. With the MLMIC cases as a basis, the authors also analyzed areas of physician vulnerability and determined the steps neurosurgeons can take to reduce potential litigation. Methods All cases closed against MLMIC-insured neurosurgeons from January 1, 1999, through December 30, 2003, were reviewed. Variables examined included allegation, anatomical site, and the ultimate resolution of the case. Of the 280 cases against neurosurgeons that were closed during the study period, 156 (56%) involved the spine, 109 (39%) involved the head and/or brain, and 15 (5%) reflected miscellaneous allegations. These proportions are relatively similar to the 1999 procedural statistics for neurosurgical practices. Of the cases examined, 98 were closed with a total loss indemnity of approximately $50 million, and 182 resulted in no indemnity payment. Conclusions A neurosurgeon's chances of being sued for malpractice are not necessarily related to the medical complexity of a particular case but rather to the types of cases with which the physician is involved. Elective spinal surgery cases constitute the majority of litigation. Neurosurgeons can take steps to reduce their vulnerability to potential litigation and to increase the odds of a successful defense.


2019 ◽  
pp. 101
Author(s):  
Mónica Silva Contreras

ResumenEs sabido que durante la primera década del siglo XX en México se construyó un gran número de edificaciones, tanto públicas como privadas, que significaron la difusión de materiales y técnicas constructivas modernas. Además del sentido moderno de sus funciones, muchas resultaron de procesos de gestión de la construcción novedosos, pues su realización implicó la importación de estructuras complejas, de grandes dimensiones, con gran variedad de materiales. Más que en sus aspectos técnico-constructivos, este artículo busca hacer énfasis en la incorporación de los mecanismos de gestión que estos implicaron. Los proyectos de los arquitectos Theodore De Lemos y August Cordes, construidos por el ingeniero mexicano Gonzalo Garita, con estructuras de acero de la empresa de Edward y Foster Milliken, también con sede en Nueva York, fueron resultado del desarrollo de un mercado en el cual aparecieron los primeros empresarios de la construcción modernos del país. El trabajo se centra en la realización en la Ciudad de México de los edificios para la Casa Boker y para la Mutual Insurance Company of New York en el contexto de las obras realizadas por los proyectistas y contratistas en Manhattan, Ciudad del Cabo o Johannesburgo. De ese modo se entiende una gestión moderna de proyectos y obras que se adelantaba a la globalización de nuestros días.AbstractIt is known that during the first decade of the twentieth century in Mexico was built a large number of buildings, both public and private, which meant the dissemination of modern building materials and techniques. Many of them were the results from new construction management processes, since their implementation implied the importation of complex and large structures which included different materials. More than about their technical-constructive aspects, this article seeks to emphasize the incorporation of the management mechanisms that these implied. The projects of the architects Theodore De Lemos and August Cordes, built by Mexican engineer Gonzalo Garita, with Edward and Foster Milliken’s steel structures company, also based in New York, were the result of the development of a market in which appeared the first entrepreneurs of modern construction in the country. The work focuses on the realization in Mexico City of the buildings for Casa Boker and for the Mutual Insurance Company of New York, in the context of the works of the designers and contractors in Manhattan, Cape Town or Johannesburg. In this way we understand a modern management of projects and works in advance of our day’s globalization.


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