Cosmic journal system to be reworked after criticism in Dalarna

Doctors in Dalarna express frustration over the new Cosmic journal system introduced within Sussa.

Doctors describe reporting deviations as feeling like sending them into a black hole. Assistant IT director Martin Ljunggren says they do not want it this way. Work to rework Cosmic within Sussa is now set to begin. The criticism concerns work environment and patient safety since the introduction. At the women's clinic daily life is marked by stress and worry. Doctor Emma Åkerlund says it is a bad system and not about learning it.

संबंधित लेख

Illustration of Cambio Healthcare executives paying Region Dalarna's fines for the Cosmic procurement scandal, with disapproving Konkurrensverket observer.
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Cambio to pay Region Dalarna's fines in Cosmic case

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Nine regions, including Region Dalarna, avoid paying 10 million kronor fines each for the illegal procurement of the Cosmic journal system. Supplier Cambio Healthcare will cover the costs per prior agreement. Konkurrensverket criticizes the arrangement but will not act in this case.

Dissatisfaction with the Cosmic journal system remains high among doctors in Dalarna. A survey by Dalarnas läkarförening reveals that 400 doctors view the system as a risk. All regions in the Sussa-samverkan, including Dalarna, have now implemented the jointly procured system.

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The government has decided to launch an inquiry into the regions' journal systems in healthcare. The announcement has sparked joy among doctors in Dalarna who have long criticized the Cosmic system.

A woman in Dalarna died waiting for surgery on an aortic aneurysm after delayed care. Region Dalarna assesses the incident was partly caused by the switch to the Cosmic journal system in October 2025. The region is filing a Lex Maria report.

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The planned launch of a new Cosmic system version in the Sussa regions on May 31 has been postponed. Supplier Cambio identified quality deficiencies that caused the delay. The update was to include over 200 error fixes and 70 functional changes.

Region Skåne has again postponed the launch of the Millennium healthcare IT system following an internal review that identified major flaws. The current version is judged not sufficiently usable, and the region director will investigate alternatives.

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Around 60–70 employees from the medical clinic in Falun marched to the Region House on Wednesday to protest the decision not to extend operations manager Kerstin Smids' appointment. They handed a petition with 270 signatures to health and medical care director Åsa Dedering. The staff express strong dissatisfaction with the decision, which has been questioned through letters and meetings.

 

 

 

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