Issues in Cosmic probed after patient death

Region Dalarna is investigating a case where a patient died waiting for surgery due to a delayed summons. Dalarnas läkarförening links the incident to flaws in the Cosmic electronic health record system. The event occurred before year-end, shortly after the system's rollout.

Region Dalarna is investigating whether a patient's death can be linked to issues in the Cosmic electronic health record system. The patient was not summoned for surgery on time and died while waiting. Dalarnas läkarförening attributes the incident to system flaws, as first reported by P4 Dalarna.

"There has generally been a lot of trouble with the summoning process in Cosmic," says Daniel Svedin, a member of the medical association. The event took place before year-end, a couple of months after Cosmic's implementation in the region.

SVT Dalarna has previously reported on similar issues with appointments and follow-ups in the system. The region emphasizes its patient safety efforts.

"We take all signals regarding patient safety very seriously. We follow up on all deviations reported, as part of our ongoing patient safety work," says Åsa Dedering, director of health and medical services at Region Dalarna.

Makala yanayohusiana

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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Criticism of the Cosmic journal system is growing at Falu hospital. The women's clinic and orthopedic clinic have reported the region due to increased stress, longer waiting times, and risks to staff and patients. One demand is to reinstate Take Care.

The ambulance helicopter in Mora has saved lives across Dalarna for ten years, from forests to remote areas. Police officer Crister Nelefelt survived a cardiac arrest thanks to the team in 2022. Costs are rising, but the service is deemed indispensable.

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A nurse at Akademiska hospital in Uppsala is suspected of causing another's death following an elderly woman's death in July 2023. Despite indictment, the employee has continued working at the hospital, initially in patient-facing roles and now with other duties. The incident involved a mis-set nutrition infusion that led to cardiac arrest.

Uppsala county's psychiatric ambulance, operating only eight hours a day, misses 60 to 80 percent of mental health alarms due to resource shortages. Hospital board chair Neil Ormerod (V) wants to extend operating hours but lacks funding. Police report a clear difference when the service is active.

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Only one of 44 motions has been approved in Region Dalarna's council since the election. The motion, by Ulf Berg (M), proposes patients evaluating care via SMS. SVT Nyheter Dalarna has reviewed all motions handled during the mandate period.

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