Woman dies awaiting aneurysm surgery: Cosmic system blamed in investigation

An update on the patient death in Region Dalarna previously probed for links to the Cosmic electronic health record system: a woman died waiting for aortic aneurysm surgery after the system delayed her summons by weeks, leading to a rupture. The region's internal investigation confirms Cosmic's role, with the case reported under Lex Maria.

P4 Dalarna first reported the incident late last year, shortly after Cosmic's rollout. Following initial investigations highlighted in prior coverage (April 17), the region's report now explicitly states that flaws in Cosmic extended the wait, preventing timely care.

This case adds to mounting criticism of the system, already documented by Dalarnas läkarförening's survey of 400 doctors (94% citing patient risks), protest petitions with 1,700 signatures, and record 6.6.a notifications from workplace safety reps.

Region Dalarna's director of health and medical services, Åsa Dedering—a physiotherapist not clinically active for decades—told SVT on April 21 that leadership prioritizes patient safety. However, she had previously downplayed physician warnings despite hundreds of incident reports.

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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.

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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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.

All regions in the Sussa collaboration, including Region Dalarna, are appealing a Kammarrätten ruling imposing 10 million kronor fines each. The ruling concerns a supplementary agreement on the Cosmic system. The regions are deemed to have erred in the handling.

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The Administrative Court of Appeal in Gothenburg has ruled that addendum agreements to the Cosmic contract for nine regions, including Region Dalarna, violated the law. Each region must pay 10 million kronor in procurement penalty fees following Tuesday's ruling. The Competition Authority prevailed after the Administrative Court had acquitted the regions.

State-owned mining company LKAB failed to report serious workplace incidents to the Swedish Work Environment Authority, according to an investigation by Arbetet newspaper. The company now admits the error and is in contact with the authority. Employees report life-threatening near-death experiences in the mines.

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Prosecutor Emma Häggström has closed the probe into the suspected poisoning of four employees at Akademiska sjukhuset in Uppsala last autumn, clearing a previously detained colleague of suspicion. The hospital regrets the outcome but respects the decision.

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