the Patient came to the hospital after having fallen and got a bleeding between the skull and the brain. According to the lex Maria-to the notification, the attending physician contact with the neurosurgeon at Karolinska university hospital, who recommended treatment of the patient's increased bleeding tendencies, a result of person took blood-thinning medicine.
the Recommendation was followed, however, because the doctor did not read the note from the neurosurgeon but instead relied on a note from the kirurgjouren.
After eleven hours of observation was the patient out but came back in their original condition and died then after a couple days of care.
to vårdplatsbristen meant that the patient received a short treatment time. Also the difficulty to read journal entries from other health care providers were highlighted as contributing factor to the death.
the Inspection of health and social care launches a oversight because the agency does not think that the hospital investigated the incident enough. For example, it is not clear why no one, besides the neurosurgeon, responded to the patient's increased bleeding tendencies.
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