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Sharp reduction of the number of beds at the Karolinska

Of the auditors ' annual report shows that the number of available beds decreased by 30% since 2015, when the hospital's large-scale reorganization and relocation started. The new organisation that the hospital has introduced with the help of the Boston Consulting Group, would reduce the fragmentation of care, and increase efficiency.

But the promises have not been kept and the hospital is struggling with a huge deficit, estimated at 1.5 billion by 2019, representing 8 per cent of the hospital's revenue. Chambers of physicians was an early critical, and pointed out that the new organizational model of the hospital would not solve the health care's real problem: a lack of beds.

" It is alarming that the number of beds is declining while the population in the region grows. When vårdplatserna reduces the forced the doctor to take medical risks, because you can't put in them that should be added, " says Yvonne Dellmark, medical association chairman at the Karolinska.

an average of 897 available beds, compared with 1.260 2015, before the reorganization began. The difficulty to keep the beds open will be affected not only by the shortage of nurses, but also patients at the New Karolinska are being cared for in single rooms, which requires twice as many nurses.

With the reduction of the number of beds increases the number of overcrowding. The coating on the hospital has on average been above 100 per cent in 2018, while the relocated patients increases, which compromises patient safety, according to the health Board.

of emergency patients has decreased, so increasing the proportion who spend the night in the emergency room while awaiting care place in both Huddinge and Solna, according to the report. The hospital stated that it depends on a high influx of severely ill patients.

Karolinska has also in 2017 and 2018 reported deaths are related to vårdplatsbristen and notified in accordance with lex Maria.

According to the audit is the number of care beds for get to cover the health needs. The hospital's own assessment is that the number of care beds would need to be 160 more to clear the hospital's mission during the high season of spring and autumn.

a major problem in the whole region of Stockholm. Among other things it has forced the south hospital to go up in stabsläge. To reduce the number of beds is in line with the planning of the New Karolinska - but utflytten of care that is highly specialized do not follow the plan. Employees also testify to the low occupancy at the New Karolinska, and that the beds which do not go to man is covered with plastic.

– the Idea of nivåstrukturering of health care where the NKS alone, shall perform the highly specialized care based on each hospital, also at the Karolinska, can take their patients. It is not possible in the absence of care beds, which means that there will be many unnecessary movements between departments and hospitals for the most seriously ill patients. It is a matter of concern, " says Yvonne Dellmark, who are concerned by the large savings target that have now been announced at the hospital.

hospital costs rise, so reducing the production of care.

" One must consider what this enormous sparbetinget will bring. It is not possible to save the number of clinical point-of-care services without being noticed in the health care. However, if we cut down on the number of managers, so you are closer to the goal, for this flow, the organization is more cost than the previous one. It is sad when you lose both experienced doctors and nurses on the basis of short-term savings, " says Yvonne Dellmark.

the hospital Director Björn Zoëga, agree that vårdplatsläget is strained. In the last week decided master kai fa if anställningsstopp at the hospital.

"It is clear that the situation has been strained, and there is a discussion on how many beds we would need," he says.

– If we need to open more beds so we are going to give a dispensation for it. Our guiding principle in this is about patient safety and vårdproduktionen. It may cost more, but we may be able to reduce the operation and there are many things that we can do differently.

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