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HEALTH

Medical errors can cost hospitals dear

A mistake or erroneous diagnosis can be expensive for individual hospitals after the introduction of new routines to improve patient safety as a part of a review of Stockholm healthcare.

Stockholm county health authority has proposed that those responsible for mistakes can be held liable to pay for all care costs in the two years after the error.

“It concerns operations which have to be repeated as a result of sloppy practice in the first instance,” said county commissioner Stig Nyman to Svenska Dagbladet (SvD).

Stockholm county council launched a new model at the beginning of the year for the seven care centres which conduct hip and knee operations. Henrik Almkvist, chief physician with the local health care administration, said to SvD that the system will gradually be rolled out to cover all health care services, even psychiatry and primary care.

Stig Nyman hopes that it “can increase the focus” on the development of sound routines, the double checking of mistakes and encourage the reporting of all mistakes so that lessons can be learned.

“When it can be proven that the staff have not done everything they can to avoid injury or infection then the hospital should stand for the all the costs for any new operations and aftercare.

For members

HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

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