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HEALTH

Pregnant woman died in overcrowded hospital

A Swedish hospital pressured by a lack of beds and staff coupled with a winter increase in patients has reported itself to the healthcare watchdog after a pregnant woman died in its emergency room.

Pregnant woman died in overcrowded hospital
File photo of a pregnant woman not connected to the story. Photo: Hasse Holmberg/TT

The woman complained of headache and vomiting when she visited Mölndal Hospital in western Sweden in December, reports broadcaster SVT. It was decided to let her undergo a brain scan, but because of a lack of beds in the neurology ward she had to stay in the emergency room overnight.

During the night her condition deteriorated. She was taken to the neurology ward for emergency surgery, but her life could not be saved. The hospital filed a so-called 'Lex Maria' report to the healthcare watchdog, the Health and Social Care Inspectorate, suggesting overcrowding may have been to blame.

“Inadequate level of care, possible shortcomings in the transmission of information and delayed transport could be a contributory factor to the tragic course of events,” SVT, which does not state how far ahead the woman was in her pregnancy, quoted it as saying.

The hospital does not wish to comment during the ongoing investigation, but several staff members have voiced concern over a lack of beds in non-emergency departments at the Sahlgrenska University Hospital, of which Mölndal Hospital is part.

“Patients who really need care in the other wards end up staying in the emergency room. The staff then have to try to care for them there, while caring for a continuous stream of new patients,” Karin Frank, the healthcare union representative at Mölndal Hospital, told SVT.

The Local has previously reported on other incidents of overcrowding at Swedish hospitals. In December, three families from Uppland county had to travel to Finland to give birth because there was no room for them and their specific needs in the neonatal unit of Uppsala University Hospital.

Last year a baby died when a heavily pregnant woman was turned away from an overcrowded hospital in the south of the country, while in a high-profile case in 2014, a Swedish man had to help his fiancée give birth to their baby in the back of a taxi because the family was turned away by a midwife, who said there wasn't a hospital bed available for them in all of Stockholm.

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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