The woman previously diagnosed with cancer came to the emergency room by ambulance at midnight for an infection.
After an hour or so, she is judged to have been treated at the emergency room and was to be transferred to another ward.
But the move to another division is delayed: There are no vacancies.
- If the patient had come directly to a ward, they would have had an alarm mat there, they would have had rounds that are now being introduced in the emergency room, says chief physician Carl-Johan Westborg.
There was no alarm
At 13 o'clock, 12 hours after arriving at the emergency room, the woman has to get out of bed to go to the toilet but falls inside the room.
The chief physician says that they did not have alarm mats that register if a patient gets out of bed or the same type of rounds that other departments have in the emergency room.
Now this will be introduced - even though it is not the idea of an emergency room.
- It should not be needed.
Once a decision has been made to admit a patient who is multi-sick and fragile, that patient must leave.
You should not lie down for 14 hours.
The hospital is dimensioned for a certain activity, but that activity is not running because it is difficult to recruit nurses in particular.
The Norrbotten region has now reported the incident itself to the Swedish Health and Care Inspectorate, IVO, as the accident has probably shortened the woman's life.