The routine operation was carried out in the spring of 2022. At the time of admission, the woman had high blood sugar. But the doctors at Lycksele Hospital did not know this as the over-reporting from the infirmary and short-term accommodation where she has been admitted before the operation was deficient.
The doctors were also not given a medication list and the nursing notes from the midwife were incomplete.
Dies after surgery
The operation at Lycksele Hospital went well and the woman was going back to the accommodation the next day. But during the night, her glycosis infusion happens to go out of her body, which no one discovers until the day is on. Then the staff finds her unconscious.
She is transferred to the intensive care unit, but her life cannot be saved.
"The outcome here was tragic and dramatic in relation to the risks of such a procedure," says Bengt Andersson, chief physician at the Center for Gynecology and Obstetrics in Västerbotten.
Lack of communication and documentation
The incident has been reported to IVO, the Swedish Health and Social Care Inspectorate. According to the chief medical officer, there is a clear link to the strained staffing situation that has been for a long time.
"It's been a contributing factor. You are not as familiar with the routines and communication routes if you only work there temporarily or as a rental staff, says Bengt Andersson.