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IVO closes elderly home case after improvements

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Key Points
  • IVO closes case on Vilhelmsrogårdens äldreboende after municipality's corrective measures.
  • Region Dalarna reports delayed prostate cancer diagnosis under lex Maria.
  • Region Värmland notifies IVO after medication administered via wrong route.

IVO will not take further action after its review of serious deficiencies at Vilhelmsrogårdens äldreboende, according to Jönköping municipality. The inspectorate decided to close the case regarding a lex Sarah report from the elderly committee concerning deficiencies at the facility, Jönköping municipality said. IVO assessed that the municipality has fulfilled its obligations and taken necessary measures, the authority stated. The municipality's measures include enhanced competence development for staff, clearer routines for nursing and work with elderly care values, and ongoing follow-up to prevent similar deficiencies, according to Jönköping municipality.

Region Dalarna has made a lex Maria notification regarding an elderly man who received a delayed diagnosis of prostate cancer, the region said. A man in his 70s sought his health center in southern Dalarna for severe urination problems, saw a locum doctor, tried a medication, and was referred to a urology specialist, according to official sources. The PSA blood test was normal and the urologist found no signs of cancer in the prostate gland, official sources said. The urologist recommended annual follow-up with PSA tests and prostate examination due to the patient's brother having had prostate cancer, according to official sources. The referral response was signed by another locum doctor who took no further action, official sources said. Four years later, the patient sought the health center for other reasons and also mentioned increased urination problems; a new PSA test was elevated, according to official sources. A new urology examination showed prostate cancer and the patient received treatment with radiation and chemotherapy, official sources said. The healthcare provider has taken measures, including a new routine for receiving referral responses, Region Dalarna said.

Region Värmland has made a notification to IVO after a patient received incorrect administration of medication, the region said. The notification concerns a multi-sick patient with impaired ability to swallow who had suffered several lung inflammations due to stomach contents entering the lungs, according to official sources. The patient received a PEG tube for feeding via a probe, official sources said. During hospitalization for continued escalation of tube feeding, the patient also received nutrition via a central venous catheter, according to official sources. The next day the patient was affected and a doctor was called; it turned out that medications intended for the PEG tube had been administered into the venous catheter, official sources said. The patient was cared for in the intensive care unit but later improved and could be moved to a ward, according to official sources.

IVO has criticized Kramfors municipality for deficiencies in controls before placements of children and young people, handling of reports of concern, and follow-up of placed children, the inspectorate said. Kramfors municipality must report to IVO how it will address the deficiencies, according to multiple reports. The municipality fails to check that accommodations have the right permit for the child's target group and that family homes are not run professionally, multiple reports indicate. It has also missed obtaining references from other municipalities that previously had children placed in the same family home, according to multiple reports. Kramfors has not followed legal requirements to decide on investigation or complete an investigation within the time limit for reports of concern, multiple reports state. The municipality has not followed up placements and ensured that children speak with their social secretary at least every six months, according to multiple reports. It also lacks work to review journals and documentation, making it difficult to ensure quality, multiple reports indicate. Kramfors municipality explains the deficiencies with high staff turnover, lack of continuity and management, and deficiencies in competence and experience levels among social secretaries, the municipality said.

Region Norrbotten has made a lex Maria report to IVO stating that deficient psychiatric care of a patient led to them committing a serious crime, the region said. The region does not specify which crime, but the date coincides with the double murder in Piteå, according to multiple reports. According to Region Norrbotten, the perpetrator had close contact with both psychiatric outpatient and inpatient care before the criminal act. The perpetrator had been treated as an inpatient on many occasions, both voluntarily and under compulsion, the region said. The perpetrator made repeated visits to psychiatric outpatient clinics and alternated between seeking help and being in care, the region stated.

Funktionsstödsnämnden has made a report about an incident that resulted in a serious care injury, the nämnden said. The incident concerns a resident who suffered a care injury due to deficiencies in communication and documentation, according to multiple reports. There were deficiencies in communication between staff and licensed personnel, and deficiencies in compliance with routines for record-keeping and documentation, multiple reports indicate. The deficiencies led to delayed and insufficient care and rehabilitation, which likely contributed to the care injury, according to multiple reports. The incident has been investigated by the administration's medically responsible investigator, multiple reports state.

Avesta municipality has submitted a report under Lex Sarah to IVO, the municipality said. An internal investigation has been initiated in connection with the Lex Sarah report, according to multiple reports.

Hallands sjukhus has reported two cases to IVO, according to multiple reports. The specific details of these cases have not been disclosed.

IVO immediately banned Psykiatrispecialisterna from operating due to risks to patient life, health, and safety, the inspectorate said. However, the administrative court granted inhibition, allowing the company to continue operations pending a final decision, according to multiple reports. Psykiatrispecialisterna sold digital ADHD assessments and marketed to schools. IVO's decision lists specific deficiencies: medications prescribed without necessary medical assessment, treatment methods with injections similar to Botox for muscle relaxation, neuropsychiatric assessments and diagnoses not meeting standards, procedures performed by staff without sufficient competence, deficiencies in medical records, management system, and patient safety work, the inspectorate said. IVO assessed that each deficiency alone is serious enough to pose a danger to patients' life, health, or safety, the authority stated. Psykiatrispecialisterna disputes the decision on its website, claiming IVO missed some information, and has filed an appeal to the administrative court, the company said. According to IVO, the company was repeatedly given the opportunity to comment on the decision basis but did not submit any statement. Patients from Psykiatrispecialisterna are welcome to contact adhdmottagningen.se for assessment and continued medication, the website states.

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Region VärmlandSVT MittnyttMalmö stad PressRegion Norrbotten PressJönköpings kommun+11
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IVO closes elderly home case after improvements | Reed News