“Broken fax then noted the wrong dose”
“An elderly woman died on a short-term accommodation in Gothenburg at the end of October last year, after they gave her the wrong dose of medicine. The sequence of events which led to the death notification now to the Inspection for health care (Ivo), writes Göteborgs-Posten.”
“the Woman was being treated at korttidsboendet in Angered on the basis of a previous stroke, blood clots in the brain and high blood sugar.”
“On the East of the hospital, samples were on the woman, and came to the conclusion that she had a high risk of haemorrhage. But the accommodation, where she later was listed in an incorrect dose of blood thinners. The eastern hospital had orally informed about the dose because the property’s fax was broken.”
“Marine Ragnarsson, who is medically responsible nurse in the Angered and the one that made Ivo-notification, would not comment on what role the broken fax machine may have played in the death. But says that it is not optimal to provide information about the medication over the phone.”
” It is always complicated and can lead to misconceptions. You could say that the essence lies in that it should have had the original document, thus the prescription in paper form, ” she says to the GP.”
“According to the notification over a longer period of time had problems with obtaining prescriptions because of the property’s fax does not always work out.”
“Korttidsboendet stated that it now got a new fax, and clarified its procedures on how to act if it does not work.”
