The skin change test result was incorrectly interpreted, resulting in delayed patient care.
A patient sought care at a health center due to a change in his skin. Dermoscopy images were taken and evaluated according to routine, after which the patient underwent surgery. However, the response to the tissue sample has been misjudged, delaying patient care, which may affect both treatment and prognosis.
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The Västerbotten district investigated the case and put in place measures to reduce the risk of its recurrence. The case was then reported to the Welfare and Welfare Inspectorate for review in accordance with Maria's Law.
Lex Maria is a law that imposes certain obligations on the region as a health care provider. If a patient in the healthcare system suffers or is at risk of serious injury or illness, this must be reported to the Healthcare Inspectorate. The purpose of the law is to ensure safe, good-quality care. One way to enhance care is to learn from the mistakes that are made.
The events that trigger reporting also have public interest. Therefore, the Västerbotten Region also sends a press release regarding the notification.
More information
Malin Hamrin
Chief physician
Vasterbotten area
090-785 00 00 (exchange)
[email protected]
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Petra Olgarsson
Communications staff
Vasterbotten area
073-091 48 87
[email protected]
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