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The Norwegian Board of Health has decided to travel to Helgeland Hospital and carry out a post-notification inspection of cancer surgery cases at Sandnessjøen Hospital.
The Norwegian Board of Health has decided to travel to Helgeland Sandnessjøen Hospital to take a closer look at colon cancer operations there. Helgeland Hospital, Health North
This is confirmed by the communications manager, Nina Vedholm, of the Norwegian Health Council of Aftenposten.
– Today we sent a letter to the hospital that the Norwegian Board of Health will conduct a local inspection of Sandnessjøen HF. It has not been decided when the audit will take place, so we have no further comments yet, he writes in an email.
For many years, the risk of death has been much higher for colon cancer patients at Sandnessjøen Hospital than for the national average, measured within 100 days of surgery.
The Cancer Registry has specified that Sandnessjøen’s figures are small and that the statistics should be interpreted with caution because coincidences can have a major impact. However, the Cancer Registry asked the hospital to see what the 2016–2018 statistics might be due to.
Serious Event = Death or Major Injury
On Thursday last week, Helgeland Hospital itself sent a notification to the Norwegian Board of Health Supervision about serious incidents at the hospital. The Norwegian Board of Health has obtained more information on the incidents on which the warning is based, and travels to Sandnessjøen on this basis.
The Norwegian Board of Health conducts inspections if it considers that a serious incident may have occurred.
Local inspections are a method used by the Norwegian Board of Health Supervision to map and assess the incident, the underlying causes and how the company has provided sound health care.
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The department head reacted to the high death rates and the cancer surgery was closed for a week. External reports are now ending with cause for concern.
According to the Norwegian Board of Health, a serious incident is the death or major injury of a patient, where the outcome is particularly unexpected relative to the foreseeable risk.
The Norwegian Board of Health has spent this week reviewing the reports prepared on safety and quality for the patient group. They have also requested a copy of all correspondence and minutes of meetings where signs of a possible reduction in quality and patient safety have been discussed.
Important report postponed
On Thursday afternoon, there was a joint meeting with the professional intestinal surgery communities and the leaders of surgical activities at Helgeland Hospital. The agenda was what would happen to colon cancer operations at the hospital in the future.
Executive Director Hulda Gunnlaugsdóttir has said the hospitals will now establish joint professional management for cancer surgery.
They discussed the summary report made after evaluations by external experts from the University Hospital of Northern Norway (UNN) St. Olav’s Hospital and the Oslo University Hospital (OUS), which Aftenposten wrote on Wednesday last week.
At this meeting, the Sandnessjøen doctors would also contribute to this report and agreement was reached on a revised report on how cancer surgery should be organized in the future.
This final report was due initially on Thursday or Friday.
But according to Helgeland Hospital communications manager Tore Bratt, it is now being postponed until Monday.
Department head Ida Bukholm reacted to the high death toll of bowel cancer patients at Sandnessjøen Hospital. Olav Olsen
Expert reports have reviewed operations on colon cancer patients at Sandnessjøen Hospital.
Two out of three external reports (from St. Olav and OUS) have revealed some serious discrepancies and express concern about both quality and mortality.
The UNN report concludes that the business is strong.
Employees have responded that they were not informed about the content of the reports before the findings were discussed in local and national media.
Numbers too small
Recently, the 2019 annual report came from the National Quality Registry of
colorectal cancer. Last year, 15 colon cancer surgeries were performed in Sandnessjøen. But the new report does not include charts of Sandnessjøen’s death rate.
The treatment volume is too low in the current period for which the graphs are shown, the years 2017-2019. This means that there are on average less than 10 operations per year in the period.
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