It is in a preliminary report of 31 pages from the Norwegian Health Inspectorate that several objectionable matters come to light. The inspectorate believes that OUS and the security department at Gaustad Hospital may have broken six laws and one regulation. (fact box). Several breaches of the law In the preliminary report, the Norwegian Health Authority has found breaches of six statutory sections and one regulation: Mental Health Protection Act section 5-2 on responsibility for treatment and 5-3 on how healthcare is carried out. Section 2-2 of the Specialist Health Services Act on the duty of responsibility and 3-4 a on quality improvement and patient safety. Section 4 of the Health Personnel Act on responsibility and section 16 which concerns the hospital’s organisation. Paragraphs 6-9 of the regulation on management and quality improvement. You can hear the whole story about “The man in Thereses gate” and the criticism of the hospital in the podcast on news radio. 33-year-old Rustam Louis Foss was shot by the police on the morning of 9 November last year. He later died from his injuries. The preliminary report shows that the 33-year-old was on planned overnight leave from Gaustad from 8 to 9 November. He had high levels of cocaine in his blood during the knife drama at Bislett. Foss was granted overnight leave despite the fact that he had been sentenced to compulsory mental health care, and had been intoxicated on several previous leaves of absence. He received the sentence after he had threatened several people and stabbed a man on Grünerløkka in Oslo in 2019. A witness filmed the dramatic arrest that took place on Ankerbrua in Oslo. The Norwegian Health Authority believes that Oslo University Hospital (OUS) lacked proper frameworks for patient treatment and social protection. – We are a hospital and our task is patient care. So there is a balancing act and consideration for social protection and the individual patient, says clinic manager Petter Andreas Ringen at Oslo University Hospital. He is head of the clinic for mental health and addiction. Immediately after the incident, they routinely started looking for improvements, he tells news. – We are now looking at this report, which is preliminary, and working with it internally to ensure its quality in close cooperation with the Norwegian Health Authority. I cannot say anything more about what happens to that report when it is unfinished, says Ringen. Failure on several points The Norwegian Health Authority points to several objectionable circumstances surrounding the treatment of Rustam Louis Foss, in the preliminary report: Inadequate routines for follow-up of positive rust tests. Lack of notification systems between the security department and the police. His potential for violence due to intoxication was not used in risk management. Lovisenberg Diakonale Sykehus (LDS) wanted to discontinue the plan for its own housing, but OUS overturned the decision. When the patient was on LDS, the aggrieved party in the case in which he was convicted was notified before leave. It did not happen after the transfer to OUS. It appears in the report that Foss was in a scheme where he lived in a privately rented home with follow-up from the ambulatory security team at Lovisenberg Diakonale Hospital. THE SCENE: The damaged patrol car that was used during the arrest at Bislett in Oslo is being taken away from the scene. Photo: Torstein Bøe / NTB Despite three episodes of cocaine consumption during leave, it was decided to make a last attempt to establish the patient in the private home outside the inpatient ward, the report from the Norwegian Health Authority states. Faulty assessment The Norwegian Health Authority writes that the security department wrongly assumed that the patient’s deterioration in previous episodes of violence occurred over days and weeks when taking drugs. The Norwegian Health Authority’s assessment, on the other hand, is that his history of violence shows that “very rapid, negative changes could occur if the patient became intoxicated on alcohol and cocaine”. The Norwegian Health Authority writes that it could lead to violent behavior within hours. In the podcast it also appears that he was on leave on Wednesday 3 November. He was at a bar in Trondheimsveien in Oslo with friends, when the bartender found him drunk and threatening. She called the police, who allegedly took his name and social security number. But the incident only ended with them turning him away. The Oslo police district has not yet commented on the case to news. OUS says they have arrived at a new routine in collaboration with the police after the incident. – Together with the police, we have come up with a new notification routine for such cases, says department head Ringen at OUS. – How does this work? – So far it seems to be working well and as intended, says Ringen. Counsel for Foss, Andrea Wisløff, does not wish to comment on this case.
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Harsh criticism of OUS after Rustam Louis Foss was shot by the police – news Norway – Overview of news from various parts of the country
