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aria-label="Lisää artikkeleita aiheesta Terveydenhuolto" class="aw-l7odld jXfkxq">Terveydenhuolto</a></div><h1 class="sc-aXZVg cZXpWU yle__article__heading yle__article__heading--1">Pienten sairaaloiden vähentämistä perustellaan potilasturvallisuuden parantamisella, vaikka näyttöä siitä ei ole</h1><p class="aw-1gybjub aw-5vja16 jxdWmn eeXVLF yle__article__paragraph">Ministeriön työryhmä haluaisi keskittää palveluja potilasturvallisuuden vuoksi isoihin yksiköihin. Mikään tutkimusnäyttö ei osoita, että sairaalan koko vaikuttaisi hoidon tasoon.</p><div class="aw-e30oo3 blLbha"></div><figure class="aw-u5oz0a clzEhy yle__article__figure"><script type="application/ld+json">{"@id":"74-20075886","@context":"https://web.archive.org/web/20240226075657/https://schema.org","video":{"@type":"VideoObject","description":"Sosiaali- ja terveysministeriön työryhmän esityksen mukaan esimerkiksi Savonlinnan keskussairaala olisi karsimisuhan alla. Videolla kerromme, mistä on kyse. Video: Saara-Miira Kokkonen / Yle, Simo Pitkänen / Yle","name":"Pienten sairaaloiden vähentämistä perustellaan potilasturvallisuudella, vaikka näyttöä siitä ei ole","thumbnailUrl":"https://web.archive.org/web/20240226075657/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-42973859c268d07fd2f","uploadDate":"2024-02-23T10:52:48+02:00"}}</script><div class="aw-1a00tic ircCun"></div><figcaption class="aw-kr26k0 iEoONW"><span>Sosiaali- ja terveysministeriön työryhmän esityksen mukaan esimerkiksi Savonlinnan keskussairaala olisi karsimisuhan alla. Videolla kerromme, mistä on kyse. Video: Saara-Miira Kokkonen / Yle, Simo Pitkänen / Yle</span></figcaption></figure><div class="aw-1wk2icm iaIVgA"><div class="aw-qww0lc eFtfQt"><div class="aw-x5rn7a iKNQRH"><span class="aw-z7z0zi hEWAhM">Saara-Miira Kokkonen</span></div></div></div><div class="aw-1hwlbbb iumvhG"><div class="aw-64d2lh cPAYLb"><div class="aw-kzjed4 dgiUVP yle__article__date"><time class="aw-lsqctp jPSFYl yle__article__date--published" datetime="2024-02-26T06:25:36+02:00">6:25</time></div></div><a href="https://web.archive.org/web/20240226075657/https://yle.onelink.me/46xJ/07zyq6zz?deep_link_sub1=74-20075886" class="aw-pqa0kd GtYAc">Avaa Yle-sovelluksessa<svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true"><path d="M15 2a1 1 0 1 0 0 2h3.586l-9.293 9.293a1 1 0 1 0 1.414 1.414L20 5.414V9a1 1 0 1 0 2 0V3a1 1 0 0 0-1-1h-6ZM5 7a1 1 0 0 0-1 1v11a1 1 0 0 0 1 1h11a1 1 0 0 0 1-1v-6a1 1 0 0 1 2 0v6a3 3 0 0 1-3 3H5a3 3 0 0 1-3-3V8a3 3 0 0 1 3-3h6a1 1 0 1 1 0 2H5Z" fill="currentColor"></path></svg></a><div class="aw-itub5i eehAxh"><div><button aria-label="Jaa artikkeli" aria-disabled="false" id="share-menu-button" aria-haspopup="true" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonText-sc-17sr1bx-3 jrqhnK kvhUhF"><span class="Buttonstyles__iconSize-sc-17sr1bx-4 Buttonstyles__IconWrapper-sc-17sr1bx-6 cazOWd dPcqZv yds-button__icon"><svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true" class="aw-wi5224 fZrvxl"><path fill-rule="evenodd" clip-rule="evenodd" d="M12.43 3.078a1 1 0 0 1 1.087.207l8.182 8a1 1 0 0 1 0 1.43l-8.182 8a1 1 0 0 1-1.7-.715v-3.855h-.008c-1.968.029-3.972.988-5.827 2.417L3.61 20.389a1 1 0 0 1-1.592-.981l.5-2.597.014-.062c.23-.883.58-1.911.986-2.865.4-.94.88-1.876 1.387-2.532.964-1.246 2.07-2.138 3.405-2.709 1.057-.45 2.219-.684 3.508-.76V4a1 1 0 0 1 .612-.922Zm1.388 3.298v3.48h-1c-1.529 0-2.727.202-3.722.627-.984.42-1.826 1.081-2.609 2.093-.351.454-.753 1.206-1.129 2.09a19.46 19.46 0 0 0-.874 2.525l.277-.213c2.023-1.559 4.445-2.798 7.028-2.833h2.029v3.479L19.57 12l-5.752-5.624Z" fill="currentColor"></path></svg></span><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 WDnuQ yds-button__text">Jaa</span></button></div></div></div></header><section class="yle__article__content"><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Sosiaali- ja terveysministeriön työryhmä <a class="aw-iao6s4 drtaeR yle__article__link" href="https://web.archive.org/web/20240226075657/https://yle.fi/a/74-20068763" role="link">on ehdottanut</a> pienten keskussairaaloiden määrän karsimista potilasturvallisuuden vuoksi. Asiantuntijoiden mukaan peruste ei ole pitävä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Asiakas- ja potilasturvallisuuskeskuksen johtaja, potilasturvallisuuden professori <strong class="aw-ak79eh hgoSon yle__article__strong">Tuija Ikosen</strong> mukaan sairaalan koko ei vaikuta potilasturvallisuuteen.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Meillä ei ole tilastotietoa Suomesta, että sairaaloita voisi laittaa paremmuusjärjestykseen potilasturvallisuuden perusteella tai sanoa, että pienissä yksiköissä on enemmän potilasturvallisuusriskejä kuin suurissa yksiköissä, Ikonen sanoo.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Potilasturvallisuus riippuu hänen mukaansa siitä, mitä ja miten palveluja tuotetaan, millaiset resurssit ovat käytössä ja kuinka hyvä henkilöstön osaaminen on.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Ikosen mukaan potilasturvallisuuden vaarantumisen riski kasvaa, jos osaavaa henkilöstöä ei ole saatavilla tai jos hoidon tarvitsijoita on samaan aikaan enemmän kuin pystytään hoitamaan.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Tämä voi olla sekä ison että pienen yksikön ongelma, Ikonen sanoo.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20075886","@context":"https://web.archive.org/web/20240226075657/https://schema.org","image":{"@type":"ImageObject","description":"Potilasturvallisuuden professori Tuija Ikosen mukaan turvallista toimintaa voi tuottaa kaikenkokoisissa sairaalayksiköissä.","copyrightHolder":"Asiakas- ja potilasturvallisuuskeskus","url":"https://web.archive.org/web/20240226075657/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_767,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-124735865d5eaa33d3fb","keywords":"potilasturvallisuus,lääkärit,Sairaalat ja terveyskeskukset,Potilasturvallisuuskeskus"}}</script><div class="aw-1a00tic dhejIQ"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/c_crop,h_1417,w_1417,x_0,y_0/ar_1.0,c_fill,g_faces,h_767,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1708605340/39-124735865d5eaa33d3fb 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/c_crop,h_1417,w_1417,x_0,y_0/ar_1.0,c_fill,g_faces,h_767,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1708605340/39-124735865d5eaa33d3fb 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/c_crop,h_1417,w_1417,x_0,y_0/ar_1.0,c_fill,g_faces,h_636,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1708605340/39-124735865d5eaa33d3fb 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/c_crop,h_1417,w_1417,x_0,y_0/ar_1.0,c_fill,g_faces,h_636,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1708605340/39-124735865d5eaa33d3fb 1x"/><img alt="Lähikuvassa Asiakas- ja potilasturvallisuuskeskuksen johtaja, potilasturvallisuuden professori Tuija Ikonen katsoo kameraan." src="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/c_crop,h_797,w_1417,x_0,y_87/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1708605340/39-124735865d5eaa33d3fb" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>Potilasturvallisuuden professori Tuija Ikosen mukaan turvallista toimintaa voi tuottaa kaikenkokoisissa sairaalayksiköissä.</span><span> Kuva: Asiakas- ja potilasturvallisuuskeskus</span></figcaption></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Sosiaali- ja terveysministeriön työryhmä esitti tammikuussa, että keskussairaaloiden palveluja keskitettäisiin isoihin yksiköihin. Asiaa perusteltiin muun muassa henkilöstön riittävyydellä ja potilasturvallisuudella.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Päätös voisi tarkoittaa Savonlinnan, Kemin, Oulaisten, Salon ja Valkeakosken sairaalapalveluiden karsimista. Esityksestä ei ole vielä tehty poliittisia päätöksiä.</p><h2 class="sc-gEvEer kGTkjt yle__article__heading yle__article__heading--2">Keskittäminen on hyödyllistä vaikeissa tapauksissa</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">STM:n työryhmän puheenjohtaja, Päijät-Hämeen hyvinvointialuejohtaja <strong class="aw-ak79eh hgoSon yle__article__strong">Petri Virolainen</strong> pitää palveluiden keskittämistä perusteltuna potilasturvallisuuden kannalta.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Virolainen sanoo, että pienten sairaaloiden ongelma haavoittuvuus: niissä ei ole välttämättä tälläkään hetkellä riittävää osaamista tarjolla. Tulevina vuosina henkilöstön saatavuus on yhä suurempi haaste.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Ilman pätevää henkilöstöä ei ole turvallista hoitoa. Jotta saamme Suomeen riittävästi osaavia yksiköitä, meidän täytyy harventaa niiden määrää, Virolainen sanoo.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20075886","@context":"https://web.archive.org/web/20240226075657/https://schema.org","image":{"@type":"ImageObject","description":"Ministeriön työryhmän puheenjohtaja Petri Virolainen sanoo, että ammattitaitoista henkilöstöä ei riitä tulevaisuudessa kaikkiin palveluihin.","copyrightHolder":"Janne Nykänen / Yle","url":"https://web.archive.org/web/20240226075657/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-1084347640f10ed7aa64","keywords":"Lahti,Päijät-Hämeen hyvinvointialue,sote-uudistus,Sairaalat ja terveyskeskukset,kuntayhtymä"}}</script><div class="aw-1a00tic xFA-da"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1678709117/39-1084347640f10ed7aa64 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1678709117/39-1084347640f10ed7aa64 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_424,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1678709117/39-1084347640f10ed7aa64 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_424,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1678709117/39-1084347640f10ed7aa64 1x"/><img alt="Petri Virolainen Päijät-Hämeen hyvinvointialuejohtaja seisoo käytävällä" src="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/c_crop,h_3078,w_5472,x_0,y_147/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1678709117/39-1084347640f10ed7aa64" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>Ministeriön työryhmän puheenjohtaja Petri Virolainen sanoo, että ammattitaitoista henkilöstöä ei riitä tulevaisuudessa kaikkiin palveluihin.</span><span> Kuva: Janne Nykänen / Yle</span></figcaption></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Virolainen ja Ikonen ovat samaa mieltä siitä, että vaativissa tapauksissa hoitojen keskittäminen kannattaa. Tällöin tekemiseen tulee riittävästi toistoja, mikä ylläpitää henkilöstön osaamista.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Teknisesti vaativien ja syvällistä erityisosaamista edellyttävien tai harvoin tarvittavien hoitojen keskittäminen parantaa potilasturvallisuutta, hoidon laatua ja vaikuttavuutta, Ikonen sanoo.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Ikonen huomauttaa, että päivystysverkosto on kriittinen tekijä potilasturvallisuudelle pitkien etäisyyksien Suomessa. Virolaisen mukaan myös päivystyksiä kannattaa keskittää.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Joskus kannattaa hakea palvelua päivystysaikana vähän kauempaa, jotta saa tarpeeksi erikoistunutta palvelua, Virolainen sanoo.</p><h2 class="sc-gEvEer kGTkjt yle__article__heading yle__article__heading--2">Potilasvahinkoilmoituksista ei voi päätellä turvallisuutta</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Turvallisuutta seurataan myös Potilasvakuutuskeskukselle (PVK) tehtävillä potilasvahinkoilmoituksilla.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">PVK:n potilasturvallisuuslääkäri <strong class="aw-ak79eh hgoSon yle__article__strong">Morag Tolvi</strong> huomauttaa, että ilmoitukset ovat vain jäävuoren huippu, koska kaikista tapauksista sitä ei tehdä, perusteet puuttuvat tai asia ei tule PVK:n tietoon.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Tehtyjen potilasvahinkoilmoitusten määrästä ei voi päätellä yksikön turvallisuudesta periaatteessa mitään, Tolvi sanoo.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20075886","@context":"https://web.archive.org/web/20240226075657/https://schema.org","image":{"@type":"ImageObject","description":"Potilasturvallisuuslääkäri Morag Tolvin mukaan resurssipula on merkittävin turvallisuuteen vaikuttava tekijä.","copyrightHolder":"Eeva Murtolahti / Potilasvakuutuskeskus","url":"https://web.archive.org/web/20240226075657/https://images.cdn.yle.fi/image/upload/ar_1.4980122876761837,c_fill,g_faces,h_512,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-124710665d5b3b27ce90","keywords":"Potilasvakuutuskeskus,potilasturvallisuus,lääkärit,Sairaalat ja terveyskeskukset"}}</script><div class="aw-1a00tic iaVGwH"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.4980122876761837,c_fill,g_faces,h_512,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1708504089/39-124710665d5b3b27ce90 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.4980122876761837,c_fill,g_faces,h_512,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1708504089/39-124710665d5b3b27ce90 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.4980122876761837,c_fill,g_faces,h_424,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1708504089/39-124710665d5b3b27ce90 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.4980122876761837,c_fill,g_faces,h_424,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1708504089/39-124710665d5b3b27ce90 1x"/><img alt="Potilasvakuutuskeskuksen potilasturvallisuuslääkäri Morag Tolvi istuu nojatuolilla ja katsoo lähikuvassa kameraan." src="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/c_crop,h_2323,w_4139,x_0,y_259/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1708504089/39-124710665d5b3b27ce90" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>Potilasturvallisuuslääkäri Morag Tolvin mukaan resurssipula on merkittävin turvallisuuteen vaikuttava tekijä.</span><span> Kuva: Eeva Murtolahti / Potilasvakuutuskeskus</span></figcaption></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">PVK:ssa ei ole vertailtu vahinkoilmoituksia erikokoisten yksiköiden välillä. Tolvi on samaa mieltä Ikosen kanssa siitä, ettei sairaaloiden koon perusteella voi tehdä johtopäätöksiä potilasturvallisuudesta.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Pitää ottaa huomioon muun muassa väestöpohjan sairastavuus, väestön määrä, potilaiden määrät ja toimenpiteiden vaikeus, Tolvi kertoo.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Tolvin mukaan eniten vahinkoilmoituksia tehdään tuki- ja liikuntaelimistön erikoisalasta eli ortopediasta. Korvatuista vahingoista lähes puolet liittyy leikkauksiin ja anestesiatoimenpiteisiin ja runsas 15 prosenttia päivystysympäristöön.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Yle tiedusteli hyvinvointialueilta sairaaloiden potilasvahinkoilmoitusten lukumääriä viime vuosilta. Niissä ei noussut esiin erityisiä poikkeamia suurten ja pienten sairaaloiden välillä.</p><div class="aw-1dnbj3b fxARb yle__article__infogram"> <div class="infogram-embed" data-id="33ee6ff3-69c3-489a-a5de-f04450ac0984" data-type="interactive" data-title=""></div> </div></section><footer class="yle__article__footer"><h2 class="aw-zh6d69 dMYkJU">Aiheesta enemmän: Paketissa 6 linkkiä</h2><h2 class="sc-eqUAAy ctFUoD yle__article__heading yle__article__heading--3" aria-hidden="true">Aiheesta enemmän</h2><div class="yle__article__links" role="list" aria-label="Aiheesta enemmän"><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx Vjwex"><a href="/web/20240226075657/https://yle.fi/t/18-216363/fi" aria-label="Lisää artikkeleita aiheesta Terveydenhuolto" class="aw-l7odld jXfkxq">Terveydenhuolto</a></div><h3 class="aw-x9ikft cGmEmT"><a href="https://web.archive.org/web/20240226075657/https://yle.fi/a/74-20068763" class="aw-3ocnud eBKakF">Sairaalaryhmän työ päättyi riitaisana: Keskussairaaloita ja synnytyslaitoksia halutaan karsia</a></h3><time class="aw-4gocmc guzJZN">11.1.</time></div></div><div class="aw-vhyz8i mQzOb"><div class="aw-8sjfvz juaHCW"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-1221570658ed09ca760d 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-1221570658ed09ca760d 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-1221570658ed09ca760d 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-1221570658ed09ca760d 1x"/><img alt="Kyltti jossa lukee päivystys. " src="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-1221570658ed09ca760d" class="aw-1l9m598 bTKagC"/></picture></div></div></div></div></div><div aria-hidden="true" class="aw-4s1vft kcSOOZ"><hr class="aw-mkek3u lkNxNt"/></div><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx Vjwex"><a href="/web/20240226075657/https://yle.fi/t/18-216363/fi" aria-label="Lisää artikkeleita aiheesta Terveydenhuolto" class="aw-l7odld jXfkxq">Terveydenhuolto</a></div><h3 class="aw-x9ikft cGmEmT"><a href="https://web.archive.org/web/20240226075657/https://yle.fi/a/74-20068882" class="aw-3ocnud eBKakF">Sairaalaehdotus kaataa kylmää vettä satojen tuhansien suomalaisten niskaan – katso, miten se mullistaisi sinun hoitosi</a></h3><time class="aw-4gocmc guzJZN">11.1.</time></div></div><div class="aw-vhyz8i mQzOb"><div class="aw-8sjfvz juaHCW"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-12190266583f2086b5b3 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-12190266583f2086b5b3 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-12190266583f2086b5b3 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-12190266583f2086b5b3 1x"/><img alt="Kirurgi ja muu henkilökunta suorittamassa tähystysleikkausta Etelä-Karjalan keskussairaalassa Lappeenrannassa." src="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-12190266583f2086b5b3" class="aw-1l9m598 bTKagC"/></picture></div></div></div></div></div><div aria-hidden="true" class="aw-4s1vft kcSOOZ"><hr class="aw-mkek3u lkNxNt"/></div><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx Vjwex"><a href="/web/20240226075657/https://yle.fi/t/18-216363/fi" aria-label="Lisää artikkeleita aiheesta Terveydenhuolto" class="aw-l7odld jXfkxq">Terveydenhuolto</a></div><h3 class="aw-x9ikft cGmEmT"><a href="https://web.archive.org/web/20240226075657/https://yle.fi/a/74-20069936" class="aw-3ocnud eBKakF">Jos keskussairaala muuttuisi akuuttisairaalaksi, työpaikkoja lähtisi jopa satoja – työryhmän mukaan juuri se on tavoite</a></h3><time class="aw-4gocmc guzJZN">18.1.</time></div></div><div class="aw-vhyz8i mQzOb"><div class="aw-8sjfvz juaHCW"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-12063986560b68bd1dc5 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-12063986560b68bd1dc5 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-12063986560b68bd1dc5 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-12063986560b68bd1dc5 1x"/><img alt="Lääkäri Heikki Janhunen tutkii potilaan silmän verkkokalvoa." src="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-12063986560b68bd1dc5" class="aw-1l9m598 bTKagC"/></picture></div></div></div></div></div><div aria-hidden="true" class="aw-4s1vft kcSOOZ"><hr class="aw-mkek3u lkNxNt"/></div><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx Vjwex"><a href="/web/20240226075657/https://yle.fi/t/18-216363/fi" aria-label="Lisää artikkeleita aiheesta Terveydenhuolto" class="aw-l7odld jXfkxq">Terveydenhuolto</a></div><h3 class="aw-x9ikft cGmEmT"><a href="https://web.archive.org/web/20240226075657/https://yle.fi/a/74-20069049" class="aw-3ocnud eBKakF">Saako sydänkohtaukseen ajoissa apua, jos matka sairaalaan pitenee? Kysyimme, miten kiireelliset tapaukset hoidetaan</a></h3><time class="aw-4gocmc guzJZN">13.1.</time></div></div><div class="aw-vhyz8i mQzOb"><div class="aw-8sjfvz juaHCW"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-1183706652407b63393e 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-1183706652407b63393e 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-1183706652407b63393e 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-1183706652407b63393e 1x"/><img alt="Ambulanssi parkkeerattuna sairaalapäivystyksen ulkopuolella." src="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-1183706652407b63393e" class="aw-1l9m598 bTKagC"/></picture></div></div></div></div></div><div aria-hidden="true" class="aw-4s1vft kcSOOZ"><hr class="aw-mkek3u lkNxNt"/></div><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx Vjwex"><a href="/web/20240226075657/https://yle.fi/t/18-209306/fi" aria-label="Lisää artikkeleita aiheesta Terveys" class="aw-l7odld jXfkxq">Terveys</a></div><h3 class="aw-x9ikft cGmEmT"><a href="https://web.archive.org/web/20240226075657/https://yle.fi/a/74-20073720" class="aw-3ocnud eBKakF">Puolelta keskussairaaloista puuttuu helikopterikenttä, ja se on ongelma</a></h3><time class="aw-4gocmc guzJZN">19.2.</time></div></div><div class="aw-vhyz8i mQzOb"><div class="aw-8sjfvz juaHCW"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-1033653637213b6f422e 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-1033653637213b6f422e 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-1033653637213b6f422e 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-1033653637213b6f422e 1x"/><img alt="Vihreisiin haalareihin pukeutunut lentäjä liimaa tarraa keltaisen lääkärihelikopterin kylkeen" src="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-1033653637213b6f422e" class="aw-1l9m598 bTKagC"/></picture></div></div></div></div></div><div aria-hidden="true" class="aw-4s1vft kcSOOZ"><hr class="aw-mkek3u lkNxNt"/></div><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div 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https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-6638395e92c658bccbd 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-6638395e92c658bccbd 2x, https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-6638395e92c658bccbd 1x"/><img alt="Mehiläinen Länsi-Pohjan ulko-ovi" src="https://web.archive.org/web/20240226075657im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-6638395e92c658bccbd" class="aw-1l9m598 bTKagC"/></picture></div></div></div></div></div></div><div><div class="aw-1n3c5tg lkXQTI"><a 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role="img" aria-label="Yle-palvelun etusivu" color="currentColor"><use xlink:href="/web/20240226075657im_/https://yle.fi/uutiset/assets/img/brand-logos-v1.svg#yle"></use></svg></a></footer></div></div><div id="ukkoOverlayContainer"></div><div id="scrollbar-width" style="height:1px;overflow:scroll;position:absolute;left:-100%"><div style="height:2px"></div></div></div> <script type="text/javascript">window.__INITIAL__STATE__={"pageData":{"article":{"id":"74-20075886","language":"fi","url":{"full":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20240226075657\u002Fhttps:\u002F\u002Fyle.fi\u002Fa\u002F74-20075886"},"headline":{"video":{"playbackBehaviour":"autoplay","caption":"Sosiaali- ja terveysministeriön työryhmän esityksen mukaan esimerkiksi Savonlinnan keskussairaala olisi karsimisuhan alla. 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Mikään tutkimusnäyttö ei osoita, että sairaalan koko vaikuttaisi hoidon tasoon.","type":"text"},{"text":"Sosiaali- ja terveysministeriön työryhmä [on ehdottanut](https:\u002F\u002Fyle.fi\u002Fa\u002F74-20068763) pienten keskussairaaloiden määrän karsimista potilasturvallisuuden vuoksi. Asiantuntijoiden mukaan peruste ei ole pitävä.","type":"text"},{"text":"Asiakas- ja potilasturvallisuuskeskuksen johtaja, potilasturvallisuuden professori **Tuija Ikosen** mukaan sairaalan koko ei vaikuta potilasturvallisuuteen.","type":"text"},{"text":"– Meillä ei ole tilastotietoa Suomesta, että sairaaloita voisi laittaa paremmuusjärjestykseen potilasturvallisuuden perusteella tai sanoa, että pienissä yksiköissä on enemmän potilasturvallisuusriskejä kuin suurissa yksiköissä, Ikonen sanoo.","type":"text"},{"text":"Potilasturvallisuus riippuu hänen mukaansa siitä, mitä ja miten palveluja tuotetaan, millaiset resurssit ovat käytössä ja kuinka hyvä henkilöstön osaaminen on.","type":"text"},{"text":"Ikosen mukaan potilasturvallisuuden vaarantumisen riski kasvaa, jos osaavaa henkilöstöä ei ole saatavilla tai jos hoidon tarvitsijoita on samaan aikaan enemmän kuin pystytään hoitamaan.","type":"text"},{"text":"– Tämä voi olla sekä ison että pienen yksikön ongelma, Ikonen sanoo.","type":"text"},{"displayStyle":"normal","alt":"Lähikuvassa Asiakas- ja potilasturvallisuuskeskuksen johtaja, potilasturvallisuuden professori Tuija Ikonen katsoo kameraan.","source":"Asiakas- ja potilasturvallisuuskeskus","aspect":1,"caption":"Potilasturvallisuuden professori Tuija Ikosen mukaan turvallista toimintaa voi tuottaa kaikenkokoisissa sairaalayksiköissä.","id":"39-124735865d5eaa33d3fb","type":"image","alts":[{"language":"fin","value":"Lähikuvassa Asiakas- ja potilasturvallisuuskeskuksen johtaja, potilasturvallisuuden professori Tuija Ikonen katsoo kameraan."}],"blurhash":"LRK1j_-;%$I;~WITNHR,4:W=rq%1","tags":[{"label":[{"language":"eng","value":"Patient Safety"},{"language":"fin","value":"potilasturvallisuus"},{"language":"swe","value":"patientsäkerhet"}],"extId":"18-614"},{"label":[{"language":"eng","value":"lääkärit"},{"language":"fin","value":"lääkärit"},{"language":"swe","value":"läkare"}],"extId":"18-205438"},{"label":[{"language":"eng","value":"Hospitals & Clinics"},{"language":"fin","value":"Sairaalat ja terveyskeskukset"},{"language":"swe","value":"Sjukhus och hälsocenter"}],"extId":"18-35444"},{"label":[{"language":"fin","value":"Potilasturvallisuuskeskus"}],"extId":"18-321382"}],"copyright":[{"language":"und","value":"Asiakas- ja potilasturvallisuuskeskus"}],"crops":[{"name":"16:9","aspect":1.78,"coordinates":{"x":0,"y":87,"width":1417,"height":797}},{"name":"2:3","aspect":0.67,"coordinates":{"x":163,"y":1,"width":943,"height":1415}},{"name":"1:1","aspect":1,"coordinates":{"x":0,"y":0,"width":1417,"height":1417}}],"height":1417,"licence":{"id":"4","name":[{"language":"eng","value":"Other external source"},{"language":"fin","value":"Muu ulkoinen lähde"},{"language":"swe","value":"Annan extern källa"}],"properties":[]},"version":"1708605340","width":1417,"recommendedFormat":"jpg"},{"text":"Sosiaali- ja terveysministeriön työryhmä esitti tammikuussa, että keskussairaaloiden palveluja keskitettäisiin isoihin yksiköihin. Asiaa perusteltiin muun muassa henkilöstön riittävyydellä ja potilasturvallisuudella.","type":"text"},{"text":"Päätös voisi tarkoittaa Savonlinnan, Kemin, Oulaisten, Salon ja Valkeakosken sairaalapalveluiden karsimista. Esityksestä ei ole vielä tehty poliittisia päätöksiä.","type":"text"},{"text":"Keskittäminen on hyödyllistä vaikeissa tapauksissa","level":2,"type":"heading"},{"text":"STM:n työryhmän puheenjohtaja, Päijät-Hämeen hyvinvointialuejohtaja **Petri Virolainen** pitää palveluiden keskittämistä perusteltuna potilasturvallisuuden kannalta.","type":"text"},{"text":"Virolainen sanoo, että pienten sairaaloiden ongelma haavoittuvuus: niissä ei ole välttämättä tälläkään hetkellä riittävää osaamista tarjolla. Tulevina vuosina henkilöstön saatavuus on yhä suurempi haaste.","type":"text"},{"text":"– Ilman pätevää henkilöstöä ei ole turvallista hoitoa. 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