“Macchiarini was recruited as a senior physician at the hospital even though there were strongly critical opinions from his previous employers,” the investigators wrote. “Group thinking, bandwagon effects, a very competitive care environment, many informal leaders and deficient knowledge of and respect for rules are some of the factors that may have contributed to the course of events.”
Two KI officials are suffering backlash from the Macchiarini case. Anders Hamsten, who had already resigned from the institute’s vice-chancellor position over his role in hiring Macchiarini, and Harriet Wallberg, who was president of KI when the surgeon was hired, were both dismissed from the panel that awards Nobel Prizes for Medicine, according to The Guardian. In addition, Wallberg was fired from her post as the chancellor of the Swedish Higher Education Authority on Monday (Sept 5).
Several investigations have probed the Macchiarini case, which involved three artificial trachea implantations he performed while at KI. The researcher’s employment was terminated by the hospital in late 2013, and KI followed suit in March of this year. The most recent investigation echoed allegations of misconduct, including Macchiarini’s apparent failure to secure appropriate and informed consent, provide for his patient’s safety, or obtain necessary ethical clearance for the operations. Macchiarini has maintaned his innocence throughout.