
The Swedish government established a national Research Misconduct Board in 2020, after concluding institutions couldn’t be trusted to investigate allegations of serious research misconduct themselves. This followed botched investigations into the conduct of surgeon Paolo Macchiarini, who transplanted experimental artificial tracheas into 20 patients, 17 of whom later died. His employer, the Karolinska Institute, had initially cleared him. Later independent investigations found he had committed misconduct.
Ultimately, both the vice chancellor and dean of research at the institute lost their jobs. The secretary-general of the Nobel Assembly at Karolinska, which issues the Nobel Prize in Physiology or Medicine, also resigned. The government dismissed the entire university board. But Macchiarini’s patients paid the heaviest price.