{"id":42051,"date":"2026-04-01T08:57:12","date_gmt":"2026-04-01T08:57:12","guid":{"rendered":"https:\/\/www.europesays.com\/cz\/42051\/"},"modified":"2026-04-01T08:57:12","modified_gmt":"2026-04-01T08:57:12","slug":"vizita-rezat-do-zdravych-lidi-se-nesmi-olomoucka-kauza-je-zly-strasak","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/cz\/42051\/","title":{"rendered":"Vizita: \u0158ezat do zdrav\u00fdch lid\u00ed se nesm\u00ed. Olomouck\u00e1 kauza je zl\u00fd stra\u0161\u00e1k"},"content":{"rendered":"

\u010ctete uk\u00e1zku z\u00a0Vizity\u00a0\u2013 newsletteru Martina \u010cabana pln\u00e9ho post\u0159eh\u016f o\u00a0\u010desk\u00e9m zdravotnictv\u00ed a\u00a0jeho p\u0159esaz\u00edch do politiky. Pokud v\u00e1s Vizita zaujme, ur\u010dit\u011b se p\u0159ihlaste k\u00a0odb\u011bru<\/a>!<\/p>\n

To, co se v\u00a0posledn\u00edch m\u011bs\u00edc\u00edch odehr\u00e1v\u00e1 ve Fakultn\u00ed nemocnici Olomouc, p\u0159esn\u011bji \u0159e\u010deno co se tam mo\u017en\u00e1 odehr\u00e1valo v\u00a0posledn\u00edch letech, m\u00e1 ale \u00fapln\u011b jin\u00e9 rozm\u011bry. V\u00a0mnoha \u010dl\u00e1nc\u00edch se tomu pe\u010dliv\u011b v\u011bnuj\u00ed kolegov\u00e9 z\u00a0investigativn\u00edho odd\u011blen\u00ed Seznam Zpr\u00e1v a\u00a0je to pr\u00e1ce v\u00edc ne\u017e u\u017eite\u010dn\u00e1. Ve Vizit\u011b bych cht\u011bl nab\u00eddnout pohled trochu \u201ez v\u00fd\u0161ky\u201c.<\/p>\n

P\u0159\u00edpad excesivn\u00edch, mo\u017en\u00e1 dokonce neindikovan\u00fdch implantac\u00ed takzvan\u00fdch kardiovertor-defibril\u00e1tor\u016f je mo\u017en\u00e1 m\u00e9n\u011b n\u00e1padn\u00fd a\u00a0vypr\u00e1v\u00ed se komplikovan\u011bji ne\u017e nap\u0159\u00edklad p\u0159\u00edb\u011bh o\u00a0z\u00e1m\u011bn\u011b novorozenc\u016f v\u00a0porodnici. Jeho dosah je ale mnohem z\u00e1va\u017en\u011bj\u0161\u00ed.<\/p>\n

Z toho, co dosud o\u00a0olomouck\u00e9 kauze<\/a> v\u00edme, se zd\u00e1, \u017ee ve fakultn\u00ed nemocnici, jedn\u00e9 z\u00a0v\u00fdkladn\u00edch sk\u0159\u00edn\u00ed \u010desk\u00e9 medic\u00edny a\u00a0l\u00e9ka\u0159sk\u00e9ho vzd\u011bl\u00e1v\u00e1n\u00ed, se \u201el\u00e9\u010dily\u201c neexistuj\u00edc\u00ed probl\u00e9my a\u00a0nadto se fal\u0161ovala data do mezin\u00e1rodn\u00ed klinick\u00e9 studie. Vy\u0161et\u0159ov\u00e1n\u00ed prob\u00edh\u00e1, jeho v\u00fdsledky nezn\u00e1me a\u00a0na ostr\u00e9 soudy je brzy. Ale pokud by se podstata t\u00e9to kauzy potvrdila, \u0161lo by ze strany akt\u00e9r\u016f o\u00a0\u010distou antitezi z\u00e1kladn\u00edch princip\u016f l\u00e9ka\u0159sk\u00e9 etiky a\u00a0tak\u00e9 zpochybn\u011bn\u00ed z\u00e1klad\u016f fungov\u00e1n\u00ed v\u011bdeck\u00e9 \u010dinnosti v\u00a0medic\u00edn\u011b.<\/p>\n

M\u016f\u017ee to zn\u00edt ban\u00e1ln\u011b, ale \u00faheln\u00fdm kamenem d\u016fv\u011bry ve zdravotnictv\u00ed a\u00a0medic\u00ednu, kter\u00e1 je v\u00a0\u010cesku velmi vysok\u00e1, je z\u00e1kladn\u00ed vnit\u0159n\u00ed p\u0159esv\u011bd\u010den\u00ed, \u017ee sv\u011b\u0159\u00ed-li se pacient do rukou l\u00e9ka\u0159e, ocitne se v\u00a0bezpe\u010dn\u00e9m prost\u0159ed\u00ed, kde mu nebude ubl\u00ed\u017eeno. Jist\u011b\u017ee toto p\u0159esv\u011bd\u010den\u00ed m\u016f\u017ee v\u00a0jednotliv\u00fdch p\u0159\u00edpadech narazit na chybu l\u00e9ka\u0159e nebo na jeho nevhodn\u00e9 chov\u00e1n\u00ed. Ale jde obvykle o\u00a0individu\u00e1ln\u00ed selh\u00e1n\u00ed.<\/p>\n

Proto tak\u00e9 z\u00e1kladn\u00edm oborov\u00fdm heslem medic\u00edny nen\u00ed \u201evyl\u00e9\u010dit\u201c nebo \u201epomoci\u201c. Je j\u00edm latinsk\u00e9 \u201eprimum non nocere\u201c, hlavn\u011b neu\u0161kodit. Je to po stalet\u00ed budovan\u00fd a\u00a0stalet\u00edmi ov\u011b\u0159en\u00fd princip d\u016fv\u011bry mezi pacientem a\u00a0l\u00e9ka\u0159em.<\/p>\n

T\u00edm se vrac\u00edme do Olomouce. Kdy\u017e pacientovi, kter\u00fd nem\u00e1 probl\u00e9my se srdcem, voperujete do t\u011bla defibril\u00e1tor, tak mu ubl\u00ed\u017e\u00edte. Jako ka\u017ed\u00fd invazivn\u00ed z\u00e1krok, p\u0159i n\u011bm\u017e se \u0159e\u017ee do pacientova t\u011bla, v\u00a0sob\u011b takov\u00e1 operace nese jist\u00e1 rizika\u00a0\u2013 a\u0165 u\u017e plynou ze samotn\u00e9ho z\u00e1kroku (komplikace p\u0159i operaci nebo po n\u00ed), anebo z\u00a0p\u0159\u00edtomnosti a\u00a0fungov\u00e1n\u00ed p\u0159\u00edstroje, kter\u00fd se jako ka\u017ed\u00e1 elektronick\u00e1 krabi\u010dka m\u016f\u017ee porouchat. Nejsou to rizika velk\u00e1, operace sama o\u00a0sob\u011b pat\u0159\u00ed sp\u00ed\u0161e k\u00a0rutinn\u00edm, ale existuj\u00ed.<\/p>\n

<\/a><\/p>\n

V p\u0159\u00edpad\u011b lid\u00ed, kte\u0159\u00ed jsou pro implantaci takov\u00e9ho za\u0159\u00edzen\u00ed indikov\u00e1ni, jsou tato mal\u00e1 rizika na druh\u00e9 stran\u011b bohat\u011b vyv\u00e1\u017eena minimalizac\u00ed ob\u0159\u00edch rizik, kter\u00e1 plynou ze \u0161patn\u00e9ho fungov\u00e1n\u00ed pacientova srdce. Pokud ov\u0161em defibril\u00e1tor zavedete do t\u011bla zdrav\u00e9mu \u010dlov\u011bku, pak \u017e\u00e1dn\u00e1 druh\u00e1 strana, kter\u00e1 by zm\u00edn\u011bn\u00e1 rizika vyv\u00e1\u017eila, neexistuje. Pacient je naopak omezen ve sv\u00e9m fungov\u00e1n\u00ed a\u00a0nos\u00ed v\u00a0t\u011ble cizorod\u00e9 t\u011bleso, kter\u00e9 mu\u00a0\u2013 na rozd\u00edl od kardiak\u016f\u00a0\u2013 nep\u0159in\u00e1\u0161\u00ed zhola \u017e\u00e1dn\u00fd u\u017eitek. N\u011bkter\u00e9 sv\u011bdeck\u00e9 v\u00fdpov\u011bdi nazna\u010duj\u00ed, \u017ee p\u0159esn\u011b to se ve FN Olomouc mohlo st\u00e1vat.<\/p>\n

Bohu\u017eel nemluv\u00edme o\u00a0jednotliv\u00e9m selh\u00e1n\u00ed. Policie m\u00e1 podez\u0159en\u00ed, \u017ee v\u00a0Olomouci mohlo b\u011bhem let doj\u00edt ke stovk\u00e1m takov\u00fdch p\u0159\u00edpad\u016f. Po\u010det implantac\u00ed v\u00a0kraji ve statistik\u00e1ch \u00fapln\u011b \u201eust\u0159elil\u201c proti zbytku republiky<\/a>, a\u00a0to i\u00a0p\u0159i o\u010di\u0161t\u011bn\u00ed statistik tak, aby ukazovaly jen pacienty s\u00a0bydli\u0161t\u011bm p\u0159\u00edmo v\u00a0Olomouck\u00e9m kraji. Tak\u017ee bu\u010f v\u00a0Lo\u0161tic\u00edch za\u010dali m\u00edchat do tvar\u016f\u017ek\u016f n\u011bco, co \u0161kod\u00ed srdci, anebo bylo v\u00a0kraji Olomouck\u00e9m cosi shnil\u00e9ho. V\u00a0roce 2024\u00a0dostal defibril\u00e1tor bezm\u00e1la jeden z\u00a0tis\u00edce obyvatel Olomouck\u00e9ho kraje, ale jen jeden ze t\u0159\u00ed tis\u00edc St\u0159edo\u010dech\u016f.<\/p>\n

Policie se v\u00a0Olomouci zaj\u00edm\u00e1 i\u00a0o mezin\u00e1rodn\u00ed klinickou studii, do n\u00ed\u017e se tamn\u00ed fakultn\u00ed nemocnice zapojila a\u00a0na po\u010d\u00e1tku zaznamenala velk\u00fd \u00fasp\u011bch, kdy\u017e do studie p\u0159ihl\u00e1sila 70\u00a0sv\u00fdch pacient\u016f, nejv\u00edce z\u00a0cel\u00e9 Evropy. Posl\u00e9ze se uk\u00e1zalo, \u017ee prakticky u\u00a0v\u0161ech t\u011bchto pacient\u016f doch\u00e1zelo k\u00a0fal\u0161ov\u00e1n\u00ed dat, a\u00a0nemocnice se ze studie s\u00a0mnohem men\u0161\u00ed sl\u00e1vou st\u00e1hla<\/a>. Vzhledem k\u00a0olomouck\u00fdm podez\u0159en\u00edm je paradoxn\u00ed, \u017ee c\u00edlem studie je\u00a0\u2013 laicky \u0159e\u010deno\u00a0\u2013 zjistit, zda by se pacient\u016fm se srde\u010dn\u00edm selh\u00e1n\u00edm ne\u017eilo l\u00e9pe jen s\u00a0modern\u00edmi l\u00e9ky nam\u00edsto cizorod\u00fdch implant\u00e1t\u016f.<\/p>\n

Je alarmuj\u00edc\u00ed, \u017ee se do pro\u0161et\u0159ov\u00e1n\u00ed olomouck\u00fdch podez\u0159en\u00ed pustila se skute\u010dnou vervou a\u017e policie. Na podivnosti zdej\u0161\u00ed kardiologie upozornili p\u0159\u00edmo l\u00e9ka\u0159i. A\u010dkoli byly statistiky o\u00a0implantac\u00edch p\u0159\u00edstupn\u00e9, nerozsv\u00edtily \u010derven\u00e9 kontrolky nikde, kde by m\u011bly. Ani u\u00a0managementu nemocnice, ani u\u00a0zdravotn\u00edch poji\u0161\u0165oven, ani na ministerstvu jako nad\u0159\u00edzen\u00e9m a\u00a0kontroln\u00edm org\u00e1nu, ani u\u00a0p\u0159\u00edslu\u0161n\u00fdch odborn\u00fdch spole\u010dnost\u00ed, o\u00a0\u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 komo\u0159e nemluv\u011b.<\/p>\n

\u00dapln\u011b nepochopiteln\u00e9, ba pohor\u0161uj\u00edc\u00ed, je selh\u00e1n\u00ed zdravotn\u00edch poji\u0161\u0165oven. Jestli\u017ee jejich klienti dost\u00e1vaj\u00ed v\u00a0Olomouck\u00e9m kraji defibril\u00e1tory t\u0159ikr\u00e1t \u010dast\u011bji ne\u017e ve st\u0159edn\u00edch \u010cech\u00e1ch a\u00a0\u0161estkr\u00e1t \u010dast\u011bji ne\u017e v\u00a0Praze, m\u011bla by se n\u011bkde rozsv\u00edtit \u010derven\u00e1 kontrolka. Nejde o\u00a0levn\u00e9 z\u00e1kroky\u00a0\u2013 jen n\u00e1kupn\u00ed cena pou\u017eit\u00fdch defibril\u00e1tor\u016f se pohybovala kolem \u010dtvrt milionu za kus.<\/p>\n

Jestli\u017ee je klient poji\u0161\u0165ovny bez p\u0159edchoz\u00ed historie srde\u010dn\u00edho selh\u00e1n\u00ed n\u00e1hle indikov\u00e1n k\u00a0invazivn\u00edmu v\u00fdkonu a\u00a0implantaci \u201ebud\u00edku\u201c, m\u011blo by to n\u011bkomu v\u00a0poji\u0161\u0165ovn\u011b p\u0159ij\u00edt divn\u00e9. Stejn\u011b tak v\u00a0p\u0159\u00edpad\u011b, \u017ee je klientovi voperov\u00e1n defibril\u00e1tor n\u011bkolik dn\u00ed po infarktu, p\u0159esto\u017ee odborn\u00e9 doporu\u010den\u00ed hovo\u0159\u00ed o\u00a0minim\u00e1ln\u00edm odstupu 30\u00a0dn\u016f. To v\u0161echno se v\u00a0Olomouci z\u0159ejm\u011b d\u011blo a\u00a0v\u0161echna pot\u0159ebn\u00e1 data o\u00a0tom poji\u0161\u0165ovny maj\u00ed. Jen s\u00a0p\u0159erodem hromady dat v\u00a0pou\u017eiteln\u00e9 informace d\u0159\u00edv, ne\u017e dojde k\u00a0pr\u016f\u0161vihu, m\u00e1me st\u00e1le velk\u00fd probl\u00e9m.<\/p>\n

Kus odpov\u011bdnosti le\u017e\u00ed i\u00a0na Ministerstvu zdravotnictv\u00ed jako z\u0159izovateli nemocnice. K\u00a0podivn\u00fdm implantac\u00edm doch\u00e1zelo v\u00a0Olomouci l\u00e9ta\u00a0\u2013 za Vlastimila V\u00e1lka, za p\u0159edchoz\u00edho p\u016fsoben\u00ed Adama Vojt\u011bcha i\u00a0je\u0161t\u011b d\u0159\u00edve. \u017de k\u00a0takov\u00e9mu naru\u0161en\u00ed d\u016fv\u011bry ve zdravotnictv\u00ed a\u00a0p\u0159\u00edm\u00e9mu ohro\u017een\u00ed pacient\u016f neindikovanou \u201el\u00e9\u010dbou\u201c v\u016fbec mohlo doj\u00edt, je i\u00a0syst\u00e9mov\u00fdm selh\u00e1n\u00edm st\u00e1tu a\u00a0jeho kontroln\u00edch mechanism\u016f.<\/p>\n

<\/a><\/p>\n

A\u017e bude Vojt\u011bch prosazovat svou novou p\u0159edstavu o\u00a0\u0159\u00edzen\u00ed fakultn\u00edch nemocnic, bude m\u00edt v\u00a0olomouck\u00e9 kauze\u00a0\u2013 podobn\u011b jako v\u00a0t\u00e9 motolsk\u00e9\u00a0\u2013 dobr\u00e9 podp\u016frn\u00e9 argumenty. Olomouck\u00fd \u0159editel Roman Havl\u00edk, kter\u00fd v\u00a0\u010dele \u0161pit\u00e1lu stoj\u00ed od roku 2012, se k\u00a0cel\u00e9 kauze aspo\u0148 navenek stav\u00ed dost vla\u017en\u011b, p\u0159esto\u017ee na n\u011bm jako na vrchn\u00edm mana\u017eerovi rovn\u011b\u017e ulp\u00ed kus viny za reputa\u010dn\u00ed \u0161kodu, kterou nemocnice utrp\u00ed. Pokud by nad \u0159editelem st\u00e1la p\u0159\u00edsn\u00e1 spr\u00e1vn\u00ed rada postaven\u00e1 ze z\u00e1stupc\u016f ministerstva a\u00a0univerzity, co\u017e je zhruba Vojt\u011bchova p\u0159edstava, mo\u017en\u00e1 by p\u0159ijet\u00ed odpov\u011bdnosti vypadalo jinak.<\/p>\n

Cel\u00e1 kauza je mimo\u0159\u00e1dn\u011b z\u00e1va\u017en\u00e1 i\u00a0proto, \u017ee mnoho lid\u00ed v\u00a0\u010cesku d\u011bl\u00e1 prvn\u00ed posledn\u00ed, aby p\u0159esv\u011bd\u010dili \u010desk\u00e9 pacienty, \u017ee zdravotnictv\u00ed se net\u011b\u0161\u00ed ob\u0159\u00ed d\u016fv\u011b\u0159e nadarmo, \u017ee je bezpe\u010dn\u00e9, spolehliv\u00e9 a\u00a0\u017ee v\u011bda, kter\u00e1 se v\u00a0n\u011bm prov\u00e1d\u00ed, je na \u0161pi\u010dkov\u00e9 \u00farovni. V\u00a0ot\u00e1zk\u00e1ch o\u010dkov\u00e1n\u00ed se odborn\u00e1 ve\u0159ejnost m\u016f\u017ee p\u0159etrhnout, aby vyvracela konspira\u010dn\u00ed teorie, a\u00a0op\u00edr\u00e1 se p\u0159itom o\u00a0zd\u00e1nliv\u011b nezpochybniteln\u00e9 v\u011bdeck\u00e9 pr\u00e1ce a\u00a0etick\u00e9 principy medic\u00edny.<\/p>\n

A celou touhle citlivou konstrukc\u00ed p\u0159\u00edpad olomouck\u00fdch defibril\u00e1tor\u016f ot\u0159\u00e1sl v\u00a0z\u00e1kladu. Jak pevn\u011b se d\u00e1 op\u0159\u00edt o\u00a0v\u011bdu, kdy\u017e se n\u011bkde i\u00a0jej\u00edm jm\u00e9nem l\u00e9ta \u0159e\u017ee do zdrav\u00fdch lid\u00ed? Jde o\u00a0obrovsk\u00e9 reputa\u010dn\u00ed riziko, jemu\u017e se mus\u00ed ruku v\u00a0ruce postavit nejen ministerstvo a\u00a0poji\u0161\u0165ovny, ale i\u00a0l\u00e9ka\u0159sk\u00e1 komora a\u00a0odborn\u00e9 spole\u010dnosti. Vyh\u00fdbav\u00e9 fr\u00e1ze o\u00a0nedostatku kompetenc\u00ed a\u00a0nemo\u017enosti odhalit podobn\u00e9 p\u0159\u00edpady v\u010das ni\u010demu nepomohou.<\/p>\n

V pln\u00e9m vyd\u00e1n\u00ed newsletteru Vizita toho najdete je\u0161t\u011b mnohem v\u00edc, v\u010detn\u011b zaj\u00edmav\u00fdch tip\u016f na \u010dten\u00ed z\u00a0jin\u00fdch m\u00e9di\u00ed. Pokud chcete celou Vizitu dost\u00e1vat ka\u017ed\u00e9 druh\u00e9 \u00fater\u00fd p\u0159\u00edmo do sv\u00e9 e-mailov\u00e9 schr\u00e1nky, p\u0159ihlaste se k\u00a0odb\u011bru<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"\u010ctete uk\u00e1zku z\u00a0Vizity\u00a0\u2013 newsletteru Martina \u010cabana pln\u00e9ho post\u0159eh\u016f o\u00a0\u010desk\u00e9m zdravotnictv\u00ed a\u00a0jeho p\u0159esaz\u00edch do politiky. Pokud v\u00e1s Vizita zaujme,…\n","protected":false},"author":2,"featured_media":42052,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[43,42,41,40,12155,397,16538,13476,341,342],"class_list":{"0":"post-42051","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cesko","8":"tag-ceska-republika","9":"tag-cesko","10":"tag-czech-republic","11":"tag-czechia","12":"tag-defibrilator","13":"tag-fakultni-nemocnice-olomouc-fn-olomouc","14":"tag-implantaty","15":"tag-kardiologie","16":"tag-newsletter-vizita","17":"tag-zdravotnictvi"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@cz\/116328624611892955","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/42051","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/comments?post=42051"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/42051\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media\/42052"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media?parent=42051"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/categories?post=42051"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/tags?post=42051"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}