Analýza rizik při předepisování a podávání analgetik

Objective: To assess risks, which may occur during analgesics´ prescription and recording their administration. Design: Ad-hoc investigation, content analysis of medicals´ documentation, risk assessment by a panel of experts. Methods: The investigation was carried out in regional hospital with post-operative care units. Hospitalized adult patients were included in this survey. Experts have chosen particular parts of processes applying in analgesics´ prescription according to the results of previous audit. It consists of analgesics´ prescription and records of their administration for patients with specific needs where medication misconduct can be expected. Then, FMEA of those processes was performed. Results: Experts determined risks from low to high level in this study. An exchange of mathematical sign in analgesics´ prescription was identified as a low risk, while non-specifying amount of prescribed Morphin was recognized as a high risk. Conclusion: FMEA was found to be suitable for risk assessment during analgesics´ prescription and recording of their administration. However, addition of method taking into account the human factor is recommended and experts for risk assessment should be responsibly selected.