Dody Firmanda 2000 - Clinical Governance 30 Mei 2000

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  • 8/14/2019 Dody Firmanda 2000 - Clinical Governance 30 Mei 2000

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    Bkidibfk @gua~dfdba:

    Ogdras+ ogdr}~qori mfd ilskalad}fri lfdfjalad lamio$

    M~$ Mgmy Ei~lfdmf RsF LF

    ^RQS Ef}lfpf}i+ Jfof~}f

    Sadmfhqkqfd

    Laroisqd sakfyfdfd oarahf}fd rfd`f} na~uf~ifri mf~i mfd mfkfl rf}q ~qlfh rfoi} mi

    s~gsidri mfd mfa~fh mi da`f~f lfjqidmqr}~i lfqsqd mqdif oa}i`f$ Fofd }a}fsi bi~i mfd

    rief} lfrfkfh }a~ranq} }imfo jfqh na~namf rf}q rflf kfiddyf mfkfl hfk yfd` ladmfrf~

    yfodi ralfoid ladid`of}dyf jqlkfh sgsqkfri qrif kfdjq} (sa~qnfhfd malg`~fei)+

    ladid`of}dyf }qd}q}fd mfd hf~fsfd sfriad fofd sakfyfdfd+ sa~oalnfd`fd sarf}

    }aodgkg`i mfd iklq oamgo}a~fd ra~}f ralfoid }a~nf}frdyf rqlna~ mfdf$ Rahid``f }imfo

    ha~fd ~aeg~lfri nimfd` oarahf}fd }imfo hfdyf }a~jfmi mi da`f~f oi}f+ fofd }a}fsi jq`f mi

    da`f~f yfd` rqmfh lfjq kfiddyf? rasa~}i Id``~ir mfd Rbg}kfdm mad`fd DHR mfd

    marad}~fkirfri }isa maugkqridyf na`i}q jq`f Fla~iof Ra~iof} mfd A~gsf$ Fsfsqd ri}al

    oarahf}fd yfd` mifdq}+ lfrfkfh lq}q sakfyfdfd mfd hfo frfri lfdqrif mi nimfd`

    oarajfh}a~ffdoarahf}fd ralfoid ladgdjgk mfd ladbqf} oa sa~lqoffd$

    Ranf`filfdf }akfh mioa}fhqi ir}ikfh mfd maeidiri lq}q i}q radmi~i lalsqdyfi f~}ilfodf

    mfd sa~rsao}ie yfd` na~namf nf`i ra}ifs idmiuimq }a~`fd}qd` mf~i rqmq} sfdmfd` lfrid`

    lfrid`$ Mfsf} mi}idjfq mf~i ra`i s~geari lamirsa~fpf}+ lfdfja~+ ni~go~f} lfqsqd

    ogdrqlad sad``qdf jfrf sakfyfdfd rf~fdf oarahf}fd$ (Vqfki}y ir mieea~ad} }hid`r }g

    mieea~ad} sagska nfram gd }hai~ nakiae fdm dg~lr)$ Na`i}q jq`f lad`adfi sa~oalnfd`fd

    fofd lq}q mf~i idrsab}igd+ vqfki}y bgd}~gk+ vqfki}y frrq~fdba rflsfi oa }g}fk vqfki}y$

    Jasfd` lad``qdfofd ir}ikfh vqfki}y bgd}~gk qd}qo rakq~qhdyf+ ramfd`ofd mi Fla~ioflalfofi ir}ikfh bgd}idqgqr vqfki}y ils~gualad} qd}qo }g}fk vqfki}y mfd Id``~ir

    lalfofi ir}ikfh vqfki}y frrq~fdba qd}qo vqfki}y frrq~fdba+ bgd}idqgqr vqfki}y

    ) Mirflsfiofd sfmf ralidf~ mfd nqridarr laa}id` Lfdfjalad Lamir: mf~i Oamgo}a~fd Na~nfrir Nqo}i

    (Auimadba,nfram LamibidaANL) ladqjq Bkidibfk @gua~dfdba mfkfl ~fd`of HQ] ^RQS Ef}lfpf}i oa

    =3 mi @amqd` Nimfof~f Jfof~}f 23 Lai >333$

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    idmiof}g~$ Rakfd` nana~fsf }fhqd oalqmifd Lfxpakk lad`alnfd`ofd rix miladrigdr ge

    vqfki}y yfd` }a~mi~i mf~i ~akaufdba+ fbbarriniki}y+ aeeab}iuadarr+ fbbas}fniki}y+ aeeibiadby

    mfd avqi}y$ ]ahdio Mgdfnamifd mfd Lfxpakk idi kanih ladi}iona~f}ofd }ad}fd` hfk

    lalnqf} r}fdmf~ mfd sadikfifddyf (fo~ami}fri) yfd` la~qsfofd > mf~i 2 oglsgdad

    vqfki}y frrq~fdba$ Fofd }a}fsi oamqf }ahdio sadmaof}fd }a~ranq} rfd`f} rqki} qd}qo

    mi}a~fsofd mfkfl oa`if}fd s~fo}ao rahf~i hf~i ranf`filfdf hfrik sadaki}ifd gkah Jgrr mfd

    Og`fd$ Oglsgdad oa }i`f (yfodi bgd}idqgqr vqfki}y ils~gualad}) }imfo na~oalnfd`+

    rahid``f foinf}dyf laroisqd rqf}q g~`fdirfri sakfyfdfd oarahf}fd }a~ranq} }akfh

    ladmfsf} fo~ami}fri fofd }a}fsi lq}qdyf }a}fs }imfo na~`alid` mfd }imfo ladid`of}$

    Lad`fsf na`i}q mfd fsf yfd` rfkfh7

    Sfmf }fhqd >333+ Rpamif lad`alnfd`ofd rir}al lq}q qd}qo sakfyfdfd oarahf}fd yfd`

    mioadfk ranf`fi RVK (Ra~uiba Vqfki}y Kafma~rhis) yfd` lalgmieiofri qdrq~oglsgdad

    AVF ladjfmi hfdyf 8 qdrq~ rfjf$ Ramfd`ofd Id``~ir mad`fd rir}al DHRdyf

    lalsa~oadfkofd F Ei~r} Bkfrr Ra~uiba: Vqfki}y id }ha dap DHR mfkfl ~fd`of

    ladid`of}ofd lq}q rabf~f na~oaridflnqd`fd (bgd}idqgqr vqfki}y ils~gualad}BVI)

    lakfkqi DIBA (Df}igdfk Idr}i}q}a ge Bkidibfk Axbakkadba) mfd BHIls (Bgllirrigd eg~

    Hafk}h Ils~gualad}) $

    Fohi~ fohi~ ra~id` lqdbqk mfd ralfoid sgsqkf~ fofd ir}ikfh Bkidibfk `gua~dfdba yfd`

    miof}fofd ranf`fi qsfyf mfkfl ~fd`of bgd}idqgqr vqfki}y ils~gualad} (BVI)

    na~mfrf~ofd sadmaof}fd Auimadba,nfram LamibidaANL yfd` }a~mi~i mf~i alsf}

    frsaosa~rsao}ie yfi}q s~gearrigdfk sa~eg~lfdba+ ~argq~ba qra (aeeibiadby)+ ~iro

    lfdf`alad} mfd sf}iad}r rf}irefb}igd$Sada~fsfd Bkidibfk `gua~dfdba mfkfl rqf}q

    g~`fdirfri sakfyfdfd oarahf}fd lala~kqofd nana~fsf sa~ryf~f}fd yfodi g~`fdirfr}igd,

    pima }~fdreg~lf}igd+ bkidibfk kafma~rhis mfdsgri}iua g~`fdizf}igdfk bqk}q~ar$ Ramfd`ofd

    ir}ikfh Oamgo}a~fd Na~nfrir Nqo}i (ONN)Auimadba,nfram Lamibida (ANL) fmfkfh bf~f

    sadmaof}fd qd}qo lad`flnik oasq}qrfd okidir mfkfl sadf}fkforfdffd sfriad rabf~f

    aorskiri} mfd rir}alf}ir na~mfrf~ofd nqo}i sadaki}ifd }a~fohi~ yfd` rfhim (ufkim) mfd

    na~lfdeff}$ ]a~mi~i mf~i kilf kfd`ofh yfd` rfkid` na~hqnqd`fd mfd rflf sad}id`yf$

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    Kf}f~ nakfofd` sadmfhqkqfd mif}fr }a~ranq} fofd bgnf minfhfr mfkfl lfofkfh idi mfd

    raofki`qr misfmqofd ra~}f miilskalad}friofd mfkflmf~i ra`i s~geari lamir mi ~qlfh

    rfoi} ranf`fi @ggm bkidibfk `gua~dfdba$

    Bkidibfk @gua~dfdba

    Ir}ikfh Bkidibfk `gua~dfdba i}q radmi~i yfd` na~frfk mf~i da`f~f Id``~ir$ Bkidibfk

    `gua~dfdba idi la~qsfofd rfkfh rf}q rqlnfd` rf~fd NFLL (N~i}irh Frrgbif}igd ge

    Lamibfk Lfdf`a~) yfd` na~hfrik mfd mi}a~ilf gkah sala~id}fh (Kfngq~ Sf~}y) ra}akfh

    lakfkqi sa~manf}fd sqnkio foinf} nana~fsf ofrqr sakfyfdfd oarahf}fdoamgo}a~fd yfd`

    lqdbqk oa sa~lqoffd ladjfmi rg~g}fd mfd }qd}q}fd lfryf~fof} ra~}f la~qsfofd ofrqr

    qd}qo BDR] Bkidibfk Da`ki`adba Rbhala eg~ }ha ]~qr}r (~iro lfdf`alad})$

    Laroisqd ranakqldyf }akfh lalsqdyfi nana~fsf s~g`~fl sadmaof}fd mfkfl qsfyf

    sadid`of}fd lq}q lakfkqi (Rlfkk) Hgrsi}fkr Fbb~ami}f}igd + Sf}iad}r Bhf~}a~+ NRI

    1016IRG 933>+ Vqfki}y Frrq~fdba+ lfqsqd ]VL$ Sfmf }fhqd 6990 na~}asf}fd mad`fd

    sakqdbq~fd oanijfofd nf~q mfkfl sadyakad``f~ffd sakfyfdfd oarahf}fd gkah DHR

    (Df}igdfk Hafk}h Ra~uibar) mfd ~abfdf oa~jfdyf qd}qo 63 }fhqd ladmf}fd` (]fnak 6) , F

    Ei~r} Bkfrr Ra~uiba: Vqfki}y id }ha dap DHR , mfkfl ~fd`of ladid`of}ofd lq}q

    sakfyfdfd oarahf}fd (oamgo}a~fd) ra~}f raofki`qr lad`fd}irisfri (himmad f`admf eg~

    }ha qdsiboid` s~gbarr) a~f sfrf~ }a~nqof Lfryf~fof} Aogdgli A~gsfAAB$

    ]fnka 6 Fss~gfbhar }g lafrq~id` fdm ils~guid` vqfki}y ge bf~a6=

    Vqfki}y

    frrarrlad}

    Vqfki}y

    frrq~fdba

    Bkidibfk fqmi} Bgd}idqgqr

    vqfki}y

    ils~gualad}

    Fil Imad}iey

    mirb~asfdbiar

    ^afbh fdm

    lfid}fid fdfbbas}fnka

    ^fira

    sa~eg~lfdba idgda

    Bgd}idqa }g

    ils~gua }haphgka ryr}alfr sf~} ge

    dg~lfk mfiky

    fb}iui}y

    na}paad mari~amfdm fb}qfk r}fdmf~m ge bf~a f~af }g laa}

    kgbfk daamrsa~eg~lfdba

    Shikgrgshy ]h~gq`h mfiky

    fb}iui}y+

    Gq}kia~r bfd na

    imad}ieiam+ }gidmibf}a

    Rake aufkqf}igd

    fdm

    Phf} ir `ggm

    bfd na lfmana}}a~ }h~gq`hs~gearrigdfkr s~gearrigdfk

    =

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    bfd imad}iey sg}ad}ifkky

    idfss~gs~if}a

    bf~a+ fdm

    ils~gualad} bgd}idqgqr

    s~gbarr

    ils~gualad}

    fdm ~alamy

    `fsr id

    bfd fbhiaua

    nar} s~fb}ibasa~eg~lfdba bg~~ab}am phad

    dabarrf~y

    La}hgm Sa~eg~lfdbalafrq~alad}

    Ma}ab}igd gegq}kia~r }h~gq`h

    ax}a~dfk g~id}a~dfk

    idrsab}igd+ fdm

    }hai~

    Saa~ ~auiap nys~gearrigdfkr

    S~auad}igd ges~gnkalr fdm

    bgd}~gk geqdid}admam

    uf~if}igd id

    s~gbarr

    f`fidr}r}fdmf~mr+ fdm

    iduar}lad} id

    rakab}igd fdm}~fidid` ge

    s~gearrigdfkr

    bg~~ab}igd+

    phad

    dabarrf~y+}h~gq`h

    ryr}alf}ib

    fb}iui}y

    }h~gq`h }g}fk

    vqfki}y

    lfdf`alad}

    S~idbisfk

    ~arsgdriniki}yge:

    S~gearrigdfkr f}

    fd idmiuimqfk+ilskibi} kauak

    Sfya~r (QR) g~

    lfdf`a~r~arsgdrinka eg~

    sq~bhfrid`

    hafk}h bf~a

    (QO)

    Bkidibfk }aflr

    idugkuam id

    Bkidibfk

    ra~uibarlfdf`a~rbf~a makiua~y

    (Bf}f}fd: Rpamif sfmf Dgualna~ >333 lakqdbq~ofd s~g`~fl RVK Ra~uiba Vqfki}y

    Kafma~rhis lalgmieiofri rir}al AVF qd}qo nimfd` oarahf}fd mad`fd ladi}iona~f}ofdhfk lq}q sakfyfdfd lakfkqi sadmaof}fd ]VL mfd Auimadba,nfram ra~}f lad`fo}ie,

    `if}ofd oalnfki RNQ ranf`fi sqrf} Hafk}h ]abhdgkg`y Frrarrlad})$

    Rabf~f maeidiri:

    Bkidibfk `gua~dfdba ir f e~flapg~o }h~gq`h phibh (DHR) g~`fdirf}igdr f~a

    fbbgqd}fnka eg~ bgd}idqgqrky ils~guid` }ha vqfki}y ge }hai~ ra~uibar fdm rfea`qf~mid`

    hi`h r}fdmf~mr ge bf~a ny b~af}id` fd adui~gdlad} id phibh axbakkadba id bkidibfk bf~a

    pikk ekgq~irh$

    Rabf~f rama~hfdf Bkidibfk `gua~dfdba fmfkfh rqf}q bf~f (rir}al) qsfyf ladjflid mfd

    ladid`of}ofd lq}q sakfyfdfd rabf~f rir}alf}ir mfkfl rf}q g~`fdirfri sadyakad``f~f

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    sakfyfdfd oarahf}fd (~qlfh rfoi}) yfd` aeiriad$ Ramfd`ofd oa~fd`of ogdrasdyf

    ranf`filfdf mfsf} mikihf} mfkfl @flnf~ 6$

    @flnf~ 6$ Oa~fd`of ogdras

    Makiua~y

    DIBA (Df}igdfk Idr}i}q}a ge Bkidibfk Axbakkadba)

    Df}igdfk Ra~uiba E~flapg~o R}fdmf~mr

    Bkidibfk

    @gua~dfdba

    Kieakgd`

    kaf~did`

    S~gearrigdfkrake,

    ~a`qkf}igd

    BHIls (Bgllirrigd eg~ Hafk}h Ils~gualad})

    Df}igdfk Sa~eg~lfdba E~flapg~o

    Sf}iad}

    fdm

    sqnkib

    idsq}

    Lgdi}g~id`

    Oglsgdad q}flf bkidibfk `gua~dfdba }a~mi~i mf~i:6>

    6$ Fofqd}fniki}fr mfd fkq~ sa~}fd``qd` jfpfnfd yfd` jakfr nf`i lq}q sakfyfdfd

    rabf~f qlql mfd ohqrqr$

    >$ Oa`if}fd s~g`~fl sadid`of}fd lq}q yfd` na~oaridflnql`fd$

    2$ Oanijfofd lfdfjalad ~ariog$

    =$ S~gramq~ s~geari mfkfl imad}ieiofri mfd qsfyf sa~nfiofdsadid`of}fd oida~jf$

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    Rfkfh rf}q oqdbi oana~hfrikfd Bkidibfk `gua~dfdba fmfkfh lalfdeff}ofd ideg~lfri

    yfd` }asf}+ basf}+ ufkimrfhih+ mfd kfyfo sfofi$ Fmf }i`f jadir ideg~lfri yfd` misa~kqofd

    yfodi:

    6$ }ad}fd` oanijfofd (sgkibiar) lfdfjalad mfd okidir+ samglfd (`qimakidar) ra~}f

    s~gramq~ yfd` jakfr mfd lqmfh milad`a~}?

    >$ }ad}fd` sadyakad``f~ffd sakfyfdfd oarahf}fdoamgo}a~fd yfd` mina~iofd?

    2$ mfd }ad}fd` nf`filfdf laofdirla rir}al sakfyfdfdfd }a~ranq} na~eqd`ri$

    Mirflsid` nana~fsf irq sad}id` yfd` lalsad`f~qhi oa}i`f mif}fr yfi}q mf~i ra`i frsao

    ka`fki}fr mfd a}io oamgo}a~fd+ r}fdmf~ dfrigdfk+ }ahdio fdfkirir mfkfl sad`flnikfd

    oasq}qrfd nfio }id`of} lfdfjalad lfqsqd okidiri+ ra~}f s~g`~fl sakf}ihfd mfd

    sad`alnfdf`d r}fe lamir lfqsqd lfdfja~ifk$66

    Nf`filfdf qd}qo'mi Idmgdarif7

    Mi da`f~f oi}f rqmfh fmf nfdyfo oa`if}fd rasa~}i @q`qr Oadmfki Lq}q+Fo~ami}fri ^qlfh

    Rfoi}+ R}fdmf~ Sakfyfdfd ^qlfh Rfoi} mfd Lamir+ Frqhfd Oasa~fpf}fd+ R}fdmf~

    Kfyfdfd S~ilf+ Idmiof}g~ Lq}q Okidir ^qlfh Rfoi} mfd nfhofd fmf nana~fsf ~qlfh

    rfoi} lad`fdq} IRG 933>$ Jq`f mfkfl g~`fdirfri ~qlfh rfoi} fmf Ogli}a Lamir (mfd

    Oasa~fpf}fd) ra~}f mqf nimfd` lad`adfi lq}q minfpfh jfjf~fd mi~aori$ Laroisqd

    oa`if}fd oa`if}fd }a~ranq} lfrih nakql oqf} lad`fof~ kfdmfrfd ogdrasdyf+ nakql

    lalfmfi r}~qo}q~dyf+ nakql ralsq~df lgmakdyf+ ra~}f mf~i ra`i rir}al lq}q nakql

    ar}fnkirham r}~qo}q~dyf+ nakql gs}ilfk s~grardyf ra~}f nakql lforilfk hfrikdyf$

    Fofd }a}fsi idi rqmfh la~qsfofd lgmfk mfrf~ yfd` nfio ranf`fi }i}io }gkfo fpfk biofk

    nfofk sa~oalnfd`fd lq}q oarahf}fd mi }fdfh fi~ qd}qo mfsf} mioalnfd`ofd kanih kfdjq}$

    Mad`fd lalfmqofd }ahdio sadmaof}fd sad`flnikfd oasq}qrfd Auimadba,nfram hafk}h

    Bf~a qd}qo }id`of} sakfyfdfd oarahf}fd rabf~f kqfr+ mfd Auimadba,nfram Lamibida

    qd}qo }id`of} s~fo}iri okidir nf`i idmiuimq sfriad ra~}f Hafk}h ]abhdgkg`y Frrarrlad}

    qd}qo fk}a~df}ie salikihfd fkf} oarahf}fd lfqsqd gnf}$ Sfmf s~idris mfrf~dyf+ oa}i`f

    }ahdio }a~ranq} lalfdeff}ofd ofamfh iklq asimaligkg`i qd}qo ladid`of}ofd lq}q

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    sakfyfdfd mfd oqfki}fr himqs lfdqrif ranf`fi }qjqfd qlql q}flfdyf mad`fd sa~namffd

    }id`of} sgriri sadaofdfd mfd fskiofridyf (@flnf~ >)$

    Mad`fd lalfdeff}ofd na~nf`fi oa`if}fd ladyfd`oq} lq}q sakfyfdfd

    oarahf}fdoamgo}a~fd mfd sa~f}q~fdsa~qdmfd`fdhqoql oarahf}fd (hgrsi}fk ny kfpr)

    ra~}f a}io oamg}a~fd yfd` }akfh fmf mfd na~jfkfd+ g~`fdirfri s~geari mfd sa~hilsqdfd

    sa~qlfh rfoi}fd mi }fdfh fi~ ranf`fi lgmfk mfrf~ ranf`filfdf mi}a~fd`ofd ranakqldyf

    ra~}f lalfmqofd }ahdio sad`flnikfd oasq}qrfd (ranf`filfdf mfkfl mfkfl @flnf~ >)$

    Ogdras }ad}f}ie Bkidibfk `gua~dfdba qd}qo }id`of} dfrigdfk mfsf} mikihf} ranf`filfdf

    @flnf~ 2 mad`fd sala~id}fh (Masoarrgr , ranf`fi ~a`qkf}g~ mfd oanijfofd dfrigdfk

    na~mfrf~ofd Auimadba,nfram Sgkiby)$ G~`fdirfri Iof}fd Mgo}a~ Idmgdarif (SN,IMI)

    lakfkqi Ogli}a ]a}fs mfd iof}fdsa~hilsqdfd rsarifkir mfd ralidf} (bv$ Qdi} Oa~jf mfd

    Mapfd Ogka`iql) , mihf~fsofd dfd}idyf na~oalnfd` ladjfmi biofk nfofk Idmgdarifd

    Df}igdfk Idr}i}q}a ge Bkidibfk Axbakkadba (DIBA) , lalnqf} samglfd@qimakidar

    na~mfrf~ofd Auimadba,nfram Lamibida mfd ladad}qofd r}fdmf~+ o~i}a~if lfqsqd

    idmiof}g~ okidir lamir$ Ramfd`ofd iof}fdsa~rf}qfdfrgrifri sa~qlfh rfoi}fd mihf~fsofd

    fofd lflsq lalnqf} samglfd@qimakidar mfd Bf~a ge sf}hpfyr

    sadyakad``f~ffdsakfyfdfd ~qlfh rfoi} na~mfrf~ofd Auimadba,nfram Hafk}h Bf~a mfd

    Hafk}h ]abhdgkg`y Frrarrlad} mfd ladad}qofd r}fdmf~+ o~i}a~if lfqsqd idmiof}g~dyf

    ra~}f mihf~fsofd na~oalnfd` ladjfmi ralfbfl Idmgdarifd Df}igdfk Idr}i}q}a ge Ra~uiba

    Axbakkadba (DIRA) yfd` mi da`f~f frfkdyf bkidibfk `gua~dfdba Id``~ir radmi~i nakql

    }a~pqjqm$ Oa}i`f oglsgdad }a~ranq} mif}fr mfd sf~}irisfri lfryf~fof} fofd lakfoqofd

    lgdi}g~id` mfd sadikfifd oida~jf rqf}q idr}i}qri sadyakad``f~f sakfyfdfd oarahf}fd ra~}f

    mihf~fsofd na~oalnfd` ladjfmiIdmgdarifd Bgllirrigd eg~ Hafk}h Ils~gualad}(BHI)$

    Ranakql oa}i`f pfmfh }a~ranq} (DIBA+ DIRA mfd BHI) }a~pqjqm+ fkfd`ofh nfiodyf nikf

    sihfo yfd` }a~kinf} mfd na~oasad}id`fd mif}fr mfsf} ladyf}qofd uiri+ ladad}qofd liri+

    lada}fsofd gnjao}ie jfd`of sfdjfd`ladad`fh mfd }f~`a} yfd` fofd mibfsfi mad`fd

    lalsa~hf}iofd dikfi dikfi mfd ~afk hafk}h daamr lfryf~fof} (@flnf~ 2)$ Rfkfh rf}q

    yfd` lqd`oid ladjfmi sa~rgfkfd ladmfrf~ fmfkfh }ad}fd` mfdf salnifyffddyf+ fsfofh

    }a~lfrqo mfkfl rfkfh rf}q qsfyf sa~kqdyf rqf}q Idmgdarifd Hafk}h Df}igdfk Fbbgqd}r7

    8

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    @flnf~ >$ AugkqriSa~oalnfd`fd Lq}q+Auimadba,nframmfd

    Vqfki}y

    Bgd}~gk

    Vqfki}y

    Frrq~fdba

    Idrsab}igd

    f$ Ra}}id` R}fdmf~mr

    n$ Bgdeg~l pi}h r}fdmf~mr

    (Fqmi}Fo~ami}fri)

    b$ Lfid}fidam % Ils~gua

    Bkidibfk

    @gua~dfdba

    BHI

    Qdma~r}fdmid`

    }ha nqridarr

    Qdma

    }ha b

    Hafk}h

    Daamr

    Frrarrlad}

    ^afma~r

    @qimar }g

    Lamibfk

    Ki}a~f}q~ar

    Qra~r @qimar

    }g Lamibfk

    Ki}a~f}q~ar

    Auimadba,

    nfram

    Lamibida

    Auimadba,nf

    Bkidibfk

    Rsabifki}i

    Auimadba,nf

    Hafk}h Bf

    (ANHB)

    Sgkiby

    Hafk}h

    ]abhdgFrrarrl

    (ANL)

    G}ha~r

    83fd 93fd

    Bkidibfk

    Asimaligkg`y

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    63

    Masoarrgr:

    Uiri

    Liri

    Gnjao}ie

    ]f~`a}

    IMIIof}fd ^R

    Uiri

    Liri

    Gnjao}ie

    ]f~`a}

    Idmgdarifd

    DIBADIRABHILS

    ^R

    Lfryf~fof}SgsqkfriOgdrqlad

    Hafk}h

    Daamr

    Masf~}alad Oarahf}fd mfd

    Oarajfh}a~ffd Rgrifk:

    ranf`fi ~a`qkf}g~

    oanijfofd oarahf}fdrofkf dfrigdfk (Auimadba,

    nfram Hafk}h Sgkiby)

    Iof}fd Mgo}a~ Idmgdarif:

    Ogli}a ]a}fs:

    (Auimadba,nfram

    Lamibfk % Sqnkib

    Hafk}h)

    R}fdmf~ S~geari:

    @qimakidar(Auimadba,nfram

    LamibidaANL)

    lalnqf} o~i}a~if mfd

    idmiof}g~ okidir lamir

    Iof}fd s~geari

    rsarifkirralidf}

    Iof}fdSa~rf}qfd

    ^qlfh Rfoi}

    Lalnqf} R}fdmf~

    Sadyakad``f~ffd

    mfd Sakfyfdfd ^R:

    (Auimadba,nframHafk}h Bf~a mfd

    Hafk}h ]abhdgkg`y

    , ANHBH])

    @qimakidarqd}qo

    Sf}hpfyr ge

    bf~a'Fkq~sakfyfdfd

    Lalnqf}o~i}a~if mfd

    idmiof}g~sadyakad``f

    ,~ffd ^RIdmgdarifd Df}igdfk Idr}i}q}a

    ge Bkidibfk Axbakkadba

    IdmgdarifdDf}igdfk Idr}i}q}a

    ge Ra~uibaAxbakkadbaIdmgdarifd Bgllirrigd eg~ Hafk}h Ils~gualad}

    Ogdras Bkidibfk `gua~dfdba ua~ri Idmgdarif (}ad}f}ie):

    63

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    Qd}qo Bkidibfk `gua~dfdba }id`of} ~qlfh rfoi} mad`fd sadyarqfifd r}~qo}q~ogdr}~qori

    ogdmiri ~qlfh rfoi} mi }fdfh fi~ mfsf} mikihf} ranf`filfdf mfkfl @flnf~ = yfd`

    lalfmqofd oa kilf kfd`ofh Auimadba,nfram Lamibida mfkfl salabfhfd lfrfkfh okidir

    lamir+ lada~fsofd Hafk}h ]abhdgkg`y Frrarrlad} }a~q}flf mfkfl hfk fk}a~df}ie salikihfd

    fkf}gnf}+ lakfoqofd aufkqfri s~glg}ie mad`fd lalfmqofd mad`fd }ahdio Rauad nfrib

    Vqfki}y ]ggkr mfd qd}qo mf~i ra`i q}ikirfri mfsf} lalfdeff}ofd }ahdioNfkfdba Rbg~abf~m

    (yfd` dfd}idyf mfsf} mihf~fsofd ladjfmi R}~f}a`ib Egbqr G~`fdirf}igd'REG qd}qo }id`of}

    mi~aori+ nimfd` mfd idr}fkfri)$ Ramfd`ofd qd}qo }id`of} s~geari lamir mfsf} lakfoqofd

    Lamibfk Fqmi} (nfio rabf~f ~a}~grsao}ie+ ogdoq~adr mfd s~grsao}ie) mad`fd hf~fsfd Bf}f}fd

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    ladjfmi rqf}q Auimadba,nfram Lamibfk ^abg~m yfd` ufkim$ Nana~fsf sa~ryf~f}fd yfd`

    misa~kqofd mfkfl ilskalad}fri Bkidibfk @gua~dfdba mi ~qlfh rfoi} (mirarqfiofd mad`fd

    r}~qo}q~ g~`fdirfri mfd ogdmiri mi }fdfh fi~):

    Rifsf+ }q`fr mfd sad`qfrffd lf}a~i

    Mi~aori Nimfd` Idr}fkfri Ogli}a

    Lamir mfd

    RLESgkiby mfdLfdqfk Fkq~ S~gramq~ RGS Oglsgdad

    rir}al (Bf~a ge sf}hpfyr)

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    bgd}~gk

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    lq}q

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    Hafk}h ]abhdgkg`y Frrarrlad}

    Auimadba,

    nfram

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    Vqfki}y }ggkr

    Vqfki}y }ggkr Lgdi}g~id`

    Mgdfnamifd mfdLfxpakk Mgdfnamifd Fqmi} Lamio+

    Auimadba,

    nfram Lamibfk

    ^abg~mmfd

    Vqfki}y }ggkr

    R}fdmf~

    O~i}a~if

    Idmiof}g~

    66

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    Ilskalad}f}igd

    Lamibfk Fqmi}

    g ^a}~grsab}iua

    g Bgdbq~~ad}

    g Bghg~}S~grsab}iua

    Lgdi}g~id`

    g Vqfki}y }ggkrRSBg Nfkfdbam Rbg~abf~m

    Aufkqf}igd

    ^

    g

    g

    g

    g

    S~gnkal(r)

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    B~i}ibfk

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    ANL

    g Ufkimi}y

    g Ilsg~}fdby

    g Fsskibfniki}y

    Gua~uiap

    Ryr}alf}ib

    ~auiapLa}f,

    fdfkyrir

    @

    g

    Hafk}h ]abhdgkg`y Frrarrlad}

    @flnf~ =$ Ogdr}~qori'R}~qo}q~: ANL+ H]F+ Vqfki}y+ Nfkfdba Rbg~abf~m+ Lamibfk Fqmi}+ ^iro L

    mfkfl Bkidibfk @gua~dfdba }id`of} R

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  • 8/14/2019 Dody Firmanda 2000 - Clinical Governance 30 Mei 2000

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    6=

    Rflsfi rff} idi r}~qo}q~ g~`fdirfri ~qlfh rfoi} (sala~id}fh) badma~qd` na~nad}qo hi~f~oir

    g}g~i}fr kanih na~f} mfd lad``akalnqd` sfmf fmlidir}~frilfdfja~ifk minfdmid` s~geari

    lamir mfkfl sadyakad``f~ffd lfqsqd sad`flnikfd oasq}qrfd sakfyfdfd oarahf}fd$Ramfd`ofd nikf mi}idjfq mf~i eqd`ri sakfyfdfd mad`fd egoqr q}flf }a~hfmfs sfriad+ }flsfo

    sfriad }a~ranq} }a~ka}fo mi }ad`fh mad`fd mioakikid`i gkahei~r} e~gd}kida~mf~i ofkfd`fd s~gearimfd fmlidir}~f}g~ ranf`fi nfbo,qs kida~(@flnf~ 1)$

    Fohi~ fohi~ idi fmf oabadma~qd`fd g~`fdirfri yfd` na~`a~fo mfkfl nimfd` ra~uiba+ f`f~ kanih

    aeiriad mfd oglsa}i}ie lad`qnfh r}~qo}q~dyf mf~i g~`fdg`~fl hi~foirg}g~i}fr ladjfmi

    ri~oqkf~ ranf`filfdf mfkfl @flnf~ 5$

    @flnf~ 5$ Bi~bqkf~ G~`fdirf}igd (Ng~gnqmq~)

    F : Mi~ao}q~

    N : Pfoik Mi~ao}q~ mfd Ogli}a LamioB : Nimfd`Idr}fkfriRLE

    M : S~geari

    F : Mi~ao}q~N : Pfoik Mi~ao}q~ mfd Ogli}a LamioB : Nimfd`Idr}fkfriRLE

    M : S~geari

    Ogli}a Lamir hf~qr na~sf~}irisfri fo}ie mfkfl ofsfri}frdyf ranf`fi rfkfh rf}q pfmfh

    g~`fdirfri s~geari lamir qd}qo lalsa~rifsofd mi~i lad`fd}irisfri lakfkqi }~fdreg~lfri

    nqmfyf lq}q mad`fd bf~f lalnad}qo kaf~did` adui~gdlad} mfd ofma~irfri nimfd` lq}q

    sakfyfdfd na~oaridflnqd`fd oasfmf rakq~qh fd``g}f s~geari mi kid`oqd`fd RLE mfd ~qlfhrfoi} rahid``f }a~nad}qo rqf}q g~`fdirfri s~geari yfd` na~g~iad}fri oasfmf sfriad(sf}iad}'bqr}gla~ egbqram g~iad}am)$ ]fd``qd` jfpfn lq}q sakfyfdfd s~geari lamir }a~ranq}

    fmfkfh }fd``qd` jfpfn ra}ifs idrfd s~geari+ nqofd g~`fdirfri f}fq qdi} ralf}f+ fofd }a}fsi

    rakq~qh fd``g}f s~geari$

    6=

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    Qd}qo lapqjqmofd lq}q sakfyfdfd fmfkfh }fd``qd` jfpfn ra}ifs idrfd s~geari lfof

    misa~kqofd fpf~adarr+ sad`a}fhqfd mfd oa}~flsikfd }ad}fd` lq}q mfd lfdfjalad rabf~f

    qlql oasfmf ra}ifs fd``g}f s~geari mi rakq~qh kid`oqd`fd RLE f`f~ rqmq} sfdmfd`sa~rasrirflf fofd uiri mfd liri ra~}f }qjqfd ~qlfh rfoi}$ Fmfsqd lf}a~i sad`a}fhqfd mfd

    oa}~flsikfd yfd` sa~kq fmfkfh:

    6$ Id}~gmqori mfd mfrf~ mfrf~ lfdfjalad

    >$ G~`fdirfri: Uiri+ Liri+ Gnjao}ie mfd ]f~`a}

    2$ Gsa~f}igdfk ^araf~bh'R}~f}a`ib Lfdf`alad}=$ Auimadba,nfram LamibidaHafk}h Bf~aHafk}h ]abhdgkg`y Frrarrlad}

    Asimaligkg`i Okidio mfd fskiofridyf

    Kfd`ofh kfd`ofh ANLANHBANH]

    Rqlna~ mfd rir}al ideg~lfri

    B~i}ibfk Fss~firfkr (}a~lfrqo ~auiap rir}alf}ir mfd la}f fdfkirir)

    Lgdi}g~id` : , Nfkfdba Rbg~abf~m

    Fqmi} Lamio1$ Id}~gmqorirakfyfd` sfdmfd` }ad}fd` Lq}q:

    , Maeidiri

    , S~idris Lq}q mi nimfd` Oarahf}fd$, Sgriri mfd sa~oalnfd`fd Lq}q (Augkqri)$

    5$ Lfdfjalad Lq}q ]a~sfmq (]g}fk Vqfki}y Lfdf`alad}]VL):

    , Maeidiri mfd rogs ]VL$, S~idris Mfrf~ mf~i Oglsgdad ]VL$

    , Ilskalad}fri (}a~lfrqo sa~adbfdffd) ]VL$

    0$ Rir}al (Lfdfjalad) Lq}q (Vqfki}y Lfdf`alad} Ryr}al) , }a~lfrqo s~idris

    s~idris mf~i Vqfki}y bybka$

    8$ Vqfki}y Frrq~fdba (miofi}ofd m`d fo~ami}fri mi Idmgdarif)$9$ S~grar Sa~nfiofdSadid`of}fd Lq}q (Vqfki}y Ils~gualad})$

    63$ Ladjf`f Lq}q (Vqfki}y Bgd}~gk) , }a~lfrqoVqfki}y }ggkr$66$ Ra}}id` r}fdmf~m+ o~i}a~if mfd idmiof}g~ ra~}f lgdi}g~id` mfd aufkqfridyf (mad`fd

    r}qmi ofrqr)$

    6>$ Sfmf fohi~ sakf}ihfd: ra}ifs sara~}f lalnqf} frri`dlad} }ad}fd` vqfki}y fss~gfbhyfd` fofd mi`qdfofd mi nimfd` lfrid` lfrid` mad`fd lalikih rfkfh rf}q sakfyfdfd

    g~`fdirfriqdi} oa~jf yfd` mioqfrfimioa}fhqi sara~}f mfkfl ~fd`of lalnqf} r}fdmf~yfd` misikih+ o~i}a~if+ idmiof}g~ mfd bf~f lad`gd}~gkaufkqfri ra~}f fk}a~df}ie rgkqri

    sa~nfiofd$

    Ramfd`ofd gnjao}ie fohi~ mf~i sakf}ihfd }a~ranq} mihf~fsofd dfd}idyf fofd:

    f) Oarflffd sa~rasri lad`adfi uiri+ liri+ }qjqfd mfd rfrf~fd nimfd` lq}q mi~qlfh rfoi}

    61

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    n) Lflsq lalnqf}ladyqrqd r}fdmf~+ o~i}a~if (r}~qo}q~+ s~grar mfdgq}bgla) mfd idmiof}g~ sakfyfdfd lamir sfmf }id`of} RLE mfd Idr}fkfri

    lfrid` lfrid`$b) Lflsq lakfoqofd imad}ieiofri mfd lad`gd}~gk uf~ifd idmiof}g~ (vqfki}y

    bgd}~gk)$m) Lflsq lad`imad}ieiofri oaradjfd`fd (id}a~dfk lamibfk fqmi}) mfkfl

    r}fdmf~+ o~i}a~if (r}~qo}q~+ s~grar mfd gq}bgla) mfd idmiof}g~ sakfyfdfd

    lamir sfmf }id`of} RLE mfd Idr}fkfri lfrid` lfrid` ra~}f mfsf}

    lalna~iofd rf~fd fk}a~df}ie rgkqri oaradjfd`fd }a~ranq} mfkfl qsfyfsa~nfiofd (bg~~ab}iua' ~alamifk fb}igd) mfd sadid`of}fd lq}q (vqfki}y

    ils~gualad})$

    a) Lflsq ladyfjiofds~arad}fri kfd`ofh kfd`ofh (n) rflsfi (m) mif}fr

    qd}qo rakq~qh oa`if}fd mi RLE lfrid` lfrid` na~mfrf~ofd sadmaof}fdANL:

    Ofrqr Oalf}ifdRqki}$

    Jgq~dfk ^afmid`$ ^gdma RLE$

    Kfsg~fd Jf`f

    Sakfyfdfd Lamir mi ^fpf} Idfs+ ^fpf} Jfkfd (Sgkiokidio mfd

    Mf~q~f} @fpf})$

    Ramfd`ofd }f~`a} ra}akfh lad`ioq}i sakf}ihfd :

    f) ]il F (Ogli}a Lamir) mihf~fsofd mfsf}:I$ Ladjfmi }adf`f sakf}ih nimfd` lq}q sakfyfdfd$

    II$ Ladjfmi >dmSf~}y Lamibfk Fqmi}g~$

    III$ Ladjfmi lgma~f}g~ mfd df~frqlna~ ra~}f salnilnid` nimfd` lq}qsakfyfdfd nf`i rakq~qh RLENf`ifd

    n) ]il N(6) (Bhiae ge }ha bkidib RLENf`ifd) mihf~fsofd mfsf}:I$ Ladjfmi sigdaa~ nimfd` lq}q sakfyfdfd mi RLE lfrid` lfrid` mfkfl

    lalnqf}ladyqrqd r}fdmf~+ o~i}a~if (r}~qo}q~+ s~grar mfd gq}bgla) mfd

    idmiof}g~ sakfyfdfd lamir sfmf }id`of} RLE lfrid` lfrid`$

    II$ Ladjfmi 6r} Sf~}y Lamibfk Fqmi}g~mi RLE lfrid` lfrid`$

    b) ]il N(>) ( Ogg~midf}g~ Mioki} RLENf`ifd) mihf~fsofd mfsf}:

    I$ Ladjfmi salnilnid` lq}q sakfyfdfd qd}qo r}fe sf~flamir mi kid`oqd`fd

    RLE lfrid` lfrid`$II$ Ladjfmi 6r} Sf~}y Lamibfk Fqmi}g~mi RLE lfrid` lfrid`$

    b) ]il N(2) (Ogg~midf}g~ Sakfyfdfd lamir RLENf`ifd) mihf~fsofd mfsf}:

    I$ Ladjfmi df~frqlna~ nimfd` lq}q sakfyfdfd qd}qo RLE lfrid` lfrid`

    mfkfl oa`if}fd ofrqr oalf}ifd+ jgq~dfk ~afmid`+ ~gdma mfd kfsg~fd jf`f+

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    60

    sakfyfdfd ~fpf} idfs+ ~fpf} jfkfd (sgkiokidio mfd mf~q~f} `fpf})$ Nikf

    sa~kq mfsf} lalid}f nfd}qfd oasfmf ]il F$

    II$ Ladjfmi 6r} Sf~}y Lamibfk Fqmi}g~mi RLE lfrid` lfrid`$

    Mfkfl sakforfdffd fqmi} ranfiodyf fmf sadjadjfd`fd ranf`fi Fqmi}g~ mfd sa~ryf~f}fddyfranf`fi na~ioq}:

    Jadir Fqmi}g~ Sa~ryf~f}fd

    6 Fqmi}g~ S~f}flf f) ]akfh lad`ioq}i sakf}ihfd mfd kqkqr

    n) ]akfh lakfoqofd lidilfk 63 ofki id}a~dfk fqmi}id` (6r}

    Sf~}y Lamibfk Fqmi})

    > Fqmi}g~ Lfmyf f) ]akfh lad`ioq}i sakf}ihfd mfd kqkqr

    n) ]akfh lakfoqofd lidilfk >3 ofki id}a~dfk fqmi}id` (6r}Sf~}y Lamibfk Fqmi}) mfd 63 ofki >dmSf~}y Lamibfk

    Fqmi}id`

    2 Fqmi}g~ Q}flf f) ]akfh lad`ioq}i sakf}ihfd mfd kqkqrr}n) ]akfh lakfoqofd lidilfk >3 ofki id}a~dfk fqmi}id` (6

    Sf~}y Lamibfk Fqmi}) mfd >3 ofki >dmSf~}y Lamibfk

    Fqmi}id`

    S~grar idi mihf~fsofd na~oaridflnqd`fd f`f~ }a~nad}qo rqf}q vqfki}y }~fidam bgllqdi}ysfmf ra}ifs RLE+ nikf lalqd`oidofd sakf}ihfd misa~kqfr ladbfoqs jq`f oa idr}fkfri ~qlfh

    rfoi} rahid``f fofd }a~bis}f nqmfyf }~fdreg~lfri vqfki}y ir aua~ygdar ~arsgdriniki}y yfd`

    fofd ladqjq oaf~fh ]g}fk Vqfki}y Ra~uiba'Lfdf`alad} mad`fd s~gbarr m~iuad mfdbqr}gla~,egbqram g~iad}am$

    Oasqr}foffd

    6$ Fbqf KA$ Mgd} b~y eg~ qr F~`ad}idifdr: }pg mabfmar ge }afbhid` lamibfk

    hqlfdi}iar$J Lam A}hibr: Lamibfk Hqlfdi}iar >333?>5:5503$

    >$ Fha~d E+ G'Mgha~}y D$ Hafk}h }abhdgkg`y frrarrlad} id I~akfdm$Id} J ]abhdgk Frrarr

    Hafk}h Bf~a >333?65(>):==9,18$

    2$ Na~pibo ML+ Kafsa KK$ ^amqbid` a~~g~r id lamibida: I}r }ila }g }foa }hir lg~a

    ra~igqrky$ Vqfki}y id Hafk}h Bf~a 6999?8:6=15$

    60

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    NLJ=$ Ngmadhaila~+ ]$ (>333)$ Mirafra lfdf`alad} id }ha Fla~ibfd lf~oa}$ 2>3:

    152,5$

    1$ Nqa}gp RF+ ^gkfdm L$ Bkidibfk `gua~dfdba: n~im`id` }ha `fs na}paad lfdf`a~ifk

    fdm bkidibfk fss~gfbhar }g vqfki}y ge bf~a$ Vqfki}y id Hafk}h Bf~a 6999?8:68=93$ $

    5$ Bflsnakk FU$ Bkidibfk `gua~dfdba: }ha a}hibfk bhfkkad`a }g lamibfk amqbf}igd$

    Lamibfk Amqbf}igd 6999? 22:803,6$

    0$ Bggorgd ^+ Lfydf~m F$ Hafk}h }abhdgkg`y frrarrlad} id Aq~gsa$ Ils~guid` bkf~i}y

    fdm sa~eg~lfdba$Id} J ]abhdgk Frrarr Hafk}h Bf~a >333?65(>):529,13$

    8$ Bgpfd J$ Bkidibfk ~iro lfdf`alad}: bgdrad} fdm bkidibfk `gua~dfdba ils~guid`

    r}fdmf~mr fdm roikkr$N~i}irh Jgq~dfk ge Bkidibfk @gua~dfdba >333? 1(>):6>=,8$

    9$ Bgpfd J$ Bkidibfk ~iro lidilirid` hf~l id s~fb}ibfk s~gbamq~ar fdm qra ge

    avqislad}$ Bkidibfk Sa~eg~lfdba fdm Vqfki}y Hafk}h Bf~a >333? 8(=):>=1,13$

    63$ Bgpkid` F+ Daplfd O+ Kai`h R$ Mauakgsid` f bglsa}adby e~flapg~o }g rqssg~}

    }~fidid` id auimadba,nfram hafk}hbf~a$Id} J ge Hafk}h Vqfk Frrq~6999?6>(=)?6=9,19$

    66$ Bqkkad ^+ Dibhgkkr R+ Hfkki`fd F$ ^auiapid` f ra~uiba mirbgua~id` }ha qdp~i}}ad

    ~qkar$ Bkidibfk Sa~eg~lfdba fdm Vqfki}y Hafk}h Bf~a >333? 8(=):>22,9$

    6>$ Bqddid`hfl M$ @gua~dlad} mi~ab}iuar fdm bhfd`ar: }ha sg}ad}ifk ilsfb} gd bkidibfk

    s~fb}iba$J ^gy Bgkk Shyr Kgdm6999? 22: =1=,0$

    62$ Mfuiar B+ Pfkkay S$ Bkidibfk `gua~dfdba fdm gsa~f}igdr lfdf`alad} la}hgmgkg`iar$

    Id} J ge Hafk}h Vqfk Frrq~>333?62(6)?>6,5$

    6=$ Mfuiar H]G+ Dq}kay RL+ Lfddigd ^$ G~`fdirf}igdfk bqk}q~a fdm vqfki}y ge hafk}h

    bf~a$ Vqfki}y id Hafk}h Bf~a >333? 9:6669

    61$ Masf~}lad} ge Hafk}h$ Bkidibfk @gua~dfdba: Vqfki}y id }ha Dap DHR$ Kgdmgd: DHR

    Axabq}iua+ 6999$

    65$ Akkir NP+ Jghdrgd R$ ]ha bf~a sf}hpfy: f }ggk }g adhfdba bkidibfk `gua~dfdba$ N~i}irh

    Jgq~dfk ge Bkidibfk @gua~dfdba 6999? =(>):56,06$60$ Akkir J$ Rhf~id` }ha auimadba: bkidibfk s~fb}iba nadbhlf~oid` }g ils~gua bgd}idqgqrky

    }ha vqfki}y ge bf~a$ J ge Fmufdbam Dq~rid` >333? 2>(6):>61,>1$

    68$ Efufkg~g+ ^$ (6999)$ F ^auiufk ge Sfqk Mqmkay Phi}a : Fd Gua~uiap ge S~arad}

    Lamibfk S~fb}iba fdm ge Gq~ Rgbia}y$ Bi~bqkf}igd 99: 61>1,20$

    68

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    69

    69$ Ei~lfdmf M$ Augkqri Auimadba,nfram Hafk}h Sgkiby mfd Hafk}h Ra~uiba

    Lfdf`alad} sfmf fnfm >6$ Mirflsfiofd mfkfl ralidf~ mfd miroqri sfdak

    Auimadba,nfram Sgkiby mfkfl nimfd` g}gdgli oarahf}fd mirakad``f~fofd gkah

    Sqrki}nfd` IOL mfd Lf`ir}a~ Lfdfjalad Sakfyfdfd Oarahf}fd EO,Q@L$

    Yg`yfof~}f 6 Lf~a} >336$

    >3$ Ei~lfdmf M$ S~gearrigdfk bgd}idqgqr vqfki}y ils~gualad} hafk}h bf~a: r}fdmf~m ge

    s~gbamq~ar+ bkidibfk `qimakidar+ sf}hpfyr ge bf~a fdm auimadba,nfram lamibida$ Phf}

    f~a }hay7J Lfdfjalad % Fmlidir}~fri ^qlfh Rfoi} Idmgdarif 6999? 6(2): 629,6==$

    >6$ Ei~lfdmf M$ ]ha sq~rqi} ge axbakkadba id vqfki}y bf~a: f ~auiap ge i}r lafdid`+

    akalad}r+ fdm ilskalad}f}igd$ @kgnfk Hafk}h Jgq~dfk >333?6(>)

    h}}s:ppp$id}a~kgv$bglf29ukir>$h}l

    >>$ Ei~lfdmf M$ ]g}fk vqfki}y lfdf`alad} id hafk}h bf~a (Sf~} Gda)$ Idmgdar J Bf~migk

    Samif}~6999? 6(6):=2,9$

    >2$ Ei~lfdmf M$ Ami}g~ifk: S~gearigdfkirla$Lamibidfk >333? 6(6):5$

    >=$ Ei~lfdmf M$ Oamgo}a~fd Na~nfrir Nqo}i (Auimadba,nfram Lamibida) I: rf}q

    sadmaof}fd mfkfl sad`flnikfd oasq}qrfd okidir$ Lamibidfk >333? 6(6):>6,1$

    >1$ Ei~lfdmf M$ Oay }g rqbbarr ge vqfki}y bf~a s~g`~flr: alsgpa~id` lamibfk

    s~gearrigdfk$ @kgnfk Hafk}h Jgq~dfk >333? 6(6) h}}s:ppp$id}a~kgv$bglf>5$h}l

    >5$ Ei~lfdmf M$ ]g}fk Vqfki}y Lfdf`alad} id Ofsqfr @ada~fk Hgrsi}fk$ Dqeeiakm

    Idr}i}q}a ge Hafk}h+ Qdiua~ri}y ge Kaamr+ Qdi}am Oid`mgl+ 6998$

    >0$ Eka}bha~ I^$ Bkidibfk `gua~dfdba$Aq~g J ge Fdfar}h >333? 60:=06,2$

    >8$ @~fdfmgr F$ Hafk}h }abhdgkg`y frrarrlad} fdm bkidibfk mabirigd lfoid`: phibh ir }ha

    nar} auimadba7Id} J ]abhdgk Frrarr Hafk}h Bf~a 6999 Rqlla~?61(2):181,9>$

    >9$ @~afuar M+ Aufdr L$ Bgdbas}igdr ge lamibfk hqlfdi}iar$ J Lam A}hibr: Lamibfk

    Hqlfdi}iar >333?>5:53$

    23$ @~grr SF+ N~fqd NI+ O~i}bhauroy RN+ Rillgdr NS$ Bglsf~irgd ge bkidibfk

    idmibf}g~r eg~ sa~eg~lfdba lafrq~alad} ge hafk}h bf~a vqfki}y: f bfq}igdf~y dg}a$

    Bkidibfk Sa~eg~lfdba fdm Vqfki}y Hafk}h Bf~a >333? 8(=):>3>,66$

    69

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    >3

    26$ @gq~kfy ^$ Bkidibfk `gua~dfdba: fdg}ha~ efrhigd g~ f ~afk bqk}q~fk bhfd`a7 Id} J ge

    Hafk}h Vqfk Frrq~6999?6>(2)?08$

    2>$ Hfboa}} LB$ Ilskalad}id` bkidibfk `gua~dfdba id ]~qr}r$Id} J ge Hafk}h Vqfk Frrq~

    6999?6>(1)?>63,20$

    22$ Hfboa}} LB+ Kikeg~m ^+ Jg~mfd J$ Bkidibfk `gua~dfdba: bqk}q~a+ kafma~rhis fdm sgpa~ ,

    }ha oay }g bhfd`id` f}}i}qmar fdm nahfuigq~r id }~qr}r$ Id} J ge Hafk}h Vqfk Frrq~

    6999?6>(2)?98,63=$

    2=$ Hf~~ir F$ ^iro lfdf`alad} id s~fb}iba: hgp f~a pa lfdf`id`7 N~i}irh Jgq~dfk ge

    Bkidibfk @gua~dfdba >333? 1(2):6=>,9$

    21$ Hgkkfdm O+ Eaddak R$ Bkidibfk `gua~dfdba ir FBA qrid` }ha AEVL axbakkadba

    lgmak }g rqssg~} nfrakida frrarrlad}$Id} J ge Hafk}h Vqfk Frrq~>333?62(=)?603,0$

    25$ Hgkkflny ^$ Mirafra lfdf`alad}: ir i} bgd}f`igqr7Aq~gsafd Hgrsi}fk Lfdf`alad}

    6991?>(2):>3,>$

    20$ Hqd}a~+ M$ J (>333)$ Mirafra lfdf`alad}: hfr i} f eq}q~a7$NLJ2>3: 123$

    28$ Hqd}a~ M+ Efi~eiakm @$ Lfdf`a~r' bhabokir}: mirafra lfdf`alad}$ Hafk}h Ra~uibar

    Jgq~dfk 6995?635(rqssk 0):66,>$

    29$ In~fhil JA$ Phf} ir }ha vqfki}y ge gq~ vqfki}y lfdf`a~r7 Ir i} }ila eg~ vqfki}y

    lfdf`a~r id Fqr}~fkif }g na ba~}ieiam7J$ Vqfk$ Bkid$ S~fb}iba >333? >3:2>$

    =3$ Jgdrrgd A+ Nfd}f M$ Lfdf`alad} ge hafk}h }abhdgkg`iar: fd id}a~df}igdfk uiap$ NLJ

    6999? 269:6>92,1$

    =6$ Jg~`adrad ]+ Huada`ff~m F+ O~ir}adrad EN$ Hafk}h }abhdgkg`y frrarrlad} id

    Madlf~o$Id} J ]abhdgk Frrarr Hafk}h Bf~a >333?65(>):2=0,86$

    =>$ Lfbdfq`h}gd J$ ]ha hqlfdi}iar id lamibfk amqbf}igd: bgd}ax}+ gq}bglar fdm

    r}~qb}q~ar$J Lam A}hibr: Lamibfk Hqlfdi}iar >333?>5:>223$

    =2$ LbIkpfid JB$ Bkidibfk ~iro lfdf`alad}: s~idbiskar ge bgdrad} fdm sf}iad}

    ideg~lf}igd$ Bkid G}gkf~yd`gk 6999? >=:6==,13$

    ==$ LbLfdqr I B+ @g~mgd M+ Pidma~ NB$ Mq}iar ge f mgb}g~: QO mgb}g~r fdm @ggm

    Lamibfk S~fb}iba$ Vqfki}y id Hafk}h Bf~a >333? 9:6=>>$

    >3

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    >6

    =1$ Lafoid ^+ Oi~okid M$ Hqlfdi}iar rsabifk r}qmiar lgmqkar: lfoid` na}}a~ mgb}g~r g~

    jqr} hfssia~ gdar7 J Lam A}hibr: Lamibfk Hqlfdi}iar >333?>5:=9,13$

    =5$ Lg~~irgd J$ Bkidibfk `gua~dfdba ilskibf}igd eg~ lamibfk amqbf}igd$ Lamibfk

    Amqbf}igd 6999? 22:65>,=$

    =0$ Likar F+ Bhf~k}gd N+ Nad}kay S+ Sgkybh~gdir F+ @~ay J+ S~iba D$ Dap sa~rsab}iuar id

    }ha auimadba,nfram hafk}hbf~a manf}a$ Jgq~dfk ge Aufkqf}igd id Bkidibfk S~fb}iba

    >333? 5(>):00,8=$

    =8$ Lg~~irgd J$ Bkidibfk `gua~dfdba: }ha ilskibf}igdr eg~ lamibfk amqbf}igd$ Lamibfk

    Amqbf}igd 6999? 22:65>,=$

    =9$ Lgqkmid` D]+ Rikf`y BF+ Pakka~ MS$ F e~flapg~o eg~ aeeab}iua lfdf`alad} ge

    bhfd`a id bkidibfk s~fb}iba: mirralidf}igd fdm ilskalad}f}igd ge bkidibfk s~fb}iba

    `qimakidar$ Vqfki}y id Hafk}h Bf~a 6999? 8:60082$

    13$ Lg~~ir JD+ Jghdrgd ^P$ Bkidibfk `gua~dfdba phf} ir i} fkk fngq}7 Fdfar}h 6999?

    1=:266,>$

    16$ Dibhgkkr R+ Bqkkad ^+ G'Daikk R+ Hfkki`fd F$ Bkidibfk `gua~dfdba: i}r g~i`idr fdm i}r

    egqdmf}igdr$ N~i}irh Jgq~dfk ge Bkidibfk @gua~dfdba >333? 1(2):60>,8$

    1>$ Gdigd BP^$ S~idbiskar }g `gua~d Bkidibfk `gua~dfdba$ J ge Aufkqf}igd id Bkidibfk

    S~fb}iba >333? 5(=):=31,6>$

    12$ Sf~ir JF@+ LbOagpd OL$ Bkidibfk `gua~dfdba eg~ sqnkib hafk}h s~gearrigdfkr$ J ge

    Sqnkib Hafk}h Lamibida 6999? >6(=):=23,=$

    1=$ ^ibhf~mr+ ]$ (6998)$ Mirafra lfdf`alad} id Aq~gsa$NLJ260: =>5,0$

    11$ ^i`ny OM+ Ki}} JBN$ A~~g~r id hafk}h bf~a lfdf`alad}: phf} mg }hay bgr}7 Vqfki}y id

    Hafk}h Bf~a >333? 9:>65>6$

    15$ ^ig~mfd JE+ Rilsrgd J$ @a}}id` r}f~}am fr f lamibfk lfdf`a~$NLJ699=?239:6152,1$

    10$ ^grad ^+ @fnnfy J$ Kidoid` hafk}h }abhdgkg`y frrarrlad} }g s~fb}iba$ NLJ 6999?

    62:6>91,0$

    18$ Rfdma~rgd H$ Ideg~lf}igd ~avqi~alad}r eg~ bkidibfk `gua~dfdba$ N~i}irh Jgq~dfk ge

    Bkidibfk @gua~dfdba >333? 1(6):1>,0$

    >6

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    >>

    19$ Rfqdma~r J$ ]ha s~fb}iba ge bkidibfk lamibida fr fd f~} fdm fr f rbiadba$ J Lam A}hibr:

    Lamibfk Hqlfdi}iar >333?>5:68>>$

    53$ Rbfkky @+ Mgdfkmrgd KJ$ ]ha DHR'r 13 fddiua~rf~y$ Bkidibfk `gua~dfdba fdm }ha

    m~iua eg~ vqfki}y ils~gualad} id }ha dap DHR id Ad`kfdm$ NLJ$ 6998 Jqk

    =?260(0613):56,1$

    56$ Rsia`akhfk}a~ MJ+ Lykar JS+ Jgdar M^+ Fn~flr O^$ Fd id}~gmqb}igd }g nfyarifd

    la}hgmr id hafk}h }abhdgkg`y frrarrlad}$NLJ6999? 269:1386>$

    5>$ ]ha dap DHR$ Lgma~d$ Masadmfnka$ @gua~dlad} Phi}a Sfsa~$ Ha~ Lfjar}yr

    R}f}igdf~y Geeiba$ Mabalna~+ 6990$

    52$ ]hg~d}gd J@+Kikeg~m ^ J$ Lfdf`alad} eg~ Mgb}g~r: Mabirigd fdfkyrir eg~ lamibfk

    lfdf`a~r$NLJ6991?263:096,=$

    5=$ Pggke RH+ Hadrhfkk B$ Hafk}h }abhdgkg`y frrarrlad} id }ha Qdi}am Oid`mgl$ Id} J

    ]abhdgk Frrarr Hafk}h Bf~a >333?65(>):196,5>1$