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8/14/2019 Dody Firmanda 2000 - Clinical Governance 30 Mei 2000
1/22
6
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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8/14/2019 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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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$
2
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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
=
8/14/2019 Dody Firmanda 2000 - Clinical Governance 30 Mei 2000
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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
0
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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
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8/14/2019 Dody Firmanda 2000 - Clinical Governance 30 Mei 2000
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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
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Ki}a~f}q~ar
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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
8/14/2019 Dody Firmanda 2000 - Clinical Governance 30 Mei 2000
10/22
63
Masoarrgr:
Uiri
Liri
Gnjao}ie
]f~`a}
IMIIof}fd ^R
Uiri
Liri
Gnjao}ie
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DIBADIRABHILS
^R
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Hafk}h
Daamr
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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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66
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
Lamir Na~g~iad}fri Lfrfkfh (BLNL) S~gnkal G~iad}am Lamibfk ^abg~m(SGL^) yfd`
}akfh misa~`qdfofd ofkfd`fd lamir rajfo fpfk }fhqd 6983fd dfd}idyf fofd na~oalnfd`
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)
]g}fk Vqfki}y
Lfdf`alad}'Ra~uibar
Vqfki}y Frrq~fdba mfd Vqfki}y
bgd}~gk
Vqfki}y
bgd}~gk mfd
BVI
Lf}a~i
sad`qfrffd
mfkfl nimfd`
lq}q
Auimadba,nfram Hafk}h
Sgkiby mfdHafk}h
]abhdgkg`y Frrarrlad}
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nfram
Lamibida
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mfd aor}a~dfk)
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(id}a~dfk)
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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~
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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
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auimadba
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Gua~uiap
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fdfkyrir
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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
8/14/2019 Dody Firmanda 2000 - Clinical Governance 30 Mei 2000
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8/14/2019 Dody Firmanda 2000 - Clinical Governance 30 Mei 2000
14/22
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=
8/14/2019 Dody Firmanda 2000 - Clinical Governance 30 Mei 2000
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61
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}
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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$
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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$ 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$