Dody Firmanda 2012 - Materi Pelatihan Clinical Pathways RSUD Dr Mohamad Suwandhie Surabaya 8-9 Desember 2012

7/30/2019 Dody Firmanda 2012 - Materi Pelatihan Clinical Pathways RSUD Dr Mohamad Suwandhie Surabaya 8-9 Desember

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IC^A]K PALC^KHCODLKOKDCL PC^HUC[T ]TQN N] IJHCICN TQUCONKA

GJ^C TQ]CMC[CBCUC ^KIQ]

N}/ Njn{ Fk}iconc, Tp/C, ICTq}cmc{c, 8 ; Nataima} =03=


3/32

k

Ncf~c} Ktk

HclcicoPaonchqlqco Dlkokdcl Pc~huc{t 3

Icofcc~ Dlkokdcl Pc~huc{t nc}k taek Afktkaotk Paimkc{cco, Afag~kfk~ct Palc{coco ncoGama}cnklco*Agqk~k nclci ^c~c Galjlc Glkokt (Dlkokdcl Ejva}ocoda+ nco Tkt~aiPaimkc{cco Dctaikx

T~conc} Palc{coco Ganjg~a}co (TPG+, Panjico Octkjocl Palc{cocoGanjg~a}co (POPG+, T~conc} P}jtanq} Jpa}ctkjocl (TPJ+ nco PconqcoP}cg~kg Glkokt (PPG+Pa}co Dlkokdcl Pc~huc{t nclci Iq~q nk ]qich Tcgk~Pa}co Dlkokdcl Pc~huc{t nclci Paonknkgco Gatahc~co*Ganjg~a}co nk ]qichTcgk~Pa}co Dlkokdcl Pc~huc{t nclci Paoalk~kco Gatahc~co*Ganjg~a}co nk ]qichTcgk~Icofcc~ Dlkokdcl Pc~huc{t nclci Cg}ank~ctk ]qich Tcgk~

>

P}kotkp P}kotkp nclci Iao{qtqo Dlkokdcl Pc~huc{t =4

Lcoegch Lcoegch Pao{qtqoco Dlkokdcl Pc~huc{t =>

Pa}tkcpco nclci Pao{qtqoco Dlkokdcl Pc~huc{t =1

Gatkipqlco =6

Lcipk}co2Fj}ic~ Pconqco P}cg~kg Glkokt (PPG+ ]TQN N} Ijhcicn Tquconka =8

Fj}ic~ Qiqi Dlkokdcl Pc~huc{t ]TQN N} Ijhcicn Tquconka 40


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3

Dlkokdcl Pc~huc{t $

Njn{ Fk}iconcGa~qc Gjik~a Iankg ]TQP Fc~icuc~k, Bcgc}~c/

Paonchqlqco

Nclci ialcgqgco avclqctk gamkbcgco nco tkt~ai lc{coco gatahc~co ( hacl~hdc}a t{t~ai

con pjlkdkat avclqc~kjo+ ~a}ictqg }qcich tcgk~ cnc 4 g}k~a}kc gqodk {cgok g}k~a}kc

afag~kfk~ct, afktkaotk, nco gama}cnklco*agqk~k(affad~kvaoatt, affkdkaod{ con asqk~{+3 {coe

ia}qpcgco tqc~q }coegckco tkt~aic~kg nclci tqc~q tkt~ai/ Ialcgqgco tqc~q coclktkt

agjojik nclci palc{coco ganjg~a}co p}jfatk cnclch ~kncg iqnch, iaoekoec~ mco{cg

fcg~j} {coe hc}qt nkpa}~kimcoegco nc}k ma}mceck nkiaotk ~a}ictqg dc}c paonagc~co nc}k

baokt coclktkt agjojik {coe cgco nkeqocgco, mc~ctco ~a}ikojljek agjojik k~q taonk}k

iaoeaock q~klkrc~kjo, p}jnqd~kvk~{, maoafk~, affkdkaod{, affad~kvaoatt, vclqa fj} ijoa{,

gamkbcgco fktgcl nco ~koegc~koflc~kjo }c~a {coe ta}koe gclk ma}qmch/ Nktcipkoe

ga~a}mc~ctco tqima} nc{c nco gamkbcgco agjojik {coe nkpaoec}qhk pjlk~kt, tahkoeec

~kncg bc}coe%}atjq}dat% ~a}tamq~ ~alch nkpceq iaobcnk%fkxan% /=

Tancoegco nk tktk nkiaotk lcko p}jfatk k~q taonk}k nk~qo~q~ qo~qg iaokoegc~gco iq~q

palc{cocoo{c nco gap}jfatkcoo{c nclci gj}knj} a~kg)tjtkj)mqnc{c ta}~c ma}mceck

pa}c~q}co nco pa}qoncoeco hqgqi/ 5 Pctcl >1 nclci Qoncoe Qoncoe ]K Ojij} =;

^chqo =00> ~ao~coe P}cg~kg Ganjg~a}co pcnc iaoa}coegco ~ao~coe gaucbkmco

iao{alaoeec}cgco gaonclk iq~q nco gaonclk mkc{c 4 nco Qoncoe Qoncoe ]K Ojij}

$ Nktcipckgco pcnc Uj}gthjp Dlkokdcl Pc~huc{t ]TQN N} Ijhcicn Tquconka Tq}cmc{cBcuc ^kiq} 8 ) ; Nataima} =03=/

3 Cnc{ LC, Maela{ DA, Lck}tjo N]/ Avclqc~koe ~ha hacl~hdc}a t{t~ai2 affad~kvaoatt, affkdkaod{ conasqk~{/ 4}n an/ Ucthkoe~jo ND2 Hacl~h Cnikokt~}c~kjo P}att, =00>/

= Fk}iconc N/ Cplkgctk ko~ae}ctk tkoa}ekt co~c}cAvknaova)mctan Iankdkoa, Avknaoda)mctan Hacl~hdc}a nco Avknaoda)mctan Pjlkd{ nclci tc~q tkt~ai paokoegc~co iq~q palc{coco gatahc~co nco ganjg~a}co(Dlkokdcl Ejva}ocoda+2 tqc~q ~co~coeco p}jfatk KNCK nk ictc iaonc~coe/KK/Djt~ Affad~kvaoatt Cocl{tat(DAC+T~conc} Palc{coco Iankt (TPI+ Gatahc~co Cocg KNCK Nktcipckgco pcnc Cdc}c Pa}~aiqcoPa}hkipqoco J}ecoktctk P}jfatk naoeco Nk~bao [co Iankg Napgat ]K nk Mjej} Tap~aima} =001/h~~p2**uuu/td}kmn/dji*njd*3=8=5;46*Njn{)Fk}iconc)=001)0>=)Cplkgctk)ko~ae}ctk)tkoa}ekt)

Avknaovamctan)Iankdkoa)Avknaodamctan)Hacl~hdc}a)nco)Avknaodamctan)Pjlkd{)nclci)Dlkokdcl)Ejva4 Qoncoe Qoncoe ]K Ojij} =; ^chqo =00> ~ao~coe P}cg~kg Ganjg~a}co


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=

>> ^chqo =030 ~ao~coe ]qich Tcgk~ pcnc pctcl 44 iaoa}coegco ~ao~coe j}ecoktctk

}qich tcgk~ {coe afag~kf, afktkao, nco cgqo~cmal / >

Tancoegco nclci paoealjlcco gaqcoeco ~alch cnc Pa}c~q}co Paia}ko~ch Ojij} =4

^chqo =001 ~ao~coe Paoealjlcco Gaqcoeco Mcnco Lc{coco Qiqi nco Pa}c~q}co

Iao~a}k Nclci Oaea}k Ojij} 63 ^chqo =005 ~ao~coe Panjico ^agokt Paoealjlcco

Gaqcoeco Mcnco Lc{coco Qiqi Nca}ch pcnc pctcl 3 c{c~ 3 iao{amq~gco qo~qg

iaima}kgco palc{coco gapcnc ict{c}cgc~ ma}qpc pao{ankcco mc}coe nco*c~cq bctc {coe

nkbqcl ~copc iaoeq~cicgco iaodc}k gaqo~qoeco nco nclci ialcgqgco gaekc~coo{c

nknctc}gco pcnc p}kotkp afktkaotk nco p}jnqg~kvk~ct /1,6

Naoeco ~a}mk~o{c Qoncoe Qoncoe ]apqmlkg Konjoatkc Ojij} => ^chqo =033 ~ao~coe

Mcnco Pao{alaoeec}c Bcikoco Tjtkcl (MBPT+ 5/ Tatqck naoeco cicoc~ pa}qoncoeco

~a}tamq~ ) pa}c~q}co iaoeaock palcgtcocco MPBT Gatahc~co hc}qt ~alch cnc pclkoe lcic

~coeecl =1 Ojvaima} =03= (3 ~chqo nc}k nkqoncoegcoo{c+ 8 nco tqnch hc}qt iqlck

ma}jpa}ctk pcnc ~coeecl 3 Bcoqc}k =03>; ta}~c qo~qg MPBT Gatahc~co30 ~kncg

nktalaoeec}cgco lcek jlah Gaiao~a}kco Gatahc~co 33 / Pa}~co{cco {coe ~kimql cnclch

mceckicoc tkt~ai MPBT Gatahc~co ~a}tamq~:

Avjlqtk tkt~ai lc{coco gatahc~co nk tc}coc gatahc~co (}qich tcgk~+ tadc}c p}kotkpo{c

iqlck nc}k {coe ma}dk}kgco njkoe ~hkoet dhacpa} nclci hcl kok affkdkaod{pcnc ~chqo

3;50co pcnc ucg~q g}ktkt gaqcoeco nco eabjlcg JPAD, gaiqnkco agjojik iqlck pqlkh

nco ict{c}cgc~ iaoqo~q~ lc{coco gatahc~co ma}dk}kgco njkoe ~hkoet ma~~a} nclci hcl

koksqclk~{ kip}jvaiao~ / Talcic nqc nagcna ~a}tamq~ icocbaiao ma}dj}cg njkoe ~hkoet

}keh~ (nkgaocl tamceck kod}actkoe affad~kvaoatt+{coe ia}qpcgco gjimkoctk njkoe

> Qoncoe Qoncoe ]K Ojij} >> ^chqo =030 ~ao~coe ]qich Tcgk~1 Pa}c~q}co Paia}ko~ch ]K Ojij} =4 ^chqo =001 ~ao~coe Paoealjlcco Gaqcoeco Mcnco Lc{coco Qiqi6 Pa}c~q}co Iao~a}k Nclci Oaea}k Ojij} 63 ^chqo =005 ~ao~coe Panjico ^agokt Paoealjlcco Gaqcoeco

Mcnco Lc{coco Qiqi Nca}ch5 Qoncoe Qoncoe ]K Ojij} => ^chqo =033 ~ao~coe Mcnco Pao{alaoeec}c Bcikoco Tjtkcl8 Qoncoe Qoncoe ]K Oj/=> ^chqo =033 Pctcl 50 c{c~ c/; Qoncoe Qoncoe ]K Oj/=> ^chqo =033 Pctcl 60 c{c~ (3+/30 Qoncoe Qoncoe ]K Oj/=> ^chqo =033 Pctcl 1 c{c~ (=+c/33 Qoncoe Qoncoe ]K Oj/=> ^chqo =033 Pctcl 60 c{c~ (=+c/


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~hkoet dhacpa} nco njkoe ~hkoet ma~~a}/ a}o{c~c p}kotkp njkoe ~hkoet }keh~ ~kncg

iaicnck iaoekgq~k pa}gaimcoeco gaicbqco ~agojljek icqpqo ~qo~q~co ict{c}cgc~

{coe taicgko g}k~kt7 nco p}kotkp icocbaiao njkoe ~hkoet }keh~ ~a}tamq~ ~alch

ga~koeeclco rcico nco nkcoeecp tamceck p}kotkp nco dc}c icocbaiao gqoj/ Pcnc cmcn =3

kok ictc a}c eljmclktctk nkmq~qhgco ~kncg hco{c njkoe ~hkoet }keh~, cgco ~a~cpk bqec

nkpa}lqgco p}kotkp icocbaiao njkoe ~ha }keh~ ~hkoet tahkoeec gjimkoctk ganqco{c

nktamq~ tamceck p}kotkp icocbaiao lc{coco ijna}o njkoe ~ha }keh~ ~hkoet }keh~ / 3=

Icofcc~ Dlkokdcl Pc~huc{t nclci Afktkaotk Paimkc{cco, Afag~kfk~ct Palc{coco ncoGama}cnklco*Agqk~k

Dlkokdcl Pc~huc{t (DP+ cnclch tqc~q gjotap pa}aodcocco palc{coco ~a}pcnq {coe

ia}coegqi ta~kcp lcoegch {coe nkma}kgco gapcnc pctkao ma}nctc}gco t~conc}

palc{coco iankt nco ctqhco gapa}cuc~co {coe ma}mctkt mqg~k naoeco hctkl {coe ~a}qgq}

nco nclci bcoegc ucg~q ~a}~ao~q talcic nk }qich tcgk~/ 34,3>,31

Ma}kgq~ hctkl paoalk~kco paoa}cpcoDlkokdcl Pc~huc{t Poaqijokc (Ecimc} 3 nco =+ {coe

nklcgqgco nclci }coegc iaimqg~kgco cnco{c afktkaotk mkc{c, afag~kfk~ct lc{coco nco

gama}cnklco*agqk~k mcek taiqc pctkao ~copc iaiconcoe lc~c} malcgcoe gacncco tjtkcl

agjojik, paonknkgco icqpqo eaona}/ Nc}k Ecimc} 3 nco = nk mcuch qo~qg gctqt

poaqijokc mkc{c pa}cuc~co tcipck taimqh (naoeco ~c}kf }qich tcgk~+ iaipa}eqocgco

Dlkokdcl Pc~huc{t Poaqijokc cnclch tagk~c} ]p >;1 000,) qo~qg galct KKK, ]p 3 3=0 000,)

qo~qg galct KK, ]p 3 >80 000,) qo~qg galct K nco ]p = 310 000,) qo~qg galct VKP/

3= Fk}iconc N/ Pa}co Afag~kfk~ct Glkokt nclci }coegc iauqbqngco gatalcic~co*gacicoco (tcfa~{+ nco ma}j}kao~ctk gapcnc pctkao (pc~kao~ dao~}anoatt+/Nktcipckgco pcnc Hjtpk~cl Icoceaiao~ 4 {coenktalaoeec}cgco jlah Pqtc~ Gcbkco Cnikokt~}ctk nco Gamkbcgco Gatahc~co FGI QK nk E}con CoegctcHj~al Ko~a}oc~kjocl, Ianco 33 Ceqt~qt =008/ h~~p2**uuu/td}kmn/dji*njd*;834333*Njn{)Fk}iconc)=008)

Pa}co)Afag~kvk~ct)Glkokt)Nclci)PC^H34 Fk}iconc N/ Panjico Pao{qtqoco Dlkokdcl Pc~huc{t nclci }coegc kiplaiao~ctk Tkt~ai N]Et

Dctaikx nk }qich tcgk~/ Nktcipckgco nclci Tkncoe Plaoj Gjik~a Iankg ]T Fc~icuc~k, Bcgc}~c 5Jg~jma} =001/

3> Fk}iconc N/ Dlkokdcl Pc~huc{t2 Pa}co p}jfatk iankt nclci }coegc iao{qtqo Tkt~ai N]Et Dctaikx nk}qich tcgk~/ Nktcipcgco pcnc gqobqoeco lcpcoeco ga ]TQP Cnci Iclkg Ianco == Nataima} =001,]TQP Hctco Tcnkgko Mconqoe =4 Nataima} =001 nco Avclqctk Pao{qtqoco Dlkokdcl Pc~huc{t nclci}coegc pao{aipq}occo Panjico N]Et Dctaikx Napgat ]K, Hj~al E}con Daipcgc Bcgc}~c =;Nataima} =001/

31 Fk}iconc N, P}c~kuk Conc{cok, Oq}ckok K}ic Tqtco~k, T}ka Aoeec} GN ngg/ Dlkokdcl Pc~huc{tGatahc~co Cocg nclci }coegc kiplaiao~ctk Tkt~ai N]Et Dctaikx nk ]T Fc~icuc~k, Bcgc}~c =006/


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Tancoegco mklc nkhk~qoe ma}nctc}gco glcki Bcigatict qo~qg gctqt {coe tcic cnclch ]p

= 505 664,)/ Icgc tadc}c ic~aic~kg naoeco iaipa}eqocgco Dlkokdcl Pc~huc{t qo~qg

gctqt poaqijokc ~a}tamq~ iaoehaic~ (= 505 664 >;1 000 9 ]p = =3= 664,)+/ Naoeco

naikgkco ~a}lkhc~ balct nc}k taek agjojik*paimkc{cco }qich tcgk~ ~a}tamq~ tcoec~ afktkao

nco iaoeqo~qoegco mklc iaoeeqocgco Dlkokdcl Pc~huc{t /

Naoeco iaipa}eqocgco Dlkokdcl Pc~huc{t ncpc~ iaoehk~qoe Djt~ Uakeh~ ta~kcp

galjipjg gctqt, djo~jh qo~qg gctqt poaqijokc nk c~ct }a}c~c tqima}nc{c (}atjq}dat+

}qich tcgk~ (jmc~ jmc~co, mchco nco clc~ nll+ {coe ~a}pcgck cnclch]p =10 000,) icgc

Djt~)Uakeh~ o{c cnclch (>10 000*=10 000 9 3/8+ /


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Ecimc} 3/ Djo~jh hctkl paoalk~kco kiplaiao~ctk tclch tc~q Dlkokdcl Pc~huc{t qo~qg gctqt poaqijokc


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Ecimc} =/ Djo~jh coclktkt hctkl kiplaiao~ctk tclch tc~q Dlkokdcl Pc~huc{t pcnc~chqo =006 qo~qg gctqt poaqijokc


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^ao~coe dc}c lcoegch lcoegch pa}hk~qoeco djt~ uakeh~, dctaikx konax, mcta }c~a

}qich tcgk~ nco cljgctk coeec}co ncpc~ nklkhc~ nclci Ecimc} 4 ma}kgq~/

Ecimc} 4/ Djo~jh pa}hk~qoeco ma}nctc}gco nc~c hctkl kiplaiao~ctk Dlkokdcl Pc~huc{t nclci iaodc}k ]alc~kva Uakeh~ (djt~ uakeh~+, Dcta Ikx Konax nco Mcta ]c~a /


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8

Cec} ~kncg ~qipcoe ~konkh ta}~c tkoa}ekt naoeco gao{c~cco nk lcpcoeco (}qich

tcgk~+, icgc kiplaiao~ctk Dlkokdcl Pc~huc{t tamckgo{c ~a}pcnq naoeco ~c~cgaljlc

icocbciao (dj}pj}c~a ejva}ocoda+ nco ~c~cgaljlc glkokt (dlkokdcl ejva}ocoda +

{coe ~alch ma}lcgq tatqck iktk }qich tcgk~ nclci mkncoe palc{coco, paonknkgco

nco paoalk~kco/

Naoeco ~a}mk~o{c Pa}c~q}co Iao~a}k Gatahc~co ]K Ojij}

34>8*IAOGAT*PA]*KX*=030 {coe nkeqocgco cnclch kt~klch T~conc} Palc{coco

Ganjg~a}co (TPG+ {coe ~a}nk}k nc}k Panjico Octkjocl Palc{coco Ganjg~a}co

(POPG+ nco T~conc} P}jtanq} Jpa}ctkjocl (TPJ+/ POPG nkmqc~ jlah j}ecoktctk p}jfatk nco nktchgco jlah Iao~a}k Gatahc~co ]K, tancoegco TPJ nkmqc~ nk ~koegc~

}qich tcgk~ jlah p}jfatk iankt naoeco gjj}nkoc~j} Gjik~a Iankt nco nk~a~cpgco

paoeeqoccoo{c nk }qich tcgk~ ~a}tamq~ jlah pkipkoco (nk}ag~q}+/

T~conc} P}jtanq} Jpa}ctkjocl qo~qg p}jfatk iankt nk }qich tcgk~ nclci mao~qg

Pconqco P}cg~kg Glkokt36 ) pcnc qiqio{c ncpc~ nkcnjptk nc}k Pconqco Octkjocl

Palc{coco Ganjg~a}co (POPG+ {coe ~alch nkmqc~ jlah j}ecoktctk p}jfatk ictkoe

ictkoe, ~koeecl nkdjdjggco nco nktatqckgco naoeco gjonktk tc}coc nco

gjipa~aotk {coe cnc nk }qich tcgk~/ Mklc POPG {coe ~alch nkmqc~ jlah j}ecoktctk

p}jfatk ~a}tamq~ nco ~alch nktchgco jlah Iao~a}k Gatahc~co ]K ta}~c tatqck naoeco

gjonktk }qich tcgk~ icgc ~koeecl nktapcgc~k jlah coeej~c p}jfatk (TIF+ ~a}gck~

tamceck Pconqco P}cg~kg Glkokt (PPG+ nco nktchgco paoeeqoccoo{c nk }qich

tcgk~ jlah nk}ag~q} }qich tcgk~ ~a}tamq~/

Ociqo mklc POPG ~a}tamq~ malqi cnc c~cq ~kncg tatqck naoeco gjonktk }qich

tcgk~ c~cq nclci POPG malqi iaodco~qigco baokt pao{cgk~ {coe tatqck naoeco

gacncco apknaikjljek pao{cgk~ nk nca}ch*}qich tcgk~ ~a}tamq~ icgc p}jfatk nk

}qich tcgk~ ~a}tamq~ ucbkm iaimqc~ Pconqco P}cg~kg Glkokt (PPG+ qo~qg }qich

tcgk~ ~a}tamq~ nco nktchgco paoeeqoccoo{c nk }qich tcgk~ jlah nk}ag~q} }qich

tcgk~/ Nclci iao{qtqo POPG nc}k j}ecoktctk p}jfatk icqpqo PPG qo~qg }qich

36 Pa}c~q}co Iao~a}k Gatahc~co ]K Ojij} 34>8*IAOGAT*PA]*KX*=030


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tcgk~ ) p}jfatk iankt iaima}kgco palc{coco gap}jfatkcoo{c tadc}c afag~kf (dlkokdcl

affad~kvaoatt+ nclci hcl iaoaecggco nkceojtkt nco iaima}kgco ~a}cpk

ma}nctc}gco paonagc~co avknaoda)mctan iankdkoa / Tadc}c tana}hcoc pa}c~q}co

~a}tamq~ ncpc~ nklkhc~ tamceckicoc nclci Ecimc} > ma}kgq~/

Ecimc} >/ ]koegctco Pa}c~q}co Iao~a}k Gatahc~co ]K Ojij} 34>8*IAOGAT*PA]* KX*=030 ~ao~coe T~conc} Palc{coco Ganjg~a}co POPG,TPJ nco PPG/

P}jtat talcobq~o{c ta~alch iao{qtqo Pconqco P}cg~kg Glkokt (PPG+ ]qich Tcgk~

cnclch iaimqc~ Dlkokdcl Pc~huc{t tamceck tclch tc~q gjipjoao nc}k Tkt~ai

Dctaikx (KOC DME+ {coe tcc~ kok nkpa}eqocgco qo~qg Bcikoco Paialkhc}cco


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Gatahc~co (Bcigatict+ nk }qich tcgk~ ) icgc KOC DME cgco lamkh

nktaipq}ocgco naoeco iaoehk~qoe N]E ]alc~kva Uakeh~ nco Dctaikx Konax

ta}~c Mcta ]c~a ta~kcp paoealjipjggco baokt pao{cgk~ nco talcobq~o{c ncpc~

iaimconkoegco (maodhic}gkoe+ djt~ affkdkaod{ co~c} }qich tcgk~ nclci

iaima}kgco lc{coco gatahc~co ma}nctc}gco gacncco tamaoc}o{c nkma}kgco ialclqk

Dlkokdcl Pc~huc{t /

Tkt~ai Dctaikx cnclch tqc~q dc}c iaoealjlc tqima} nc{c }qich tcgk~ taafag~kf

iqoegko nclci iaima}kgco lc{coco gatahc~co {coe ~a}bcoegcq gapcnc

ict{c}cgc~ ma}nctc}gco paoealjipjggco tpag~}qi nkceojtkt pao{cgk~ {coehjijeao nco p}jtanq} ~koncgco {coe nkma}kgco ) tadc}c }koegcto{c ~a}nk}k nc}k 4

gjipjoao q~cic {cgok gjnafkgctk nkceojtkt (KDN 30+ nco p}jtanq} ~koncgco

(KDN ; DI+, paimkc{cco ( djt~koe + {coe ncpc~ ma}qpc ~jp)njuo cpp}jcdh,

cd~kvk~{ mctan djt~koe nco c~cq gjimkoctk ganqco{c, nco ialclqk Dlkokdcl

Pc~huc{t /35,38,3;,=0,=3

KOC)N]E cnclch vc}kctk tkt~ai dctaikx va}tk Gaiao~a}kco Gatahc~co ]K qo~qg

Konjoatkc {coe nktqtqo ma}nctc}gco nc~c nc}k 31 }qich tcgk~ va}~kgcl,

iaipa}eqocgco KDN 30 qo~qg nkceojtkt nco KDN ; DI qo~qg p}jtanq} ~koncgco

ta}~c mkc{c ma}nctc}gco ~c}kf {coe ma}lcgq pcnc ucg~q ~a}tamq~/ Qpc{c ~a}tamq~

iaicoe malqi taipq}oc nco malqi iaoda}ikogco }aclk~ct gacncco talq}qh

paljtjg ~coch ck} ociqo tamceck ~k~kg ~joeecg cucl, hcl ~a}tamq~ ia}qpcgco

tqc~q gama}hctklco nclci iaimqc~ tqc~q tkt~ai paimkc{cco lc{coco gatahc~co

}qich tcgk~ nco qtchc mckg iaoqbq gapct~kco nco ncpc~ nkpa}mckgk ta}~c

nk~koegc~gco gqclk~ct icqpqo vclknk~ct nc~co{c {coe }ap}atao~c~kf qo~qg Konjoatkc/

35 Ejlnico L/ Djt~)Affad~kvaoatt ko c flc~ uj}ln Dco KDNt halp ~ha Qok~an T~c~at ea~ }h{~hi: O Aoel B Ian =0017414(3> +23134)1/

38 Ncoc M Iqgcia NM, Rucorkea} B, Mciarck C/ Hjtpk~cl djipa~k~kjo, }atjq}da clljdc~kjo consqclk~{ jf dc}a/ MID Hacl~h Ta}vkdat ]atac}dh =00=7 =(30+2 3>5=)83/

3; Nkcoa ]julcon N/ Iankdckn Kiplkdc~kjot fj} ~ha hacl~h tcfa~{ oa~/ O Aoel B Ian =0017414(3>+2 3>4;)>3/

=0 E}acll{ D/ Cf~a} 3= {ac}t jf Dctaikx ko K}alcon, c icbj} }avkau lacnkoe ~j k~t ijna}oktc~kjo conaxpcotkjo ct c dao~}cl pkllc} ko hjtpk~cl fqonkoe pjlkd{/ K}alcon Napc}~iao~ jf Hacl~h, =00>/

=3 Dctaikx Qok~ Napc}~iao~ jf Hacl~h con Dhkln}ao/ Dctaikx Iactq}aiao~ ko K}kth Hjtpk~clt/K}alcon Napc}~iao~ jf Hacl~h, =001/


14/32

33

Tamceck tkt~ai {coe mc}q lchk} KOC)N]E cgco ~a}qt ma}eqlk} nco ma}gaimcoe

tatqck ~qo~q~co pa}gaimcoeco lc{coco gatahc~co mckg octkjocl icqpqo }aekjocl/ ==

Naoeco ma}cghk}o{c lktaotk e}jqpa} KOC)N]E ~a}hk~qoe ~coeecl 40 Tap~aima}

=030, icgc ocic tk~ai Dctaikx KOC)N]E ma}qmch iaobcnk KOC)DME =4/

P=BG Gaiao~a}kco Gatahc~co ]K ~alch iaoecncgco pa}~aiqco naoeco talq}qh

pa}hkipqoco p}jfatk nco gjlaekqi nk Naopctc} Mclk pcnc ~coeecl =4 Ojvaima}

=00; nco iaoehctklgco gapq~qtco tamceck ma}kgq~2

3/ Gatapcgc~co nco gjik~iao ma}tcic talq}qh pa}hkipqoco p}jfatk nco

Gjlaekqi ta~kcp pa}hkipqoco p}jfatk iaimqc~ 30 pao{cgk~ ~a}mco{cg

T~conc}*Panjico Palc{coco Iankt (T*PPI+ nco Dlkokdcl Pc~huc{t qo~qg

ialaoegcpk KOC)N]E nclci P}je}ci Bcikoco Gatahc~co/

=/ Pa}~aiqco talcobq~o{c ~coeecl == Bcoqc}k =030 nktalaoeec}cgco jlah Pqtc~

Paimkc{cco nco Bcikoco Gatahc~co (P=BG+ Tag}a~c}kc~ Baona}cl Napgat

]K iaimchct talq}qh TPI nco DP/

]aodcoc pa}~aiqco lcobq~co ~coeecl == Bcoqc}k =030 nkqonq} nco ~a}aclktctk pcnc

~coeecl 5); Cp}kl =030 nk Mc~ci naoeco paimchctco gaimclk iaoeaock T~conc}

Palc{coco Ganjg~a}co ta~kcp pa}hkipqoco p}jfatk/ Nc}k pa}~aiqco nkhc}cpgco

nkhctklgco tqc~q T~conc} Palc{coco Ganjg~a}co ~koegc~ octkjocl {coe nktamq~

Pconqco Octkjocl P}cg~kg Ganjg~a}co (POPG+ tamceckicoc {coe nkhc}cpgco nc}k

Pa}c~q}co Iao~a}k Gatahc~co Ojij} 3>48*IAOGAT*PA]*KX*=030 ~ao~coe

T~conc} Palc{coco Ganjg~a}co {coe cgco iaobcnk cdqco p}jfatk nk }qich tcgk~

qo~qg iaimqc~ Pconqco P}cg~kg Glkokt (PPG+ ictkoe ictkoe/

== Fk}iconc N/ Coclktkt Paimc{c}co gapcnc Paima}k Lc{coco Gatahc~co (PPG+ iaoeeqocgcoKOC)DME iaonagc~k hc}cpco taiqc pkhcg tatqck Dlkokdcl Pc~huc{t / Nktcipckgco pcncUj}gthjp Kiplaiao~ctk KOC)DME Pa}dapc~co ^}cotfj}ictk nk ]qich Tcgk~ Nca}ch (]TN+nktalaoeec}cgco jlah Ctjtkctk ]qich Tcgk~ Nca}ch Talq}qh Konjoatkc (C]TCNC+ Bcuc Mc}c~ nkHj~al Ct~jo ^}jpkdcoc Mconqoe, =4 Bqok =033/=4 Tq}c~ Anc}co Nk}ag~q} Baona}cl Mkoc Palc{coco Iankg Gaiao~a}kco Gatahc~co ]K Ojij} K]/04/03* K*150530 ^coeecl 38 Jg~jma} =030/


15/32

3=

T~conc} Palc{coco Ganjg~a}co => cnclch panjico {coe hc}qt nkkgq~k jlah njg~a}

nclci iao{alaoeec}cgco p}cg~kg ganjg~a}co =1 nco tclch tc~q ~koncg lcobq~ nc}k

pa}qoncoeco {coe ~alch nk~a}mk~gcoaoci ~chqo {coe lclq/ =6 T~conc} Palc{coco

Ganjg~a}co ~a}nk}k nc}k Panjico Octkjocl Palc{coco Ganjg~a}co (POPG+ nco

T~conc} P}jtanq}cl Jpa}ctkjocl (TPJ+/ =5

Pa}co Gjik~a Iankg cnclch iaoegj}nkoctkgco pao{qtqoco Pconqco P}cg~kg

Glkokt (PPG+ {coe nkmqc~ jlah (galjipjg+ t~cf iankt =8 nco iaoecdq gapcnc

Panjico Octkjocl Palc{coco Ganjg~a}co (POPG+ {coe nkmqc~ jlah j}ecoktctk

p}jfatk =; nco nktchgco jlah Iao~a}k Gatahc~co 6/ Naoeco ~a}mk~o{c Pa}c~q}co

Iao~a}k Gatahc~co ]K Ojij} 34>8*IAOGAT*PA]*KX*=030 {coe nkeqocgco

cnclch kt~klch T~conc} Palc{coco Ganjg~a}co (TPG+ {coe ~a}nk}k nc}k Panjico

Octkjocl Palc{coco Ganjg~a}co (POPG+ nco T~conc} P}jtanq} Jpa}ctkjocl (TPJ+/

POPG nkmqc~ jlah j}ecoktctk p}jfatk nco nktchgco jlah Iao~a}k Gatahc~co ]K,

tancoegco TPJ nkmqc~ nk ~koegc~ }qich tcgk~ jlah p}jfatk iankt naoeco

gjj}nkoc~j} Gjik~a Iankg nco nk~a~cpgco paoeeqoccoo{c nk }qich tcgk~

~a}tamq~ jlah pkipkoco (nk}ag~q}+/

T~conc} Palc{coco Ganjg~a}co (POPG nco PPG+ ~kncg knao~kg naoeco Mqgq Cbc},

^ax~)mjjgt c~cqpqo dc~c~co gqlkch {coe nkeqocgco nk pa}eq}qco ~koeek/ Gc}aoc

T~conc} Palc{coco Ganjg~a}co ia}qpcgco clc~*mchco {coe nkkiplaiao~ctkgco

pcnc pctkao7 tancoegco mqgq cbc}, ~ax~)mjjgt, bq}ocl, mchco taikoc} icqpqo

paoeclcico p}kmcnk cnclch tamceck mchco }qbqgco*}afa}aotk nclci iao{qtqo

T~conc} Palc{coco Ganjg~a}co/

=> Pa}c~q}co Iao~a}k Gatahc~co ]K Ojij} 3>48*KX*=030 ~ao~coe T~conc} Palc{coco Ganjg~a}co/h~~p2**uuu/td}kmn/dji*njd*>4050564*Njn{)Fk}iconc)=030)Pa}iaogat)Oj)3>48)IAOGAT)

PA])KX) =030)T~conc})Palc{coco)Ganjg~a}co=1 Pa}c~q}co Iao~a}k Gatahc~co ]K Ojij} 3>48*KX*=030 ~ao~coe T~conc} Palc{coco Ganjg~a}coPctcl 3 c{c~ 3/=6 Qoncoe Qoncoe ]K Ojij} =; ^chqo =00> Pctcl >> c{c~ 4/=5 Pa}c~q}co Iao~a}k Gatahc~co ]K Ojij} 3>48*KX*=030 ~ao~coe T~conc} Palc{coco Ganjg~a}coPctcl 4 c{c~ 3/=8 Pa}c~q}co Iao~a}k Gatahc~co ]K Ojij} 3>48*KX*=030 ~ao~coe T~conc} Palc{coco Ganjg~a}coPctcl 33/=; Pa}c~q}co Iao~a}k Gatahc~co ]K Ojij} 3>48*KX*=030 ~ao~coe T~conc} Palc{coco Ganjg~a}coPctcl 4 nco Pctcl 6/


16/32

34

T~conc} P}jtanq} Jpa}ctkjocl qo~qg p}jfatk iankt nk }qich tcgk~ nclci mao~qg

Pconqco P}cg~kg Glkokt40 ) pcnc qiqio{c ncpc~ nkcnjptk nc}k Pconqco Octkjocl

Palc{coco Ganjg~a}co (POPG+ {coe ~alch nkmqc~ jlah j}ecoktctk p}jfatk ictkoe

ictkoe, ~koeecl nkdjdjggco nco nktatqckgco naoeco gjonktk tc}coc nco

gjipa~aotk {coe cnc nk }qich tcgk~/ Mklc POPG {coe ~alch nkmqc~ jlah j}ecoktctk

p}jfatk ~a}tamq~ nco ~alch nktchgco jlah Iao~a}k Gatahc~co ]K ta}~c tatqck naoeco

gjonktk }qich tcgk~ icgc ~koeecl nktapcgc~k jlah coeej~c p}jfatk (TIF+ ~a}gck~

tamceck Pconqco P}cg~kg Glkokt (PPG+ nco nktchgco paoeeqoccoo{c nk }qich

tcgk~ jlah nk}ag~q} }qich tcgk~ ~a}tamq~/

Ociqo mklc POPG ~a}tamq~ malqi cnc c~cq ~kncg tatqck naoeco gjonktk }qich

tcgk~ c~cq nclci POPG malqi iaodco~qigco baokt pao{cgk~ {coe tatqck naoeco

gacncco apknaikjljek pao{cgk~ nk nca}ch*}qich tcgk~ ~a}tamq~ icgc p}jfatk nk

}qich tcgk~ ~a}tamq~ ucbkm iaimqc~ Pconqco P}cg~kg Glkokt (PPG+ qo~qg }qich

tcgk~ ~a}tamq~ nco nktchgco paoeeqoccoo{c nk }qich tcgk~ jlah nk}ag~q} }qich

tcgk~/ Nclci iao{qtqo POPG nc}k j}ecoktctk p}jfatk icqpqo PPG qo~qg }qich

tcgk~ ) p}jfatk iankt iaima}kgco palc{coco gap}jfatkcoo{c tadc}c afag~kf (dlkokdcl

affad~kvaoatt+ nclci hcl iaoaecggco nkceojtkt nco iaima}kgco ~a}cpk

ma}nctc}gco paonagc~co avknaoda)mctan iankdkoa /

Pa}co Gjik~a Iankg nktkok cnclch2

3/ iaimqc~ nco iaoa~cpgco fj}ic~ qiqi Pconqco P}cg~kg Glkokt

=/ iaoa~cpgco gatapcgc~co ~koegc~ avknaot {coe cgco nkpa}eqocgco nk ]T

4/ iaoegjipklctk PPG {coe ~alch talatck

>/ ia}agjiaonctkgco PPG gapcnc nk}ag~q} qo~qg paoeatchco paoeeqocco

PPG ~a}tamq~ nk }qich tcgk~

1/ ialcgtcocgco cqnk~ iankt naoeco iaipa}eqocgco PPG

6/ iaoa~cpgco gauaocoeco glkokt p}jfatk iankt

40 Pa}c~q}co Iao~a}k Gatahc~co ]K Ojij} 34>8*IAOGAT*PA]*KX*=030


17/32

3>

Naoeco ~a}mk~o{c Pa}c~q}co Iao~a}k Gatahc~co ]K Ojij} 511*Iaogat*KV*=033,

icgc Gapq~qtco Iao~a}k Gatahc~co Ojij} 55=*Iaogat*TG*VK*=00= ~ao~coe

Panjico Pa}c~q}co Ko~a}ocl ]qich Tcgk~ ( Hjtpk~cl M{ Lcut+ tapcobcoe iaoeaock

paoec~q}co t~cf iankt, Gapq~qtco Iao~a}k Gatahc~co Ojij}

>;6*Iaogat*TG*KV*=001 ~ao~coe Panjico Cqnk~ Iankt nco Gapq~qtco Iao~a}k

Gatahc~co Ojij} 643*Iaogat*TG*VKK*=001 ~ao~coe Panjico Pao{qtqoco

Pa}c~q}co Ko~a}ocl T~cf Iankt nkdcmq~ nco nko{c~cgco ~kncg ma}lcgq43 nco ta~kcp

}qich tcgk~ hc}qt iao{atqckgco naoeco pa}c~q}co ~a}tamq~ talcimc~o{c ~coeecl 1

Ojvaima} =033 (6 mqlco tabcg nkqoncoegcoo{c pa}c~q}co ~a}tamq~+4=/

Pa}c~q}co Iao~a}k Gatahc~co ~a}tamq~ ma}~qbqco qo~qg iaoec~q} ~c~c galjlc glkokt

(dlkokdcl ejva}ocoda + {coe mckg cec} iq~q palc{coco iankt nco gatalcic~co

pctkao nk}qich tcgk~ lamkh ~a}bciko nco ~a}lkonqoek ta}~c iaoec~q}

pao{alaoeec}cco gjik~a iankg nk ta~kcp }qich tcgk~ nclci }coegc paokoegc~co

p}jfatkjoclktia t~cf iankt/ 44 Tahkoeec tqnch talc{cgo{c ta~kcp }qich tcgk~

iaimqc~ ^c~c Galjlc Gj}pj}c~ ( Dj}pj}c~a Ejva}ocoda+ nco ^c~c Galjlc Glkokt

(Dlkokdcl Ejva}ocoda+ tamceck gjotagqaotk ~koncg lcobq~ nc}k Pa}c~q}co Ko~a}oc

T~cf Iankt (Iankdcl T~cf M{lcut+ nco Pa}c~q}co Ko~a}oc ]qich Tcgk~ (Hjtpk~cl

M{lcut+/

^a}lapct nc}k gaonclc paoeeqocco Dlkokdcl Pc~huc{t tamceck palaoegcp KOC)

DME7 kiplaiao~ctk Dlkokdcl Pc~huc{t tcoec~ ma}icofcc~ mcek p}jfatk nclci

iaima}kgco palc{coco, paonknkgco icqpqo paoalk~kco nk }qich tcgk~

tamceckicoc ncpc~ nklkhc~ nclci ecimc} 1 tcipck 5 ma}kgq~/

43 Pa}c~q}co Iao~a}k Gatahc~co ]K Ojij} 511*Iaogat*KV*=033 Pctcl =0/4= Pa}c~q}co Iao~a}k Gatahc~co ]K Ojij} 511*Iaogat*KV*=033 Pctcl 3;/44 Pa}c~q}co Iao~a}k Gatahc~co ]K Ojij} 511*Iaogat*KV*=033 Pctcl =/


18/32

31

Ecimc} 1/ Kiplaiao~ctk Dlkokdcl Pc~huc{t nclci mkncoe palc{coco nk }qich

tcgk~/


19/32

36

Ecimc} 6/ Kiplaiao~ctk Dlkokdcl Pc~huc{t qo~qg paoalk~kco nk }qich tcgk~/


20/32

35

Ecimc} 5/ Kiplaiao~ctk Dlkokdcl Pc~huc{t nkgck~co naoeco ctatiao paoklckcoqo~qg pata}~c nknkg ichctktuc nco pata}~c p}je}ci njg~a} tpatkclkt nk }qich tcgk~icqpqo }qich tcgk~ babc}koe paonknkgco/


21/32

38

Gjotap/ gjot~}qgtk icqpqo ijnal kiplaiao~ctk Dlkokdcl Pc~huc{t tadc}c ~kncg

lcoetqoe tamceckicoc nkq~c}cgco nkc~ct mchuc2

Dlkokdcl Pc~huc{t tamceck kot~}qiao palc{coco ma}fjgqt gapcnc pctkao

(pc~kao~)fjdqtan dc}a+ , ~a}ko~ae}ctk, ma}gatkocimqoeco nc}k pctkao

ictqg nk}cuc~ tcipck pqlcoe taimqh (djo~koqjqt dc}a+, balct cgco

njg~a}*pa}cuc~ paocoeeqoe bcucm pctkao (NPBP*PPBP+ tamceck nq~{ jf

dc}a, q~klk~ct paia}kgtcco paoqobcoe, paoeeqocco jmc~ jmc~co ~a}ictqg

co~kmkj~kgc, p}jtanq} ~koncgco jpa}ctk, co~ktkpctk gaiqoegkoco ~a}bcnko{c

iankdcl a}}j}t (lc~ao nco cg~kf, o{c}kt ~a}bcnk icqpqo gabcnkco ~kncg

nkhc}cpgco*G^N+ nco paodaechco gaiqoegkoco dana}c (hc}it+ ta}~c

kofagtk ojtjgjikcl nclci }coegc gatalcic~co pctkao (pc~kao~ tcfa~{+,

iaona~agtk nkok ~k~kg ~k~kg pj~aotkcl ma}ktkgj talcic p}jtat lc{coco

pa}cuc~co pctkao (~}cda}t ia~hjnjlje{+ nclci }coegc icocbaiao }ktkgj

(}ktgt icoceaiao~+, }aodcoc paiqlcoeco pctkao (pc~kao~ nktdhc}ea+,

qpc{c paokoegc~co iq~q lc{coco ma}gatkocimqoeco (djo~koqjqt sqclk~{

kip}jvaiao~+ mckg naoeco paonagc~co ~ahokg ^JD (^haj}{ jf Djot~}cko~t+

qo~qg tkt~ai icqpqo konkvknq p}jfatk, paoqlqtq}co gkoa}bc (pa}fj}icoda+

konkvknq p}jfatk icqpqo galjipjg (~aci)uj}g+/

Ia}qpcgco tqc~q }coegckco tkt~ai {coe ncpc~ nkpa}eqocgco tamceck kot~}qiao

qo~qg iaiaoqhk pa}t{c}c~co paoklckco Cg}ank~ctk nc}k Gjik~a Cg}ank~ctk ]qich

Tcgk~ (GC]T+ va}tk mc}q icqpqo nc}k Bjko~ Djiikttkjo Ko~a}oc~kjocl fj}

Hjtpk~cl (BDK+va}tk =033 qo~qg t~conc} t~conc} nclci Tad~kjo K/ Pc~kao~ Dao~a}an

T~conc}n icqpqo nclci Tad~kjo KK/ Hacl~hdc}a J}ecokrc~kjo Icoceaiao~ T~conc}n tamceckicoc klqt~}ctk Ecimc} 8 tcipck 30 ma}kgq~/


22/32

3;

Ecimc} 8/ Dlkokdcl Pc~huc{t nco va}tk BDK =033 Cdd}ank~c~kjo T~conc}nt


23/32

=0

Ecimc} ;/ Tkt~aic~kgc nclci va}tk BDK =033 Hjtpk~cl T~conc}nt nco Paoklckcoo{c

Oj~Ia~


24/32

=3

Ecimc} 30/ Dlkokdcl Pc~huc{t nco ~ahokg ^}cda} Ia~hjnjlje{ {coe nkeqocgcojlah tq}vakj} nclci }coegc Cg}ank~ctk va}tk BDK =033


25/32

==

P}kotkp p}kotkp nclci iao{qtqo Dlkokdcl Pc~huc{t

Dlkokdcl Pc~huc{t (DP+ cnclch tqc~q gjotap pa}aodcocco palc{coco ~a}pcnq

{coe ia}coegqi ta~kcp lcoegch {coe nkma}kgco gapcnc pctkao ma}nctc}gco

t~conc} palc{coco iankt nco ctqhco gapa}cuc~co {coe ma}mctkt mqg~k naoeco

hctkl {coe ~a}qgq} nco nclci bcoegc ucg~q ~a}~ao~q talcic nk }qich tcgk~/ 4>,41,46

Nclci iaimqc~ Dlkokdcl Pc~huc{t paocoecoco gctqt pctkao }cuc~ kocp nk }qich

tcgk~ hc}qt ma}tkfc~2

c/ Talq}qh gaekc~co palc{coco {coe nkma}kgco hc}qt tadc}c ~a}pcnq*ko~ae}ctk

nco ma}j}kao~ctk fjgqt ~a}hcncp pctkao (Pc~kao~ Fjdqtan Dc}a+ ta}~c

ma}gatkocimqoeco (djo~koqjqt jf dc}a+

m/ Ialkmc~gco talq}qh p}jfatk (njg~a}, pa}cuc~*mknco, paoc~c, lcmj}c~j}kt nco

fc}ictkt+

d/ Nclci mc~ctco ucg~q {coe ~alch nk~ao~qgco tatqck naoeco gacncco

pa}bclcoco pao{cgk~ pctkao nco nkdc~c~ nclci mao~qg pa}kjna hc}kco (qo~qg

gctqt }cuc~ kocp+ c~cq bci (qo~qg gctqt ecuc~ nc}q}c~ nk qok~ aia}eaotk+/

n/ Paodc~c~co DP talq}qh gaekc~co palc{coco {coe nkma}kgco gapcnc pctkao

tadc}c ~a}pcnq nco ma}gatkocimqoeco ~a}tamq~ nclci mao~qg njgqiao

{coe ia}qpcgco mcekco nc}k ]agci Iankt/

a/ Ta~kcp pao{kipcoeco lcoegch nclci paoa}cpco DP nkdc~c~ tamceck vc}kcot

nco nklcgqgco gcbkco coclktkt nclci mao~qg cqnk~/

f/ Vc}kcot ~a}tamq~ ncpc~ gc}aoc gjonktk pa}bclcoco pao{cgk~, pao{cgk~

pao{a}~c c~cq gjiplkgctk icqpqo gatclchco iankt (iankdcl a}}j}t+ /

4> Fk}iconc N/ Panjico Pao{qtqoco Dlkokdcl Pc~huc{t nclci }coegc kiplaiao~ctk Tkt~ai N]EtDctaikx nk }qich tcgk~/ Nktcipckgco nclci Tkncoe Plaoj Gjik~a Iankg ]T Fc~icuc~k, Bcgc}~c

5 Jg~jma} =001/41 Fk}iconc N/ Dlkokdcl Pc~huc{t2 Pa}co p}jfatk iankt nclci }coegc iao{qtqo Tkt~ai N]Et

Dctaikx nk }qich tcgk~/ Nktcipcgco pcnc gqobqoeco lcpcoeco ga ]TQP Cnci Iclkg Ianco== Nataima} =001, ]TQP Hctco Tcnkgko Mconqoe =4 Nataima} =001 nco Avclqctk Pao{qtqocoDlkokdcl Pc~huc{t nclci }coegc pao{aipq}occo Panjico N]Et Dctaikx Napgat ]K, Hj~alE}con Daipcgc Bcgc}~c =; Nataima} =001/

46 Fk}iconc N, P}c~kuk Conc{cok, Oq}ckok K}ic Tqtco~k, T}ka Aoeec} GN ngg/ Dlkokdcl Pc~huc{tGatahc~co Cocg nclci }coegc kiplaiao~ctk Tkt~ai N]Et Dctaikx nk ]T Fc~icuc~k, Bcgc}~c

=006/


26/32

=4

e/ Vc}kcot ~a}tamq~ nkpa}eqocgco tamceck tclch tc~q pc}cia~a} nclci }coegc

iaipa}~chcogco nco iaokoegc~gco iq~q palc{coco/

Dlkokdcl Pc~huc{t ~a}tamq~ ncpc~ ia}qpcgco tqc~q T~conc} P}jtanq} Jpa}ctkjocl

{coe ia}coegqi2

c/ P}jfatk iankt2 T~conc} Palc{coco Iankt nc}k ta~kcp Galjipjg T~cf

Iankt*T~cf Iankt Fqoetkjocl (TIF+ glkokt nco paoqobcoe/

m/ P}jfatk gapa}cuc~co2 Ctqhco Gapa}cuc~co

d/ P}jfatk fc}ictk2 Qok~ Njta Nckl{ nco T~jp J}na}koe

n/ Clq} Palc{coco Pctkao ]cuc~ Kocp nco Jpa}ctk nc}k Tkt~ai Galjipjg T~cf Iankt*T~cf Iankt Fqoetkjocl (TIF+, Kot~clctk nco Tkt~ai Icocbaiao

]qich Tcgk~/

Lcoegch lcoegch pao{qtqoco Dlkokdcl Pc~huc{t

Lcoegch lcoegch nclci iao{qtqo Fj}ic~ Dlkokdcl Pc~huc{t {coe hc}qt

nkpa}hc~kgco2

3/ Gjipjoao {coe hc}qt nkdcgqp tamceckicoc nafkoktk nc}k Dlkokdcl

Pc~huc{t

=/ Icofcc~gco nc~c {coe ~alch cnc nk lcpcoeco }qich tcgk~ nco gjonktk

ta~aipc~ 45 tapa}~k nc~c Lcpj}co ]L= (Nc~c Gacncco Ij}mknk~ct Pctkao+

{coe nkmqc~ ta~kcp }qich tcgk~ ma}nctc}gco Mqgq Pa~qobqg Paoektkco,

Paoejlchco nco Pao{cbkco Nc~c ]qich Tcgk~ 48 nco taotqt hc}kco qo~qg2

c/ Paoa~cpco bqnql*~jpkg Dlkokdcl Pc~huc{t {coe cgco nkmqc~/

m/ Paoa~cpco lcic hc}k }cuc~/

45 Fk}iconc N/ Gjnafkgctk KDN 30 nco KDN ; DI2 konkgc~j} iq~q }agci iankg nclci }coegciaokoegc~gco iq~q palc{coco }qich tcgk~/ Nktcipckgco pcnc Tjtkclktctk Pjlc Tkt~ai

Kofj}ictk Icocbaiao ]qich Tcgk~ / Nktalaoeec}cgco jlah Nk}ag~j}c~ Baona}cl Mkoc Palc{coco Iankg

Napgat ]Knk Hj~al Pcoehaec} Mconqoe 3)4 Bqok =006/

48 Napc}~aiao Gatahc~co ]K/ Mqgq Pa~qobqg Paoektkco, Paoejlchco nco Pao{cbkco Nc~c ]qichTcgk~/ Nk}ag~j}c~ Baona}cl Mkoc Palc{coco Iankg Napgat ]K, Bcgc}~c =001/


27/32


28/32

=1

Ta~kcp vc}kcot {coe nkncpc~gco cgco nklcgqgco ~koncg lcobq~ nclci mao~qg

palcgtcocco cqnk~ iankt tamceckicoc {coe nkcobq}gco nclci Qoncoe Qoncoe ]K

Ojij} =; ^chqo =00> nco Pa}c~q}co Iao~a}k Gatahc~co ]K Ojij}

511*Iaogat*Pa}*KV*=033/


29/32

=6

Gatkipqlco2

Nc}k q}ckco tkoegc~ nkc~ct naoeco hco{c talaimc} Dlkokdcl Pc~huc{t )

ia}qpcgco tqc~q kot~}qiao {coe gjip}ahaotkf ia}coegqi tadc}c ~a}pcnq mkncoe

palc{coco, paonknkgco nco paoalk~kco icqpqo cg}ank~ctk ta}~c mklc nk~kobcq

nc}k taek agjojik gatahc~co ncpc~ ialcgtcocgco afktkaotk paimkc{cco naoeco

iaicofcc~gco tajp~kicl iqoegko hc}k }cuc~ pctkao, iaoealkikoctk paia}kgtcco

paoqobcoe*lcmj}c~j}kqi*~koncgco {coe ~kncg nkpa}lqgco, iaoeeqocgco jmc~

jmc~cco (~a}q~cic co~kmkj~kg+ tatqckavknaoda)mctan7 tahkoeec palc{coco afag~kf

nktcipkoe ~kncg iaimancgco lc~c} malcgcoe pctkao gc}aoc fjgqt gapcnc pctkao

nco pao{cgk~o{c (gama}cnklco*agqk~k+ nco tagclkeqt iaiaoqhk talq}qh ~kec~qbqco nc}k Qoncoe Qoncoe ]K Ojij} =; ^chqo =00> nco aipc~ ~qbqco

Qoncoe Qoncoe ]K Ojij} >> ^chqo =00;/

Naikgkco pqlc mcek ]qich Tcgk~ Paonknkgco, Dlkokdcl Pc~huc{t ncpc~

nkpa}eqocgco tamceck kot~}qiao nclci Iankdcl Anqdc~kjo Cttattiao~t ~koegc~

glkokt nclci mao~qg Uj}gplcda)mctan Cttattiao~ (UMC+ qo~qg Lje)mjjg, Ikok)

DAX, NJPT, Dm)N, 460)nae}aa Cttattiao~ (Ikok)PC^+, Pj}~fjlkj nco Td}kp~

Djodj}ncoda ^at~ (TD^+ {coe tqnch ia}qpcgco gjipjoao nclci Cg}ank~ctk

T~conc} Paonknkgco Njg~a} nco Njg~a} Tpatkclkt nk Konjoatkc/

Mchgco mklc nklcgtcocgco Dlkokdcl Pc~huc{t tadc}c gjotkt~ao nkicoc cgco

nkncpc~gco nc~c nc~cdjt~)uakeh~, dctaikx konax nco mcta)}c~a tadc}c laoegcp

(qo~qg ikd}j)t{t~ai + cgco ncpc~ nktqtqo tqc~q Oc~kjocl Hacl~h Cddjqo~t tahkoeec

Qokva}tcl Djva}cea cgco lamkh iqnch ~a}dkp~c nco Qoncoe Qoncoe ]K Ojij}

>0 ^chqo =00> ta}~c Qoncoe Qoncoe ]K Ojij} => ^chqo =033 qo~qg mkncoe

gatahc~co ~a}uqbqn (tadc}c icd}j)t{t~ai +/

^a}kic gctkh, taijec ma}icofcc~/Tq}cmc{c, 8 Nataima} =03=Njn{ Fk}iconcGa~qc Gjik~a Iankg ]TQP Fc~icuc~k Bcgc}~c/h~~p2**uuu/td}kmn/dji*Gjik~a!=0Iankg


30/32

=5

LCIPK]CO2

PCONQCO P]CG^KG GLKOKT (PPG+

]TQN N] IJHCICN TQUCONHKATQ]CMC[C BCUC ^KIQ]

=03= =03>

//////////////////////////////

3/ Paoea}~kco (Nafkoktk+

=/ Cocioatkt

4/ Paia}kgtcco Fktkg

>/ G}k~a}kc Nkceojtkt 3/ =/ 4/ >/ 1/ /////

1/ Nkceojtkt 6/ Nkceojtkt Mconkoe 3/

=/ 4/

5/ Paia}kgtcco Paoqobcoe 3/ =/ 4/ >/


31/32

=8

8/ ^a}cpk 3/ =/ 4/ >/ 1/ /////

;/ Anqgctk 3/ =/ 4/ >/ 1/ /////

30/ P}jeojtkt Cn vk~ci 2 nqmkc cn mjoci*iclci

Cn tcoc~kjoci 2 nqmkc cn mjoci*iclciCn fqietkjoci 2 nqmkc cn mjoci*iclci33/ ^koegc~ Avknaot K*KK*KKK*KV3=/ ^koegc~ ]agjiaonctk C*M*D34/ Paoalcch G}k~kt 3/

=/ 4/ >/

3>/ Konkgc~j} Iankt

31/ Gapqt~cgcco 3/ =/ 4/ >/ 1/ /////

Tq}cmc{c, /=03=

Ga~qc Gjik~a Iankg Ga~qc TIF///////////////////////////////////////////////

//////////////////////////////////// //////////////////////////////////////

Nk}ag~q} ]TQN N} Ijhcicn Tquconka, Tq}cmc{cBcuc ^kiq}

///////////////////////////////////////////////////////


32/32

40

DLKOKDCL PC^HUC[T

]TQN N] IJHCICN TQUCONHKA GJ^C TQ]CMC[C

/

Ocic Pctkao2

Qiq}2

Ma}c~ Mcnco2//ge

^koeek Mcnco2//di

Ojij} ]agci Iankt2/

Nkceojtkt Cucl2 / Gjna KDN 30 2 ]aodcoc }cuc~ 2 hc}k

Cg~kvk~ct Palc{coco]/ ]cuc~

/^el*Bci ictqg2/

^el*Bci galqc}2/

Lcic ]u~/// hc}k

Galct2//

^c}kf*h} (]p+2/

Mkc{c (]p+

Hc}k ]cuc~ 3 Hc}k ]cuc~ = Hc}k ]cuc~ 4 Hc}k ]cuc~ > Hc}k ]cuc~ 1Hc}k Tcgk~2 Hc}k Tcgk~2 Hc}k Tcgk~2 Hc}k Tcgk~2 Hc}k Tcgk~2

Nkceojtkt2

Pao{cgk~ Q~cic / Pao{cgk~ Pao{a}~c / Gjiplkgctk /

Ctattiao Glkokt2Paia}kgtcco njg~a} / //Gjotql~ctk / //

Paia}kgtcco Paoqobcoe2 / //^koncgco2 / //Jmc~ jmc~co2

//

/

/

/

////

//

////

//

////

//

////

//

Oq~}ktk2 / //Ijmklktctk2 / //Hctkl(Jq~djia+ 2

// / // / // /

Paonknkgco*]aodcocPaiqlcoeco2

/

Vc}kcot2 /

Bqilch Mkc{c //Pa}cuc~ (PPBP+

Nkceojtkt Cghk}2 Gjna KDN 30 Baokt koncgco2 Gjna KDN ;

NPBP2

Q~cic //

NPBP Jpa}ctk2

Pao{a}~c //

NPBP Coat~atk///////////////////////

/ // //

Va}kfkgc~j}2

Gjiplkgctk // //

Documents

Dody Firmanda 2012 - Materi Pelatihan Clinical Pathways RSUD Dr Mohamad Suwandhie Surabaya 8-9 Desember 2012