ERENCANAAN PERBAIKAN STRATEGIS STRATEGIS RSU SHANTI GRAHA
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STANDAR/ ELEMEN PENILAIAN APK .1 Skrini Skrinin n !i"#k$ !i"#k$k# k#n n %#!# %#!# kont ont#k %ert ert# !i!#"#& !i!#"#& #t#$ !i"$#r r$' r$' (#kit Ber!#(#rk#n '#(i" (krinin !itent$k#n #%#k#' ke)$t$'#n %#(ien (e($#i !e#n &i(i !#n ($&)er !#+# r$' (#kit 3"i'#t *$# TKP 4. EP APK1.1.1 R$' (#kit &en$n#k#n %ro(e( tri#e )er)#(i( )$k5 $nt$k &e&%riorit#(k#n &e&%riorit#(k#n %#(ien (e($#i !en#n ke#2#t#nn+#
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St# St#, !i !i"#5 "#5' &en &en $n $n#k #k#n #n kriteri# (krinin
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P#(i P#(ien en !i%r !i%rio iori rit# t#(k (k#n #n #t#( t#( !#(#r $ren(i ke)$t$'#nn+# ke)$t$'#nn+#
REKOMENDASI Lenk#%i ke)i*#k#n !#n i&%"e&ent#(i Lenk#%i ke)i*#k#n !#n i&%"e&ent#(i (e%er5 +#n !i($! Pro(e( tri#e )er)#(i( )$k5 $nt$k &e&%riorit#(k#n %#(ien (e($#i !en#n ke#2#t#nn+# ($!#' #!# n#&$n )e"$& *e"#( !#"#& i&%"e&ent#(in+# Lenk#%i !en#n %e"#5'#n (t#, P#(5k#n (t#, (e9#r# kon(i(ten &e"#k(#n#k#nn+#
LANGKAH PEMENUHAN EP Me&)$#t ke)i*#k#n !#n i&%"e&ent#(i +#n (,e(i-k Me&)$#t ke)i*#k#n !#n i&%"e&ent#(i +#n (,e(i-k
METODE PERBAIKA N
INDIKATOR PENCAPAIAN
WAKTU
PENANGUNG JAWAB K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
R#%#t &e&e)$#t ke)i*#k#n (ert# SPO !#n #!#n+# &onitorin R#%#t &e&e)$#t ke)i*#k#n (ert# SPO !#n #!#n+# &onitorin
A!#n+# SK ke)i*#k#n (ert# SPO !#n #!#n+# &onitorin
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A!#n+# SK ke)i*#k#n (ert# SPO !#n #!#n+# &onitorin
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So(i#"i(#(i !#n %e"#5'#n
Me"#k$k#n (o(i#"i(#(i !#n %e"#5'#n
A!# )$k5 (o(i#"i(#(i
10
K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
Me&)$#t !#7#r kriteri# (krinin
Me"#k$k#n %e"#5'#n
A!#n+# )$k5 %e"#5'#n
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Monitorin !#n e:#"$#(i
Me&)$#t &onitorin (krinin
A!#n+# '#(i" &onitorin
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!ik"#t Ko&ite &e!i( K#(i %e"#+#n#n Me!i( K#(ie Pe"#+#n #n #n &e!i( ke%er#2#t#n !#n
Ke t.
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P#(ien e&eren(i !i%erik(# !#n !i(t#)i"k#n (e($#i ke&%$#n r$' (#kit !$"$ (e)e"$& !itr#n(,er
APK1.1. #!# %e&erik(##n (krinin $nt$k &e&)#t$ (t#, &enet#'$i ke)$t$'#n %#(ien Pe&i"i'#n *eni( %e"#+#n#n #t#$ $nit %e"#+#n#n (e($#i ke)$t$'#n )er!#(#rk#n #t#( '#(i" %e&erik(##n (krinin 3EP 4<
Pe&i"i'#n *eni( %e"#+#n#n #t#$ $nit %e"#+#n#n (e($#i ke)$t$'#n )er!#(#rk#n #t#( '#(i" %e&erik(##n (krinin 3EP 4<
Lenk#%i )ent$k (krinin %e&erik(##n $nt$k &e&)#nt$ %et$#( &i((#" ($r#t %en#nt#r !okter +#n )er$%# '#(i" %e&erik(##n '#(i" "#) !#n intr$k(i !okter B$#t ke)i*#k#n !#n i&%"e&ent#(ik#n
Me&)$#t ke)i*#k#n *eni( (krinin %e&erik(##n
R#%#t Me&)$#t SK !#n SPO
A!#n+# SK !#n SPO
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Me&)$#t ke)i*#k#n !#n i&%"e&ent#(i
R#%#t &e&)$#t SK !#n SPO (ert# &onitorin
A!#n+# SK !#n SPO (ert# &onitorin
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B$#t ke)i*#k#n !#n i&%"e&ent#(ik#n
Me&)$#t !#n &e"enk#%i ke)i*#k#n (krinin %re:en5,%#"i#5, k$r#5, !#n re'#)i"it#5, Me&)$#t !#n &e"enk#%i ke)i*#k#n (krinin %re:en5,%#"i#5, k$r#5, !#n re'#)i"it#5,
R#%#t &e&)$#t ke)i*#k#n SK !#n SPO (ert# &e"#k$k#n &onitorin
A!#n+# ke)i*#k#n ke)i*#k#n SK !#n SPO (ert# &onitorin
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R#%#t &e&)$#t ke)i*#k#n SK !#n SPO (ert# &e"#k$k#n &onitorin
A!#n+# ke)i*#k#n ke)i*#k#n SK !#n SPO (ert# &onitorin
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B$#t ke)i*#k#n !#n i&%"e&ent#(ik#n
ke)i!#n#n K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
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APK 1.1.4 r$' (#kit &e&%er'#5k#n ke)$t$'#n k"inik %#(ien %#!# 2#kt$ &en$n$ #t#$ %en$n!##n $nt$k $nt$k %e"#+#n#n !i#no(i( !#n %eno)#t#n EP1 %#(ien r#2#t in#% !#n %#(ien r#2#t *#"#n !i)erik#n in,or(i #%#)i"# #k#n ter*#!i %en$n!##n %e"#+#n#n #t#$ %eno)#t#n r$' (#kit &e&%er'#5k#n ke)$t$'#n k"inik %#(ien %#!# 2#kt$ &en$n$ #t#$ %en$n!##n $nt$k $nt$k %e"#+#n#n !i#no(i( !#n %eno)#t#n EP %#(ien !i)eri in,or(i #"#( #n %en$n!##n #t#$ &en$n$ !#n &e&)erik#n in,or(i tent#n #"tern#5:e +#n ter(e!i# (e($#i !en#n ke%er"$#n k"inik r$' (#kit &e&%er'#5k#n ke)$t$'#n k"inik %#(ien %#!# 2#kt$ &en$n$ #t#$ %en$n!##n $nt$k $nt$k %e"#+#n#n !i#no(i( !#n %eno)#t#n EP4 in!or(i !i!ok$&ent#(ik#n !i!#"#&
B$#t ke)i*#k#n !#n i&%"e&ent#(i tent#n %en$n!##n %e"#+#n#n
&e&)$#t ke)i*#k#n
Me"#k$k#n r#%#t !#"#& &e&)$#t ke)i*#k#n
A!#n+# ke)i*#k#n !#n ,ort %en$n!##n
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K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
B$#t ke)i*#k#n !#n i&%"e&ent#(i tent#n %en$n!##n %e"#+#n#n
&e&)$#t ke)i*#k#n %en$n!##n %e"#+#n#n
Me"#k$k#n r#%#t !#"#& &e&)$#t ke)i*#k#n %en$n!##n %e"#+#n#n
A!#n+# ke)i*#k#n SK !#n SPO %en$n!##n
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K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
B$#t ,ort %en$n!##n %e"#+#n#n !#"#& rek#& &e!i(
Me&)$#t ,ort %en$n!##n %e"#+#n#n
Men#!#k#n r#%#t !#"#& &e&)$#t ,ort %en$n!##n %e"#+#n#n
A!#n+# ,ort %en$n!##n %e"#+#n#n
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K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
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rek#& &e!i( r$' (#kit &e&%er'#5k#n ke)$t$'#n k"inik %#(ien %#!# 2#kt$ &en$n$ #t#$ %en$n!##n $nt$k $nt$k %e"#+#n#n !i#no(i( !#n %eno)#t#n EP6ke)i*#k#n %ro(e( tert$"i( &en!$k$n %e"#k(#n##n (e9#r# kon(i(ten APK 1.6 %eneri#n #t#$ tr#n(,er %#(ien ke! #n !#ri $nit %e"#+#n#n inten(i, #t#$ %e"#+#n#n k'$($( !itent$k#n !en#n kriteri# +#n te"#' !itent$k#n EP1 r$' (#kit &enent#%k#n kriteri# %eneri#n #t#$ tr#n(,er %#(ien ke! #n !#ri $nit %e"#+#n#n inten(i, #t#$ %e"#+#n#n k'$($( !itent$k#n !en#n kriteri# +#n te"#' !itent$k#n EP kriteri# )er!#(#rk#n -(io"oi !#n te%#t APK 1.6 %eneri#n #t#$ tr#n(,er %#(ien ke! #n !#ri $nit %e"#+#n#n inten(i, #t#$ %e"#+#n#n k'$($(
B$#t ke)i*#k#n !#n i&%"e&ent#(i tent#n %en$n!##n %e"#+#n#n
&e&)$#t ke)i*#k#n %en$n!##n %e"#+#n#n
Me"#k$k#n r#%#t !#"#& &e&)$#t ke)i*#k#n %en$n!##n %e"#+#n#n
A!#n+# ke)i*#k#n SK !#n SPO %en$n!##n
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K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
B$#t ke)i*#k#n !#n kriteri# inten(i,
Me&)$#t ke)i*#k#n !#n kriteri# %e"#+#n#n inten(i,
Men#!#k#n r#%#t !#k#& &e&)$#t ke)i*#k#n !#n kriteri# %e"+#n#n inten(i,
A!#n+# ke)i*#k#n SK !#n SPO
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K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
B$#t kriteri# %e"#+#n#n inten(i,
Me&)$#t ke)i*#k#n !#n kriteri# %e"#+#n#n inten(i,
Men#!#k#n r#%#t !#k#& &e&)$#t ke)i*#k#n !#n kriteri# %e"+#n#n inten(i,
A!#n+# ke)i*#k#n SK !#n SPO
10
K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
B$#t %e"#5'#n %#(ien +#n %er"$ %er#2#t#n inten(i,
Me&)$#t %e"#5'#n %er#2#t#n inten(i,
Men#!#k#n %e"#5'#n %er#2#t#n inten(i,
A!#n+# )$k5 %e"#5'#n
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!ik"#t Ko&ite &e!i( K#(i %e"#+#n#n Me!i(
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!itent$k#n !en#n kriteri# +#n te"#' !itent$k#n EP 4(t#, +#n te#t !iik$t(ert#k#n !#"#& %ene&)#n#n kriteri# %eneri#n #t#$ tr#n(,er %#(ien ke! #n !#ri $nit %e"#+#n#n inten(i, #t#$ %e"#+#n#n k'$($( !itent$k#n !en#n kriteri# +#n te"#' !itent$k#n EP 6 (t#, !i"#5' $nt$k &e"#k(#n#k#n kriteri# APK 1.6 %eneri#n #t#$ tr#n(,er %#(ien ke! #n !#ri $nit %e"#+#n#n inten(i, #t#$ %e"#+#n#n k'$($( !itent$k#n !en#n kriteri# +#n te"#' !itent$k#n EP 8 6 %eneri#n #t#$ tr#n(,er %#(ien ke! #n !#ri $nit %e"#+#n#n inten(i, #t#$ %e"#+#n#n k'$($( !itent$k#n !en#n kriteri# +#n te"#' !itent$k#n EP ; APK 4. A!# ke)i*#k#n $nt$k r$*$k !#n &e&$"#nk#n %#(ien EP
B$#t %e"#5'#n %#(ien +#n %er"$ %er#2#t#n inten(i,
Me&)$#t %e"#5'#n %er#2#t#n inten(i,
Men#!#k#n %e"#5'#n %er#2#t#n inten(i,
A!#n+# )$k5 %e"#5'#n
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!ik"#t Ko&ite &e!i( K#(i %e"#+#n#n Me!i(
B$#t %en!ok$&ent#(i# n tent(n kriteri# inten(i, !#"#& rek#& &e!i9
Men!ok$&ent# (ik#n kriteri# %e"#+#n#n inten(i, !#"#& rek#& &e!i(
Monitorin %en!ok$&ent#(i#n !#"#& rek#& &e!i(
A!#n+# )$k5 !ok$&ent#(i !#"#& rek#& &e!i(
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K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
B$#t %en!ok$&ent#(i# n tent(n kriteri# inten(i, !#"#& rek#& &e!i9
Men!ok$&ent# (ik#n kriteri# %e"#+#n#n inten(i, !#"#& rek#& &e!i(
Monitorin %en!ok$&ent#(i#n !#"#& rek#& &e!i(
A!#n+# )$k5 !ok$&ent#(i !#"#& rek#& &e!i(
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K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
B$#t kriteri# %#(ien +#n !ir$*$k #t#$ +#n )o"e' !i%$"#nk#n
&e&)$#t ke)i*#k#n (e9#r# (%e(i-k
Men#!#k#n r#%#t !#"#& Me&)$#t ke)i*#k#n (e9#r# (,e(i-k
A!#n+# ke)i*#k#n SK !#n SPO
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K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
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APK 4. A!# ke)i*#k#n $nt$k r$*$k !#n &e&$"#nk#n %#(ien EP 8
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APK 4.1 EP1 ren9#n# %e&$"#n#n %#(ien &e&%er5&)#nk#n %e"#+#n#n %en$n*#n !#n ke"#n*$t#n %e"#+#n#n &e!i(
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APK 4. EP6. S#"in#n re($&e %#(ien %$"#n !i)erik#n *$# ke%#!# %#(ien
B$#t ke)i*#k#n (e9#r# (%e(i-k %ro(e( %#(ien +#n !i%er)o"e'k#n &enin#"k#n r$#&' (#kit (e&ent#r# !#"#& %ro(e( ren9#n# %eno)#t#n !#"#& i*in +#n !i(et$*$i B$#t !ok$&ent#(i (e9#r# (%e(i-k %ro(e( %#(ien +#n !i%er)o"e'k#n &enin#"k#n r$#&' (#kit (e&ent#r# !#"#& %ro(e( ren9#n# %eno)#t#n !#"#& i*in +#n !i(et$*$i B$#t ke)i*#k#n !#n i&%"e&ent#(i (#"in#n re($&e &e!i( !i)erik#n %#!# %#(ien
Me&)$#t ke)i*#k#n tent#n %#(ien +#n !i%er)o"e'k#n &enin#"k#n r( (e&ent#r#
Men#!#k#n r#%#t %e&)$#t#n ke)i*#k#n tent#n %#(ien +#n !i%er)o"e'k#n &enin#"k#n r( (e&ent#r#
A!#n+# ke)i*#k#n SK !#n SPO
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K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
Men!ok$&ent# (ik#n ke)i*#k#n tent#n %#(ien +#n !i%er)o"e'k#n &enin#"k#n r( (e&ent#r#
Monitorin !ok$&ent#(i %#(ien +#n !i%er)o"e'k#n &enin#"k#n r( (e&ent#r#
A!#n+# &onitorin
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K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
Me&)$#t ke)i*#k#n &en#n#i (#"in#n re($&e !i)erik#n ke%#!# %#(ien
Men#!#k#n r#%#t !#"#& Me&)$#t ke)i*#k#n (#"in#n re($&e !i)erik#n ke%#!# %#(ien !#n &onitorin
A!#n+# ke)i*#k#n !#n &onitorin
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K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
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APK 4. EP8. S#"in#n re($&e %#(ien %$"#n !i)erik#n *$# ke%#!# %r#k5(i %er$*$k
B$#t ke)i*#k#n !#n i&%"e&ent#(i (#"in#n re($&e &e!i( !i)erik#n %#!# %er$*$k
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APK4.4 rek#& &e!i( %#(ienr#2#t *#"#n +#n &en!#%#t %e"#+#n#n "#n*$t#n )eri(i re($&e (e&$# !i#no(i( +#n %en5n #"eri ter'#!#% o)#t&e!ik# &ento(# +#n (e!#n !i)erik#n !#n (e#"# (e($#t$ +#n )erken##n !en#n %ro(e!$r %e&)e!#'#n !#n %er#2#t#n EP 1r( &eni!en5-k#(i %e"#+#n#n "#n*$t#n %#(ien +#n n# !#"#& re($&e +#n %ert# !i"#k(#n#k#n APK4.4 rek#& &e!i( %#(ienr#2#t *#"#n +#n &en!#%#t %e"#+#n#n "#n*$t#n )eri(i re($&e (e&$# !i#no(i( +#n %en5n #"eri ter'#!#% o)#t&e!ik# &ento(# +#n
B$#t ke)i*#k#n (e%er5 +#n !i($!
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!#n &onitorin Me&)$#t ke)i*#k#n &en#n#i (#"in#n re($&e !i)erik#n ke%#!# %er$*$k Me&)$#t ke)i*#k#n %en+#kit kroni( #%# (#*# +#n !i)$#tk#n !#7#r re($&e r#2#t *#"#n
Men#!#k#n r#%#t !#"#& Me&)$#t ke)i*#k#n (#"in#n re($&e !i)erik#n ke%#!# %er$*$k !#n &onitorin Men#!#k#n r#%#t !#"#& Me&)$#t ke)i*#k#n %en+#kit kroni( #%# (#*# +#n !i)$#tk#n !#7#r re($&e r#2#t *#"#n
A!#n+# ke)i*#k#n !#n &onitorin
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K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
A!#n+# ke)i*#k#n SK !#n SPO
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K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
A!#n+# ke)i*#k#n SK !#n SPO
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K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
3Men#!#k#n r#%#t<
B$#t ke)i*#k#n (e%er5 +#n !i($!
Me&)$#t ke)i*#k#n %en+#kit kroni( #%# (#*# +#n !i)$#tk#n !#7#r re($&e r#2#t *#"#n
Men#!#k#n r#%#t !#"#& Me&)$#t ke)i*#k#n %en+#kit kroni( #%# (#*# +#n !i)$#tk#n !#7#r re($&e r#2#t *#"#n
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(e!#n !i)erik#n !#n (e#"# (e($#t$ +#n )erken##n !en#n %ro(e!$r %e&)e!#'#n !#n %er#2#t#n EP 6r( &enent$k#n #%# +#n !i#k($! re($&e (##t ini APK4.4 rek#& &e!i( %#(ienr#2#t *#"#n +#n &en!#%#t %e"#+#n#n "#n*$t#n )eri(i re($&e (e&$# !i#no(i( +#n %en5n #"eri ter'#!#% o)#t&e!ik# &ento(# +#n (e!#n !i)erik#n !#n (e#"# (e($#t$ +#n )erken##n !en#n %ro(e!$r %e&)e!#'#n !#n %er#2#t#n EP 8 r& %#(ien )eri(i !#7#r (e9#r# "enk#% !#7#r re($&e (e($#i ke)i*#k#n APK 6. P#(ien !ir$*$k ker$' (#kit "#in )er!#(#rk#n #t#( kon!i(i !#n ke)$t$'#n %e"#+#n#n "#n*$t#n EP1 APK 6.1 r$' (#kit &enent$k#n )#'2# r$' (#kit %eneri !#%#t
Lenk#%i !#7#r re($&e !#"#& rek#& &e!ik
Monitorin ke"enk#%#n re($&e rek#& &e!ik
Monitorin kon(i(ten
L#%or#n &onitorin
10
K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
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10
K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
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10
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B$#t ker*#(# !en#n r( "e)i' (%e(i-k
30
31
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APK 8 EP . Kei#t#n %ro(e( r$*$k#n !#n %e&$"#n#n %#(ien r#2#t in#% #t#$ r#2#t *#"#n ter($k %eren9#n##n $nt$k ke)$t$'#n tr#n(,ort#(i %#(ien
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Men#&)#' &o)i" *en#=#'
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A!#n+# ke)i*#k#n SK !#n SPO
10
K#(ie Pe"#+#n#n &e!i( ke%er#2#t#n !#n ke)i!#n#n
Men#*$k#n $nt$k %en#&)#'#n &o)i" *en#=#' ke%#!# PT
A!#n+# &o)i" *en#=#'
10
Direkt$r PT