
shastrakriyechi kalji aanee parinamanche moolyankan karyakram

shalyachikitsa aanee parinamanche moolyankan karyakram (scop) haah shalyachikitsa aanee hastakshepatmak prakriyansathi chikitsak-netrutvakhalil, kamgiriche nikash aanee gunavatta sudharana (kyu. aay.) nondani aahe.
david flum, emm. dii., emm. pii. etch. aanee american college auph sarjanchya rajya shakhechya netrutvakhalil washington rajyachya shalyachikitsa samudayachya talagalatil prayatnandvare 2005 madhye scopchi sthapana karnyat aalee. washington rajyatil aarogya seva sudharana prakalpanmadhye sahbhagi asalelya anek gatansathi 'surakshit aashray' mhanoon kaam karnari eka naa-napha sanstha, foundation phaur healthcare quality (eff. etch. see. kyu.) dware scopche vyavasthapan kele jaate.
2009 madhye, skopane tyacha sarvat drishyaman upkram-shastrakriyechi tapasani yadee suru kelee. vyavsayik viman companyanmadhil vaimanikanni vaparlelya checklistnusar tayar keleli hii checklist aata washingtonchya pratyek sarkari rugnalayat aahe. hii yadee sampoorn shastrakriya pathkala aagami shastrakriyetil pratyek tappyacha ekach velee aanee shastrakriyepurvi aadhava ghenyachi khatri dete. checklist upkram mothya pramanavar rabavala gela aanee tyala washington rajyache governor, christine gregoire yancha pathimba midala.
scop deta exchange heey doubleu. aii. steet satat gunavatta sudharana karyakram kayadyadvare sanrakshit aahe. washington rajyane manyata dilela samanvit gunavatta sudharana karyakram mhanoon, scopchya sahbhagi rugnalayanna visheshtah karyakramachya uddeshansathi sanrakshit aarogyaseva mahitee ughad karanyachi parvanagi aahe. scop deta sankalan form aanee deta shabdakosh vaparoon vaidyakeey nondi aanee amoort clinical detache punaravalokan karnyasathi rugnalaye karmchanyanchi nemanook aanee prashikshan detat. vaidyakeey mahitee web-aadharit form vaparoon scop nondanimadhye pravisht kelee jaate. sahbhagi rugnalayanna timahi kyu. aay. kamgiri ahwal prapt hotat jeey tyanchi mahitee mapdand aanee samvayask kamgirisah darshavtat. scop satat mahitee sankalan aanee abhipray loop kharch qamee kartana shastrakriyechi aanee hastakshepatmak kaljichi gunavatta aanee surakshitata sudharate heey siddha jhaale aahe.
sadhya paach scop nondani aaheth jatharantra/samanya shastrakriya prakriya, oncologic shastrakriya prakriya, baal shastrakriyechya prakriya, mankyachya shastrakriya prakriya aanee raktavahinyanchya shastrakriya aanee hastakshepatmak aarogya seva prakriya.
vaadh aanee vikas.
jeevan vidnyan shodh nidhi, aarogyaseva sanshodhan aanee gunavatta sanstha (aii. etch. aar. kyu.) aanee rashtriy karkarog sanstha (aine. see. aay.) yanchya anudanadvare scopchya vadhis aanee vikasala, washington vidyapithatil (yuu. doubleu.) shastrakriya vibhagatil tapaskartyanna, pramukh tapasak david flum, emm. dii., emm. pii. etch. yanchya netrutvakhali, pathbal denyat aale. scop detacha vapar karoon sadhyache sanshodhan aanee vikas heey shastrakriyechya parinamanchya sanshodhan kendramadhye (source) yoodbluechya tulanatmak parinamkarakta sanshodhan anuvad jaalyane (nishchit) samarthit aahe. claudicationsathi hastakshepatmak kaljicha vapar, aantrapuchchashothamadhye pratijaivikanchi bhoomika, diverticulitisathi paryayi shastrakriyeche moolya, parinamanvar naun-steroidal vedna aushadhacha parinam aanee shastrakriyechya sansargavar hyperglycemia parinam yasah, agadi alikadech, vaidyakeey vishayanchya vividh kshetranmadhye rugna kendrit tulanatmak parinamkarakta sanshodhan prashnanchi uttare dene heey kahee uddisht aahe. yuu. doubleu. madheel amalbajavani sanshodhan pathakanchya netrutvakhali, 2010 madhye rajyatil pratyek rugnalayat pragat shastrakriya kaksh tapasani yadee aananare scop heey pahile hote. 2012 madhye yaa gatane shastrakriyesathi majboot tayar karoon shalyachikitsak karyalayatun kinwa shalyachikitsak karyalayat tapasani yadee halvinyat madat kelee, haah upkram aata american college auph sarjanchya bhagidarit chalavala jaato.
scoupche american college auph sarjan national cergical quality improvement programshi (acs-aine. ess. kyu. aay. pii.) samya aahe, parantu jokhim-samayojit parinamanchya upayayojananchya nikashansah kalji metriksachya prakriyet sudharana nirdeshit karnyavar adhik laksh kendrit kele aahe. rugnane nondavalelya parinamancha (mankyachya shastrakriyetil vedna aanee karya) tyachya nikashanmadhye samavesh karnara scop haah rajyavyapi kamgirivaril pahila palat thevanyacha prakar hota.
netrutva.
vaidyakeey sanchalakah 
sallagar mandalah
karyakram sanchalakah