{"id":1757,"date":"2020-04-21T21:03:11","date_gmt":"2020-04-21T18:03:11","guid":{"rendered":"http:\/\/www.dmsorg.com\/v1\/?page_id=1757"},"modified":"2020-06-03T02:53:28","modified_gmt":"2020-06-02T23:53:28","slug":"covid-19-sonrasi-dis-hekimligi","status":"publish","type":"page","link":"https:\/\/www.dmsorg.com\/v1\/?page_id=1757","title":{"rendered":"COVID-19 SONRASI D\u0130\u015e HEK\u0130ML\u0130\u011e\u0130 1"},"content":{"rendered":"<p>\u00dclkemiz Di\u015f Hekimli\u011fi alan\u0131ndaki te\u015fhis, tedavi, e\u011fitim s\u00fcre\u00e7lerindeki ya\u015fanm\u0131\u015fl\u0131klara bakt\u0131\u011f\u0131m\u0131zda bug\u00fcn i\u00e7inde bulundu\u011fumuz Covid-19 ve benzerleri enfeksiyon risklerine y\u00f6nelik hizmet birimlerindeki teknik alt yap\u0131 uygulamalar\u0131 a\u00e7\u0131s\u0131ndan ne kadar haz\u0131rl\u0131kl\u0131y\u0131z.<\/p>\n<p>Di\u015f Hekimli\u011fi hizmet birimlerini konu \u00f6zelinde bir\u00e7ok a\u00e7\u0131dan ele alabilece\u011fimiz gibi m\u00fchendislik a\u00e7\u0131s\u0131ndan de\u011ferlendirdi\u011fimizde Muayenehanelerden ba\u015flayan, Poliklinik, ADSM ve Fak\u00fclte yap\u0131la\u015fmalar\u0131na kadar yat\u0131r\u0131mlar\u0131n analizini yapt\u0131\u011f\u0131m\u0131zda bu durumu a\u00e7\u0131k olarak g\u00f6zlemleyebiliriz.<\/p>\n<p>Enfeksiyon riskine kar\u015f\u0131n s\u00f6z konusu yat\u0131r\u0131mlardaki etkenlere bakt\u0131\u011f\u0131m\u0131zda;<\/p>\n<ul>\n<li>E\u011fitim niteli\u011fini belirleyen E\u011fitim politikalar\u0131.<\/li>\n<li>Mevzuat.<\/li>\n<li>Tedarik\u00e7ilerin sunduklar\u0131 \u00fcr\u00fcn ya da hizmet niteli\u011fi, uygulama sorumlulu\u011fu ve bilinci.<\/li>\n<li>\u00dcr\u00fcn\u00fcn ya da hizmetin tercih ve sat\u0131n al\u0131nma bilinci.<\/li>\n<li>\u0130lgili meslek \u00f6rg\u00fctlerinin (TDB \u2013 D\u0130\u015eS\u0130AD..) konu \u00f6zelindeki sorumluluk bilinci.<\/li>\n<li>Kamu al\u0131mlar\u0131nda Mevzuat, Rekabet ko\u015fullar\u0131.<\/li>\n<li>Ekonomik kayg\u0131lar.<\/li>\n<li>\u2026..<\/li>\n<\/ul>\n<p>Yukardaki ele al\u0131nan bir k\u0131s\u0131m konular\u0131n, bug\u00fcne de\u011fin yap\u0131lan yat\u0131r\u0131mlar\u0131n hijyen niteli\u011fine ve g\u00fcvenirlili\u011fine ne derece etken oldu\u011fu bilinmektedir.<\/p>\n<p>&nbsp;<\/p>\n<p>Gelelim bug\u00fcn ki duruma.<\/p>\n<p>Covid-19 salg\u0131n\u0131n\u0131n t\u00fcm d\u00fcnyada oldu\u011fu gibi \u00fclkemizdeki tahribatlar\u0131n\u0131, gelecek ile ilgili olu\u015fturdu\u011fu kayg\u0131lar\u0131n\u0131 da hep birlikte g\u00f6zlemlemekte ve ya\u015famaktay\u0131z.<\/p>\n<p>Di\u015f Hekimli\u011fi hizmet birimlerinin bu s\u00fcrecin i\u00e7inde enfeksiyon a\u00e7\u0131s\u0131ndan en riskli alanlardan oldu\u011fu ku\u015fkusuzdur.<\/p>\n<p>Bu riske kar\u015f\u0131 t\u00fcm \u00f6l\u00e7ekteki ve stat\u00fcdeki Di\u015f Hekimli\u011fi hizmet birimlerini sorgulad\u0131\u011f\u0131m\u0131zda ne yaz\u0131k ki ge\u00e7mi\u015fte tercih edilen donan\u0131m ve uygulamalar\u0131n b\u00fcy\u00fck \u00e7o\u011funlukla yetersiz kald\u0131\u011f\u0131 ortadad\u0131r. Bundan b\u00f6yle Di\u015f Hekimli\u011fi hizmetlerinin g\u00fcvenle s\u00fcrd\u00fcr\u00fclebilirli\u011fi i\u00e7in hijyen uygulamalar\u0131 a\u00e7\u0131s\u0131ndan daha bilin\u00e7li ve radikal \u00e7\u00f6z\u00fcmlere ula\u015f\u0131lma gere\u011fi vard\u0131r.<\/p>\n<p>M\u00fchendislik a\u00e7\u0131s\u0131ndan bak\u0131ld\u0131\u011f\u0131nda mekanik tasar\u0131mlar yeniden ele al\u0131nmal\u0131, \u00f6zellikle hijyen mekani\u011fi kapsam\u0131nda, yap\u0131n\u0131n her alan\u0131na uygun ve \u00f6zg\u00fcn havaland\u0131rma, iklimlendirme uygulamalar\u0131, \u00fcnit tasar\u0131m\u0131 ve ekipmanlar\u0131, sterilizasyon donan\u0131m\u0131 ve \u00e7evrimi, bas\u0131n\u00e7l\u0131 hava sistemi, aspirasyonlar (Islak-toz-aerosol) sistemi, kullanma suyu, t\u0131bbi kat\u0131 ve t\u0131bbi s\u0131v\u0131 at\u0131klar, teknik oda tasar\u0131m\u0131 gibi konular tekil \u00e7\u00f6z\u00fcmlerden ziyade tamam\u0131 ele al\u0131narak de\u011ferlendirilmelidir.<\/p>\n<p>&nbsp;<\/p>\n<p>Genel anlamda neler yap\u0131lmal\u0131.<\/p>\n<ul>\n<li>Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 koordinasyonunda, nitelikli uzman kat\u0131l\u0131m\u0131n\u0131n sa\u011fland\u0131\u011f\u0131 planl\u0131 bir s\u00fcre\u00e7te, mevcut mevzuat\u0131n g\u00fcn\u00fcn ko\u015fullar\u0131na uygun hale getirilme gereklili\u011fi vard\u0131r.<\/li>\n<li>Mevzuattaki bo\u015fluk giderilene kadar \u00f6zellikle Hijyen mekani\u011fi a\u00e7\u0131s\u0131ndan uzmanlar\u0131n ve deneyimli g\u00fcvenilir ekiplerin haz\u0131rlayaca\u011f\u0131 asgari tasar\u0131m kriterleri g\u00f6z ard\u0131 edilmeden mevcut yap\u0131lar\u0131n revizyonu, yeni yap\u0131la\u015fmalarda ise nitelikli planlamalar ve uygulamalar sa\u011flanmal\u0131d\u0131r.<\/li>\n<li>Hizmet ve \u00fcr\u00fcn al\u0131mlar\u0131nda taraflar\u0131n bilin\u00e7 fakt\u00f6r\u00fc esas olup, daha fazla geli\u015ftirilmelidir. Ge\u00e7mi\u015f d\u00f6nemlerdeki hatal\u0131 yat\u0131r\u0131mlar ile alan\u0131n teknoloji \u00e7\u00f6pl\u00fc\u011f\u00fcne d\u00f6n\u00fc\u015ft\u00fcr\u00fcld\u00fc\u011f\u00fc asla unutulmamal\u0131d\u0131r.<\/li>\n<li>\u00dcr\u00fcn tedarikinde yurt d\u0131\u015f\u0131na ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n yaratt\u0131\u011f\u0131 risk bu g\u00fcnlerde daha iyi anla\u015f\u0131lmaktad\u0131r, Yerli \u00fcretimin art\u0131k daha etkin olarak devreye girmesi ka\u00e7\u0131n\u0131lmazd\u0131r.<\/li>\n<li>\u0130lgili meslek \u00f6rg\u00fct\u00fc TDB yeni bir anlay\u0131\u015f ile bu konuyu g\u00fcndemine almal\u0131, tart\u0131\u015fmal\u0131, taraf olarak konumunu g\u00fc\u00e7lendirmeli, Alan\u0131 salt end\u00fcstrinin y\u00f6nlendirmesine b\u0131rakmamal\u0131d\u0131r.<\/li>\n<\/ul>\n<p>Sonu\u00e7 olarak;<\/p>\n<p>Toplum sa\u011fl\u0131\u011f\u0131n\u0131, \u00dclke ekonomisini ilgilendiren bu olumsuz durum, ekonomik kayg\u0131lar bir yana b\u0131rak\u0131larak, oldu bitti ye getirilmeden, yetkili-ilgili t\u00fcm taraflar\u0131n ortak \u00e7abas\u0131 ve sorumluluk bilinci ile ele al\u0131nmal\u0131, \u00e7\u00f6z\u00fcmler \u00fcretilmelidir.<\/p>\n<p>&nbsp;<\/p>\n<p>\u0130brahim Belenlio\u011flu\u00a0 \u00a0Mak. M\u00fchendisi\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 21.04.2020 \/ Ankara<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00dclkemiz Di\u015f Hekimli\u011fi alan\u0131ndaki te\u015fhis, tedavi, e\u011fitim s\u00fcre\u00e7lerindeki ya\u015fanm\u0131\u015fl\u0131klara bakt\u0131\u011f\u0131m\u0131zda bug\u00fcn i\u00e7inde bulundu\u011fumuz Covid-19 ve benzerleri enfeksiyon risklerine y\u00f6nelik hizmet birimlerindeki teknik alt yap\u0131 uygulamalar\u0131 a\u00e7\u0131s\u0131ndan ne kadar haz\u0131rl\u0131kl\u0131y\u0131z. Di\u015f Hekimli\u011fi hizmet birimlerini konu \u00f6zelinde bir\u00e7ok a\u00e7\u0131dan ele alabilece\u011fimiz gibi m\u00fchendislik a\u00e7\u0131s\u0131ndan de\u011ferlendirdi\u011fimizde Muayenehanelerden ba\u015flayan, Poliklinik, ADSM ve Fak\u00fclte yap\u0131la\u015fmalar\u0131na kadar yat\u0131r\u0131mlar\u0131n analizini yapt\u0131\u011f\u0131m\u0131zda bu&#8230;<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"class_list":["post-1757","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/pages\/1757","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1757"}],"version-history":[{"count":4,"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/pages\/1757\/revisions"}],"predecessor-version":[{"id":1794,"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=\/wp\/v2\/pages\/1757\/revisions\/1794"}],"wp:attachment":[{"href":"https:\/\/www.dmsorg.com\/v1\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1757"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}