{"id":10022,"date":"2019-04-26T11:16:00","date_gmt":"2019-04-26T09:16:00","guid":{"rendered":"http:\/\/redaktori.com\/?p=10022"},"modified":"2019-04-26T11:16:00","modified_gmt":"2019-04-26T09:16:00","slug":"flet-mjeku-isuf-kalo-sfidat-e-sotme-te-sigurise-se-pacienteve-dhe-stafit-mjekesor","status":"publish","type":"post","link":"https:\/\/redaktori.com\/?p=10022","title":{"rendered":"Flet mjeku Isuf Kalo: Sfidat e sotme t\u00eb siguris\u00eb s\u00eb pacient\u00ebve dhe stafit mjek\u00ebsor"},"content":{"rendered":"<p><strong>Nga mjeku Isuf Kalo<\/strong><\/p>\n<p>Nj\u00eb fjal\u00eb e urt\u00eb thot\u00eb se \u201cRruga e shtruar me q\u00ebllime t\u00eb mira mund q\u00eb shpie edhe n\u00eb ferr\u201d. Edhe kujdesi mjek\u00ebsor ndaj pacient\u00ebve ndon\u00ebse gjithmon\u00eb q\u00ebllim-mir\u00eb, p\u00ebrmban p\u00ebrve\u00e7 dobive t\u00eb panum\u00ebrta edhe rreziqe t\u00eb njohura e gabime t\u00eb mundshme njer\u00ebzore profesionale ndaj sh\u00ebndetit t\u00eb tyre.<\/p>\n<p>Shtimi i nd\u00ebrhyrjeve mjek\u00ebsore t\u00eb reja m\u00eb t\u00eb guximshme, m\u00eb t\u00eb komplikuara e t\u00eb sofistikuara dignostike dhe kurative n\u00eb trupin dhe n\u00eb organet jet\u00ebsore t\u00eb t\u00eb s\u00ebmur\u00ebve, me metoda e teknologji q\u00eb p\u00ebrdoren p\u00ebr her\u00eb t\u00eb par\u00eb kan\u00eb shtuar rreziqet dhe mund\u00ebsit\u00eb p\u00ebr gabime e d\u00ebmtime t\u00eb pad\u00ebshiruara dhe t\u00eb papritura ndaj t\u00eb s\u00ebmur\u00ebve. \u201cMjek\u00ebsia moderne- thot\u00eb Prof.Sir C.Chantler, sot \u00ebsht\u00eb m\u00eb tep\u00ebr komplekse, m\u00eb efektive por potencialisht edhe shum\u00eb m\u00eb e rrezikshme\u201d.<\/p>\n<p>\u201cNj\u00eb studim n\u00eb 20 vende t\u00eb BE, njoftonte se 10% e t\u00eb s\u00ebmur\u00ebve t\u00eb shtruar n\u00eb to p\u00ebsojn\u00eb \u00e7do vit d\u00ebmtime t\u00eb r\u00ebnda t\u00eb evitueshme. Rreziqet dhe gabimet mjek\u00ebsore m\u00eb t\u00eb shpeshta jan\u00eb n\u00eb qendrat spitalore ku kryhen nd\u00ebrhyrje m\u00eb t\u00eb komplikuara diagnostike e kurative.<\/p>\n<p><strong>Rreziqet<\/strong>\u00a0e tilla nuk jan\u00eb t\u00eb papritura. As t\u00eb panjohura. Asnj\u00eb spital nuk \u00ebsht\u00eb i parreziksh\u00ebm p\u00ebr t\u00eb s\u00ebmur\u00ebt. Rreziqet jan\u00eb problem institucional dhe sistemor. Ato duhet t\u00eb njihen, t\u00eb zbulohen paraprakisht dhe t\u00eb evitohen burimet e tyre, ose duhen minimalizuar ato sistematikisht sipas nj\u00eb platforme t\u00eb paravendosur.<\/p>\n<p>Rreziqet n\u00eb spitale burojn\u00eb nga: Infrastruktura jo e sigurt (r\u00ebnie e tavanit, bllokim i ashensorit, mungesa e daljeve rezerv\u00eb n\u00eb rast zjarri, lag\u00ebshtia, rrezatimi, nga mos respektimi standardeve t\u00eb nd\u00ebrtimit).Mos kryerjen periodike t\u00eb procedurave t\u00eb licencimit dhe akreditimit t\u00eb tyre p\u00ebr cil\u00ebsin\u00eb dhe sigurin\u00eb. Mungesa ose mos zbatimi i Udh\u00ebrr\u00ebfyesve dhe Protokolleve Klinik t\u00eb praktik\u00ebs klinike m\u00eb t\u00eb mir\u00eb. Mos raportimi, mos regjistrimi dhe mos korrigjimi i gabimeve pa dashje. P\u00ebrdorimi i produkteve t\u00eb pasigurt: Gjaku i infektuar ose me Grup jo t\u00eb p\u00ebrcaktuar sakt\u00eb, barnat alergjik ose toksik. Ushqimi i infektuar. Pajisjet teknologjike t\u00eb vjetra, t\u00eb pa kalibruara periodikisht. Nd\u00ebrhyrje diagnostike dhe mjekuese t\u00eb vonuara ose jo korrekte. Infeksione spitalore pas kirurgjis\u00eb ose pavar\u00ebsisht prej saj. Dhun\u00eb verbale e psikologjike ndaj t\u00eb s\u00ebmur\u00ebve dhe personelit. Mos informim dhe mosmarrja paraprake e p\u00eblqimit nga pacient\u00ebt p\u00ebr rreziqet eventuale t\u00eb procedurave q\u00eb do t\u00eb kryen tek ata. Vdekje t\u00eb evitueshme ose t\u00eb parakohshme p\u00ebr shkak t\u00eb praktik\u00ebs jo korrekte mjek\u00ebsore.<\/p>\n<p>Ve\u00e7an\u00ebrisht m\u00eb t\u00eb r\u00ebnda jan\u00eb vdekjet q\u00eb Rustein n\u00eb vitin 1970, i em\u00ebroi \u201cvdekje t\u00eb evitueshme\u201d me kuptimin q\u00eb ato \u201cnuk do t\u00eb ndodhnin po t\u00eb ishte ofruar kujdes mjek\u00ebsor konform praktik\u00ebs klinike t\u00eb sotme (t\u00eb mundshme) m\u00eb t\u00eb mir\u00eb\u201d.<\/p>\n<p>Ne nuk kemi t\u00eb dh\u00ebna t\u00eb besueshme p\u00ebr shpesht\u00ebsin\u00eb e k\u00ebtyre rreziqeve n\u00eb spitalet dhe qendrat tona mjek\u00ebsore sepse ato p\u00ebrgjith\u00ebsisht nuk raportohen por vendet evropiane i monitorojn\u00eb dhe i raportojn\u00eb ato rregullisht.<\/p>\n<p>N\u00eb shtypin ton\u00eb n\u00eb vitin 2006 jan\u00eb raportuar 54 raste vdekje t\u00eb tilla, por monitorimi dhe raportimi sistematik, i tyre p\u00ebr fat t\u00eb keq mungon. Ka pak studime p\u00ebr shpesht\u00ebsin\u00eb e infeksioneve spitalore, e cila tek \u00ebsht\u00eb gjetur t\u00eb jet\u00eb 2 deri 4 her\u00eb m\u00eb e lart\u00eb se n\u00eb vendet evropiane dhe mungon nj\u00eb strategji n\u00eb nivel sistemi t\u00eb kontrollit dhe minimizimit t\u00eb tyre.<\/p>\n<p><strong>Kurse gabimet<\/strong>\u00a0gjat\u00eb ofrimit t\u00eb kujdesit jan\u00eb individuale dhe rast\u00ebsore. Jo t\u00eb gjith\u00eb profesionist\u00ebt me bluz\u00eb t\u00eb bardh\u00eb gabojn\u00eb dhe jo gjithnj\u00eb gabimet jan\u00eb njer\u00ebzore, t\u00eb shkaktuara pa dashje, prandaj quhen gabime t\u00eb bardha. Shkaqet p\u00ebr to lidhen me aft\u00ebsit\u00eb jo t\u00eb plota profesionale t\u00eb stafit mjek\u00ebsor, por pjes\u00ebrisht edhe prej mang\u00ebsive organizative, t\u00eb mos mjaftueshm\u00ebris\u00eb s\u00eb mjeteve, nga mbingarkesa dhe stresi n\u00eb pun\u00eb, mos etiketimi i mir\u00eb i barnave, mos verifikimit paraprak i produkteve ose barnave apo edhe prej humbjes s\u00eb v\u00ebmendjes t\u00eb profesionist\u00ebve p\u00ebr arsye njer\u00ebzore t\u00eb jet\u00ebs s\u00eb tyre personale dhe familjare.<\/p>\n<p>Siguria n\u00eb sh\u00ebrbimin sh\u00ebndet\u00ebsor ton\u00eb me kompleksitetin e saj mbetet ende fush\u00eb jo mir\u00eb e njohur si p\u00ebr politik-b\u00ebr\u00ebsit, p\u00ebr profesionist\u00ebt bluz\u00eb-bardh\u00eb ashtu dhe p\u00ebr pacient\u00ebt dhe qytetar\u00ebt. Treguesit e saj nuk maten dhe nuk raportohen. Dhe pacient\u00ebt e d\u00ebmtuar padrejt\u00ebsisht prej defekteve t\u00eb saj vazhdojn\u00eb t\u00eb mos zhd\u00ebmtohen.<\/p>\n<p>Qendra jon\u00eb Komb\u00ebtare p\u00ebr Cil\u00ebsin\u00eb, Sigurin\u00eb dhe Akreditimin e Institucioneve Sh\u00ebndet\u00ebsore e ngritur n\u00eb vitin 2006, krijoi p\u00ebr her\u00eb t\u00eb par\u00eb brenda saj nj\u00eb sektor t\u00eb posa\u00e7\u00ebm p\u00ebr Sigurin\u00eb si elementi m\u00eb prioritari cil\u00ebsis\u00eb s\u00eb kujdesit sh\u00ebndet\u00ebsor. N\u00eb k\u00ebt\u00eb kontekst u krijua dhe u botua \u201cTaksonomia p\u00ebr sigurin\u00eb dhe gabimet mjek\u00ebsore\u201d, u krijuan \u201cstandardet e siguris\u00eb\u201d si element i domosdosh\u00ebm p\u00ebr licencimin dhe akreditimin e institucioneve,u zhvilluan veprimtari trajnuese. U krijua n\u00eb bashk\u00ebpunim me Institutin e Sh\u00ebndetit Publik Udh\u00ebrr\u00ebfyesi komb\u00ebtar p\u00ebr kontrollin e infeksioneve spitalore si dhe p\u00ebr zhvillimin e kultur\u00ebs dhe filozofis\u00eb s\u00eb re lidhur me sigurin\u00eb tek profesionist\u00ebt dhe menaxher\u00ebt, p\u00ebrfshirjen e t\u00eb drejt\u00ebs s\u00eb kujdesit t\u00eb sigurt si element kryesor i t\u00eb drejtave t\u00eb pacient\u00ebve si dhe e drejta e litigimit apo zhd\u00ebmtimit t\u00eb tyre p\u00ebr d\u00ebmet eventuale t\u00eb shkaktuara nga praktika mjek\u00ebsore jo korrekte.<\/p>\n<p><strong>Filozofia e re e qasjes ndaj gabimeve mjek\u00ebsore<\/strong><\/p>\n<p>Lidhur me gabimet e bardha pa dashje q\u00eb jan\u00eb edhe m\u00eb t\u00eb shpeshtat n\u00eb praktik\u00ebn mjek\u00ebsore, avokati amerikan Edwart J Sanocki ka propozuar nj\u00eb terminologji t\u00eb re duke i quajtur ato \u201c<strong>Gabime gjat\u00eb kryerjes s\u00eb detyr\u00ebs<\/strong>\u201d. K\u00ebto gabime jan\u00eb t\u00eb paq\u00ebllimshme dhe nuk duhet t\u00eb ndiqen penalisht. Ato duhen dalluar nga ato t\u00eb ndodhura jasht\u00eb detyr\u00ebs profesionale mjek\u00ebsore, p.sh.: kur nj\u00eb mjek aksidentalisht d\u00ebmton apo shtyp jasht\u00eb spitalit p\u00ebr shkak t\u00eb shpejt\u00ebsis\u00eb s\u00eb tep\u00ebrt nj\u00eb qytetar me makin\u00eb. Ai p\u00ebr k\u00ebt\u00eb d\u00ebnohet penalisht nj\u00ebsoj si t\u00eb gjith\u00eb qytetar\u00ebt e tjer\u00eb. Gabimet gjat\u00eb detyr\u00ebs jan\u00eb shpesh t\u00eb ndikuara nga v\u00ebshtir\u00ebsit\u00eb, t\u00eb papriturat dhe rreziqet paraprake q\u00eb p\u00ebrmban vet\u00eb kryerja e nd\u00ebrhyrjes. T\u00eb tilla p.sh.: jan\u00eb gabimet e mundshme gjat\u00eb nd\u00ebrhyrjes kirurgjikale. P\u00ebrfundimi i keq, i pa d\u00ebshiruesh\u00ebm i saj mund t\u00eb ndodh\u00eb nga faktor\u00eb t\u00eb tjer\u00eb ndikues t\u00eb papritur edhe kur nd\u00ebrhyrja vet\u00eb si metod\u00eb dhe proces \u00ebsht\u00eb kryese teknikisht dhe profesionalisht korrekte. N\u00eb mjek\u00ebsi edhe kur ajo q\u00eb duhet \u00ebsht\u00eb b\u00ebr\u00eb si\u00e7 duhej mund t\u00eb ndodh t\u00eb mos rezultoj\u00eb ajo q\u00eb shpresohej dhe pritej.<\/p>\n<p>N\u00eb klim\u00ebn e tendosur tek ne t\u00eb marr\u00ebdh\u00ebnieve mjek-pacient, mjek-familjar t\u00eb pacient\u00ebve \u00ebsht\u00eb koha t\u00eb njihen dhe t\u00eb zbatohen parimet e reja q\u00eb praktikojn\u00eb vendet evropiane ndaj gabimeve dhe d\u00ebmtimeve mjek\u00ebsore tek pacient\u00ebt. Ato shprehen bazuar n\u00eb parimin q\u00eb \u201cnuk \u00ebsht\u00eb gabim t\u00eb gabosh. Gabim \u00ebsht\u00eb t\u00eb mos tregosh dhe t\u00eb mos m\u00ebsosh ti vet\u00eb dhe t\u00eb tjer\u00ebt prej tij\u201d. Minimizimi i gabimeve t\u00eb paq\u00ebllimshme mjek\u00ebsore arrihet jo me an\u00eb t\u00eb frik\u00ebs, burgimit, nd\u00ebshkimit dhe diskriminimit t\u00eb autor\u00ebve sepse kjo \u00e7on n\u00eb fshehjen e gabimeve dhe mos korrigjimin e tyre por p\u00ebrkundrazi me an\u00eb t\u00eb raportimit t\u00eb sinqert\u00eb dhe t\u00eb nd\u00ebrgjegjsh\u00ebm t\u00eb tyre nga ana e profesionist\u00ebve,\u00e7ka mund\u00ebson t\u00eb m\u00ebsojn\u00eb t\u00eb gjith\u00eb p\u00ebr evitimin e mos p\u00ebrs\u00ebritjen e tyre n\u00eb t\u00eb ardhmen.<\/p>\n<p>Strategjia e deritanishme e minimizimit t\u00eb rreziqeve dhe gabimeve mjek\u00ebsore spitalore s\u00eb pari me an\u00eb t\u00eb identifikimit t\u00eb shkaqeve t\u00eb tyre dhe pastaj t\u00eb korrigjimit t\u00eb faktor\u00ebve dhe praktikave q\u00eb i gjenerojn\u00eb ato. E quajtur Safety I \u00ebsht\u00eb propozuar t\u00eb shoq\u00ebrohet me nj\u00eb praktik\u00eb t\u00eb re t\u00eb quajtur Safety II e cila duket si e kund\u00ebrt me t\u00eb por q\u00eb i sh\u00ebrben t\u00eb nj\u00ebjtit q\u00ebllim me efekt p\u00ebrmir\u00ebsues m\u00eb t\u00eb madh.<\/p>\n<p>Erik Hollnagel n\u00eb librin e tij \u201cSafety I and Safety II: the past and future of Safety Menaxhment\u201d quan Safety II metod\u00ebn e cila n\u00eb vend q\u00eb t\u00eb hetoj\u00eb dhe pastaj t\u00eb p\u00ebrmir\u00ebsoj\u00eb praktikat e gabuara klinike (t\u00eb cilat n\u00eb fakt ndodhin m\u00eb rrall\u00eb) e gjen m\u00eb logjike t\u00eb identifikoj\u00eb faktor\u00ebt favorizues t\u00eb praktik\u00ebs klinike t\u00eb suksesshme pa gabime (e cila realisht ndodh shum\u00eb m\u00eb shpesh).Pas identifikimit kjo praktik\u00eb e mir\u00eb shpallet e p\u00ebrhapet n\u00eb gjith\u00eb spitalet.<\/p>\n<p>Andy Evans dallimin n\u00eb mes metod\u00ebs Safety I dhe asaj Safety II e ka p\u00ebrmbledhur n\u00eb: \u201cSafety I synon t\u00eb pak\u00ebsoj\u00eb rreziqet dhe gabimet n\u00eb burim (t\u00eb minimizoj\u00eb t\u00eb keqen) Safety II synon t\u00eb maksimalizoj\u00eb suksesin (ta inkurajoj\u00eb, ta p\u00ebrhap\u00eb dhe t\u00eb shtoj\u00eb eksperienc\u00ebn e mir\u00eb)\u201d.<\/p>\n<p>Safety I me fokus korrigjimin e \u201cnegatives\u201d dhe Safety II me promovimin e \u201cpozitives\u201d t\u00eb kombinuara mund t\u00eb fuqizojn\u00eb efektin n\u00eb arritjen e q\u00ebllimit final t\u00eb p\u00ebrbashk\u00ebt q\u00eb \u00ebsht\u00eb shtimi i siguris\u00eb n\u00eb sistemin sh\u00ebndet\u00ebsor.<\/p>\n<p>N\u00eb rrethanat e sh\u00ebndet\u00ebsis\u00eb ton\u00eb p\u00ebr fat t\u00eb keq ende veprohet me spontanitet dhe nuk zbatohen n\u00eb m\u00ebnyr\u00eb sistematike as Safey I as Safety II. Dhe aq m\u00eb pak t\u00eb dyja s\u00eb bashku. Safety I pengohet nga mos raportimi vullnetar i rreziqeve dhe gabimeve as nga profesionist\u00ebt, as nga institucionet p\u00ebr shkak t\u00eb frik\u00ebs s\u00eb nd\u00ebshkimit dhe t\u00eb munges\u00ebs s\u00eb kultur\u00ebs e nd\u00ebrgjegjes t\u00eb duhur p\u00ebr to.<\/p>\n<p>Kurse Safety II nuk zbatohet sepse nuk njihet, nuk shpallet dhe nuk p\u00ebrhapet praktika klinike pa gabime si shembull pozitiv. Nj\u00eb penges\u00eb \u00ebsht\u00eb fakti q\u00eb Udh\u00ebrr\u00ebfyesit dhe Protokollet e praktik\u00ebs klinike m\u00eb t\u00eb mir\u00eb vet\u00ebm tek-tuk p\u00ebrdoren, madje n\u00eb shum\u00eb sh\u00ebrbime ato mungojn\u00eb sepse nuk jan\u00eb hartuar. Nd\u00ebrkoh\u00eb edhe strategjin\u00eb komb\u00ebtare t\u00eb p\u00ebrmir\u00ebsimit t\u00eb siguris\u00eb n\u00eb sh\u00ebndet\u00ebsin\u00eb ton\u00eb ende nuk e kemi p\u00ebrpiluar deri sot.<\/p>\n<p><strong>Zhd\u00ebmtimi i munguar i pacient\u00ebve dhe pasiguria e profesionist\u00ebve<\/strong><\/p>\n<p>Procesi i litigimit, i zhd\u00ebmtimit t\u00eb pacient\u00ebve por edhe t\u00eb stafit mjek\u00ebsor p\u00ebr d\u00ebmet sh\u00ebndet\u00ebsore t\u00eb shkaktuara atyre gjat\u00eb q\u00ebndrimit n\u00eb institucionet sh\u00ebndet\u00ebsore, p\u00ebrb\u00ebn tek ne nj\u00eb fenomen t\u00eb ri ende jo t\u00eb qart\u00eb rregulluar. Ai buron nga e drejta e pacient\u00ebve p\u00ebr kujdes sh\u00ebndet\u00ebsor t\u00eb sigurt. Po aq t\u00eb pambrojtur jan\u00eb edhe profesionist\u00ebt e mjek\u00ebsis\u00eb dhe vet\u00eb institucionet n\u00eb raste \u201cgabimesh t\u00eb paq\u00ebllimta t\u00eb bardha\u201d gjat\u00eb detyr\u00ebs. Ato edhe pse sipas Erik Hollnagel nuk p\u00ebrb\u00ebjn\u00eb \u00e7\u00ebshtje penale jan\u00eb \u00e7\u00ebshtje t\u00eb s\u00eb drejt\u00ebs civile, sepse d\u00ebmi sh\u00ebndet\u00ebsor ndaj pacient\u00ebve duhet sidoqoft\u00eb zhd\u00ebmtuar nga dikush.<\/p>\n<p>N\u00eb Evrop\u00eb spitalet por edhe profesionist\u00ebt si individ sidomos mjek\u00ebt n\u00eb specialitete me nd\u00ebrhyrje t\u00eb komplikuara ku mund\u00ebsia e gabimeve dhe d\u00ebmtimeve t\u00eb s\u00ebmur\u00ebve \u00ebsht\u00eb relativisht m\u00eb e madhe sigurohen p\u00ebr d\u00ebmet eventuale t\u00eb cilat paguhen nga agjenci siguracioni t\u00eb posa\u00e7me p\u00ebr to.<\/p>\n<p>Ne nuk kemi akoma nj\u00eb sistem t\u00eb till\u00eb siguracioni t\u00eb posa\u00e7\u00ebm p\u00ebr mjek\u00ebt. N\u00eb vend t\u00eb zhd\u00ebmtohet financiarisht pacienti i d\u00ebmtuar, prangoset mjeku, akt nga i cili as pacienti i d\u00ebmtuar as shoq\u00ebria nuk ka ndonj\u00eb p\u00ebrfitim. N\u00eb t\u00ebr\u00ebsi qasja ndaj gabimeve mjek\u00ebsore k\u00ebrkon mir\u00ebkuptim reciprok pa u udh\u00ebhequr nga emocione t\u00eb cilat shpesh kan\u00eb \u00e7uar n\u00eb atmosfer\u00eb konfliktuale n\u00eb marr\u00ebdh\u00ebniet mjek-pacient.<\/p>\n<p>\u00cbsht\u00eb koha q\u00eb edhe sh\u00ebndet\u00ebsia jon\u00eb t\u2019i shoh\u00eb problemet e siguris\u00eb p\u00ebr t\u00eb s\u00ebmur\u00ebt dhe personelin mjek\u00ebsor si p\u00ebrpar\u00ebsi n\u00eb sintoni edhe me Organizat\u00ebn Bot\u00ebrore t\u00eb Sh\u00ebndet\u00ebsis\u00eb, e cila q\u00eb n\u00eb vitin 2004 ka iniciuar Aleanc\u00ebn p\u00ebr Siguri n\u00eb sistemet sh\u00ebndet\u00ebsore si nj\u00eb nga problemet m\u00eb madhore t\u00eb sotme.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nga mjeku Isuf Kalo Nj\u00eb fjal\u00eb e urt\u00eb thot\u00eb se \u201cRruga e shtruar me q\u00ebllime t\u00eb mira mund q\u00eb shpie edhe n\u00eb ferr\u201d. Edhe kujdesi mjek\u00ebsor ndaj pacient\u00ebve ndon\u00ebse gjithmon\u00eb q\u00ebllim-mir\u00eb, p\u00ebrmban p\u00ebrve\u00e7 dobive t\u00eb panum\u00ebrta edhe rreziqe t\u00eb njohura e gabime t\u00eb mundshme njer\u00ebzore profesionale ndaj sh\u00ebndetit t\u00eb tyre. Shtimi i nd\u00ebrhyrjeve mjek\u00ebsore t\u00eb [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2717,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[21],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Flet mjeku Isuf Kalo: Sfidat e sotme t\u00eb siguris\u00eb s\u00eb pacient\u00ebve dhe stafit mjek\u00ebsor - Informohu qart\u00ebsisht!<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/redaktori.com\/?p=10022\" \/>\n<meta property=\"og:locale\" content=\"sq_AL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Flet mjeku Isuf Kalo: Sfidat e sotme t\u00eb siguris\u00eb s\u00eb pacient\u00ebve dhe stafit mjek\u00ebsor - Informohu qart\u00ebsisht!\" \/>\n<meta property=\"og:description\" content=\"Nga mjeku Isuf Kalo Nj\u00eb fjal\u00eb e urt\u00eb thot\u00eb se \u201cRruga e shtruar me q\u00ebllime t\u00eb mira mund q\u00eb shpie edhe n\u00eb ferr\u201d. 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