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Criterion Knowledge Hub (Version 11, DRAFT)

ASF Standards

Criterion Knowledge Hub

Guidelines, definitions and articles behind each ASF criterion, with the source of every item and a note where material is still missing.

The Criterion Knowledge Hub links each ASF criterion to the guidelines, definitions and articles that support it. It helps a reader see where a criterion comes from and where to read more.

How items are chosen. A person reviews each item against its title and summary before it is listed. Keyword matches are only candidates until they are checked.

Sources. WHO, PAHO and MSF documents are preferred. A non-WHO source is used only when no WHO, PAHO or MSF document exists, and it is marked as non-WHO. Wikipedia is not used.

Checks. Every link is tested before publishing, and again every month. A criterion with no suitable item shows “No additional material yet” and a note on what is still needed. It is never filled with a weak match.

Coverage. This version covers Standards 1, 2, 3, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63. The other standards are added in batches, each one checked before it goes live.

Standard 1: Assessment, Care Planning and Safety

Read Standard 1

8 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 1

1.1

No additional material yet.

Still open: No WHO, PAHO or MSF staffing standard for patient need in the library. Needed: a WHO or PAHO guidance on staffing levels and skill mix.

1.2

Still open: Only child triage (ETAT) and older-people assessment (Long-Term Care) are in the library. Needed: a general adult structured assessment guideline.

1.3
  • GuidelineLong-term care for older people: package for universal health coverage
    World Health Organization · 2024 · Guidance (normative)
    WHO (2024). Long-term care for older people aged 60+. Covers holistic assessment, individualised care planning, malnutrition screening and nutrition support, and says to avoid physical restraints in care homes. It is not a complete restraint or care-plan standard.

Still open: The Long-Term Care package covers individualised care planning for older people. Needed: a general care-plan standard for all patients.

1.4
  • GuidelineLong-term care for older people: package for universal health coverage
    World Health Organization · 2024 · Guidance (normative)
    WHO (2024). Long-term care for older people aged 60+. Covers holistic assessment, individualised care planning, malnutrition screening and nutrition support, and says to avoid physical restraints in care homes. It is not a complete restraint or care-plan standard.

Still open: The Long-Term Care package says to avoid physical restraints in care homes, but gives no restraint or seclusion policy. Needed: WHO guidance on restraint and seclusion use.

1.5
  • GuidelineLong-term care for older people: package for universal health coverage
    World Health Organization · 2024 · Guidance (normative)
    WHO (2024). Long-term care for older people aged 60+. Covers holistic assessment, individualised care planning, malnutrition screening and nutrition support, and says to avoid physical restraints in care homes. It is not a complete restraint or care-plan standard.
  • DefinitionAcute malnutrition in infants, children or adolescents
    GMJ dictionary
    Acute malnutrition is a condition where the body lacks sufficient nutrients, leading to serious health issues. Children and adolescents only.

Still open: Nutrition screening is covered for older people (Long-Term Care) and malnutrition is defined for children only. Needed: an adult nutrition and therapeutic diet guideline.

1.6

No additional material yet.

Still open: The Long-Term Care package lists pressure injury among older people's health needs but gives no prevention protocol. Needed: WHO or PAHO pressure injury prevention guidance.

1.7
  • DefinitionDeep vein thrombosis
    GMJ dictionary
    Deep vein thrombosis is a condition where blood clots form in deep veins, usually in the legs.

Still open: No WHO, PAHO or MSF VTE prophylaxis guideline in the library. Needed: a WHO or MSF VTE guideline. The definition above is only a term entry.

Standard 2: Governance and Safety Culture

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25 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 2

2.1

No additional material yet.

Still open: No surgical safety checklist guideline in the GMJ library yet. Needed: WHO Surgical Safety Checklist and Guidelines for Safe Surgery.

2.2

Still open: No WHO, PAHO or MSF anaesthesia safety guideline in the GMJ library yet.

2.3

Standard 3: Medicines and Pain

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43 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 3

3.1

Still open: No look-alike, sound-alike specific guideline in the GMJ library. The patient safety plan above covers medication errors in general. Needed: a WHO look-alike, sound-alike medicines guidance, or a flagged non-WHO source if no WHO one exists.

3.2

Still open: No WHO guidance on opioid prescribing for pain in the library. Needed: WHO guidance on opioid use in pain (for example, cancer pain) if available, to replace or sit beside the non-WHO CDC guideline above.

3.3

Still open: No WHO or PAHO guidance on how to structure pain assessment and reassessment in the library. The two guidelines above cover pain management, not the assessment routine. Needed: a pain assessment tool or guideline.

Standard 4: Reserved

Standard 4 is reserved in ASF Health Standards v11. It has no criteria. Its former content is kept in the Resources archive.

Standard 5: Blood Bank

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5 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 5

5.1
5.2
  • GuidelineUniversal Access to Safe Blood Transfusion
    World Health Organization · 2021 · Guideline
    WHO (2021). Global guidance on safe blood supply: donor selection and screening, testing, bi-directional traceability and haemovigilance, and quality systems.
5.3
  • GuidelineUniversal Access to Safe Blood Transfusion
    World Health Organization · 2021 · Guideline
    WHO (2021). Global guidance on safe blood supply: donor selection and screening, testing, bi-directional traceability and haemovigilance, and quality systems.
5.4

No additional material yet.

Still open: No WHO, PAHO or MSF storage and transport standard for blood products in the library. Needed: a WHO or PAHO cold-chain and blood transport guidance.

5.5

Still open: Only a coded definition of mismatched transfusion is in the library. Needed: a WHO issuing and bedside-check guidance.

5.6

No additional material yet.

Still open: No WHO or PAHO guidance on staff qualification for blood banks in the library. Needed: a WHO blood-service workforce guidance.

5.7
5.8
  • GuidelineUniversal Access to Safe Blood Transfusion
    World Health Organization · 2021 · Guideline
    WHO (2021). Global guidance on safe blood supply: donor selection and screening, testing, bi-directional traceability and haemovigilance, and quality systems.
  • ArticleWHO global blood safety report: access gaps remain
    2026-06-27
    News summary of the WHO blood safety report (June 2026). Progress in blood safety, with persistent access gaps in lower-income countries.
5.9

No additional material yet.

Still open: No WHO, PAHO or MSF guidance on emergency blood release in the library. Needed: a WHO emergency-release procedure guidance.

Standard 6: Day Clinic and Day Surgery

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26 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 6

6.1

No additional material yet.

Still open: No WHO or PAHO guidance on selecting patients for same-day surgery in the library. Needed: a day-surgery patient selection guidance.

6.2

No additional material yet.

Still open: No WHO or PAHO guidance on anaesthesia staffing for day surgery in the library (see 2.2). Needed: an anaesthesia safety guideline.

6.3

No additional material yet.

Still open: No recovery monitoring or discharge-criteria guidance in the library. Needed: a day-surgery recovery and discharge standard.

6.4

No additional material yet.

Still open: No guidance on discharge escort and advice in the library. Needed: a day-surgery discharge guidance.

6.5

No additional material yet.

Still open: The WHO Surgical Safety Checklist, which covers theatre checks, is not in the library yet (see 2.1). Needed: the WHO checklist and guidance.

6.6

No additional material yet.

Still open: No WHO or PAHO tracking protocol for surgical site infection in the library. The WHO facility manual covers prevention only. Needed: a surveillance guidance for surgical site infection.

6.7

No additional material yet.

Still open: No guidance on reviewing unplanned admissions in the library. Needed: a day-surgery quality indicator guidance.

6.8

No additional material yet.

Still open: No WHO or PAHO anaesthesia safety guideline in the library (see 2.2). Needed: a WHO anaesthesia safety guideline.

6.9

No additional material yet.

Still open: The WHO Surgical Safety Checklist is not in the library yet (see 2.1). Needed: the WHO checklist and guidance.

6.10

Standard 7: Emergency Dispatch

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3 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 7

7.1
  • GuidelinePrehospital emergency care – operational guidance for ambulance systems
    World Health Organization · 2025 · Operational guidance
    WHO (1st edition, 2025). Global operational standards for ambulance systems: 24/7 dispatch, response-time targets, medical control, standard clinical protocols and quality improvement. Partial match for this standard: it does not set call-answer, call-triage or call-recording rules.
  • DefinitionEmergency Medical Services
    GMJ dictionary
    Emergency Medical Services provide rapid and effective medical care in urgent situations.
7.2
  • GuidelinePrehospital emergency care – operational guidance for ambulance systems
    World Health Organization · 2025 · Operational guidance
    WHO (1st edition, 2025). Global operational standards for ambulance systems: 24/7 dispatch, response-time targets, medical control, standard clinical protocols and quality improvement. Partial match for this standard: it does not set call-answer, call-triage or call-recording rules.

Still open: The WHO ambulance guidance covers dispatch and clinical protocols, but has no rule for triaging calls by clinical priority. Needed: a call-triage standard.

7.3
  • GuidelinePrehospital emergency care – operational guidance for ambulance systems
    World Health Organization · 2025 · Operational guidance
    WHO (1st edition, 2025). Global operational standards for ambulance systems: 24/7 dispatch, response-time targets, medical control, standard clinical protocols and quality improvement. Partial match for this standard: it does not set call-answer, call-triage or call-recording rules.
7.4

No additional material yet.

Still open: No WHO or PAHO guidance on call-handling training in the library. The ambulance guidance covers crew certification only. Needed: a dispatcher training standard.

7.5

No additional material yet.

Still open: No guidance on recording every call in the library. Needed: a call-recording standard.

7.6

No additional material yet.

Still open: No WHO or PAHO guidance on dispatch system resilience in the library. Needed: a continuity planning guidance for dispatch.

7.7

No additional material yet.

Still open: The ambulance guidance includes quality-improvement targets, but no call review method. Needed: a call-review standard.

7.8

No additional material yet.

Still open: No guidance on re-prioritising and escalating waiting calls in the library. Needed: a waiting-call standard.

7.9
  • GuidelinePrehospital emergency care – operational guidance for ambulance systems
    World Health Organization · 2025 · Operational guidance
    WHO (1st edition, 2025). Global operational standards for ambulance systems: 24/7 dispatch, response-time targets, medical control, standard clinical protocols and quality improvement. Partial match for this standard: it does not set call-answer, call-triage or call-recording rules.
7.10

No additional material yet.

Still open: No guidance on the end of the provider's responsibility at dispatch in the library. Needed: a handover-of-responsibility standard.

7.11

No additional material yet.

Still open: No guidance on dispatch decision rules or the right to refuse in the library. Needed: a dispatch decision standard.

Standard 8: Fertility Clinic

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5 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 8

8.1
8.2

No additional material yet.

Still open: No WHO or PAHO guidance on stage-specific consent for fertility treatment in the library. Needed: a consent standard for assisted reproduction.

8.3

No additional material yet.

Still open: The WHO transplant principles cover tissue traceability but do not name gametes or embryos. Needed: a gamete and embryo traceability guidance.

8.4

No additional material yet.

Still open: No guidance on secure storage and monitoring of gametes and embryos in the library. Needed: a laboratory storage standard.

8.5
  • GuidelineGuiding Principles on Human Cell, Tissue and Organ Transplantation
    World Health Organization · 2025 · Guiding principles
    WHO (record dated 2025). Principles for human cells, tissues and organs: voluntary donation with informed consent, donor evaluation, traceability systems, and quality and safety monitoring. Covers donation generally; gametes and embryos are not named in detail.
8.6

No additional material yet.

Still open: No WHO or PAHO guidance on staff qualification for fertility clinics in the library. Needed: a fertility workforce standard.

8.7
  • GuidelineGuiding Principles on Human Cell, Tissue and Organ Transplantation
    World Health Organization · 2025 · Guiding principles
    WHO (record dated 2025). Principles for human cells, tissues and organs: voluntary donation with informed consent, donor evaluation, traceability systems, and quality and safety monitoring. Covers donation generally; gametes and embryos are not named in detail.
8.8

No additional material yet.

Still open: No WHO or PAHO guidance on psychological support for fertility patients in the library. Needed: a psychosocial support guidance.

8.9

No additional material yet.

Still open: No guidance on responding to a gamete or embryo mix-up in the library. Needed: a mix-up response guidance.

8.10

No additional material yet.

Still open: No guidance on disclosing prices before treatment in the library. Needed: a fertility cost-transparency standard.

8.11
  • GuidelineGuiding Principles on Human Cell, Tissue and Organ Transplantation
    World Health Organization · 2025 · Guiding principles
    WHO (record dated 2025). Principles for human cells, tissues and organs: voluntary donation with informed consent, donor evaluation, traceability systems, and quality and safety monitoring. Covers donation generally; gametes and embryos are not named in detail.

Standard 9: Field Hospital

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88 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 9

9.1

Still open: Set-up standards are in the PAHO field-hospital guide (COVID-era). No general minimum set-up standard for a field unit yet. Needed: a WHO or PAHO field-unit minimum standard.

9.2

Still open: Triage here is covered for burns and for children only. Needed: a general field-hospital triage standard.

9.3

No additional material yet.

Still open: No WHO, PAHO or MSF surgical safety standard for field surgery in the library. Needed: the WHO Surgical Safety Checklist (see 2.1).

9.4

Still open: Blood and medicine supply are covered in general terms only. Needed: a field-unit supply management guidance.

9.5
  • GuidelineEVAC-H: Evacuation of hospitals and their critical areas
    Pan American Health Organization · 2025 · Operational guidance
    PAHO (2025). Evacuation of hospitals and their critical areas (emergency department, ICU, operating rooms). Partial match: covers evacuation and transfer, not every referral route.

Still open: Evacuation planning is covered (PAHO 2025). Referral routes are not defined in the library. Needed: a referral pathway guidance.

9.6

Still open: Staffing and deployment are covered for emergency medical teams. No staff qualification standard for field units. Needed: a qualification standard.

9.7

No additional material yet.

Still open: No guidance on record keeping in a field unit in the library. Needed: a field-unit records standard.

9.8

Still open: Infection prevention is covered for facilities in general, not outbreak response in a field unit. Needed: an outbreak-response guidance for field units.

9.9

Still open: Staff protection is covered (WHO occupational health). Patient protection in a field unit is not. Needed: a patient-protection plan standard.

9.10

Still open: Mental health care is covered for non-specialist settings. No field-unit psychosocial support standard. Needed: a psychosocial support guidance for emergencies.

9.11

No additional material yet.

Still open: No guidance on handover to permanent services in the library. Needed: a handover standard for field units.

9.12

No additional material yet.

Still open: No guidance on checking donated medicines and equipment in the library. Needed: a donation-quality guidance.

9.13

No additional material yet.

Still open: No WHO, PAHO or MSF clinical response guidance for sexual violence in the library. Needed: a WHO clinical management guidance for survivors.

9.14

Still open: Urgency triage is covered for burns and for children only. Needed: a general field-hospital triage standard.

9.15

Still open: Mass-casualty and resilience planning is covered (PAHO 2024). No rehearsal standard. Needed: a rehearsal requirement guidance.

9.16

No additional material yet.

Still open: The WHO Surgical Safety Checklist is not in the library yet (see 2.1). Needed: the WHO checklist and guidance.

9.17

No additional material yet.

Still open: No WHO or PAHO anaesthesia safety guideline in the library (see 2.2). Needed: a WHO anaesthesia safety guideline.

9.18
9.19

Still open: Transfusion practice is covered. No bedside verification checklist is in the library. Needed: a WHO verification guidance.

9.20
  • GuidelineEVAC-H: Evacuation of hospitals and their critical areas
    Pan American Health Organization · 2025 · Operational guidance
    PAHO (2025). Evacuation of hospitals and their critical areas (emergency department, ICU, operating rooms). Partial match: covers evacuation and transfer, not every referral route.

Still open: Transfer planning is covered in the PAHO evacuation guide. Back-up transport is not. Needed: a transfer plan standard.

9.21

No additional material yet.

Still open: No dispatch decision or right-to-refuse guidance for field units in the library (see 7.x for ambulance dispatch). Needed: a dispatch decision standard.

9.22

Still open: Workplace violence is covered by the WHO occupational health guide (partial). Needed: a field-unit security standard.

9.23

Standard 10: Hospice and Palliative Care

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10 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 10

10.1
10.2
10.3

Still open: The WHO palliative guidance mentions advance care plans, but there is no standard for recording a patient's goals. Needed: a goals-of-care recording standard.

10.4
10.5

Still open: The WHO palliative guidance defines palliative care to include spiritual and psychological needs. It sets no service standard for them. Needed: a psychosocial and spiritual care standard.

10.6

No additional material yet.

Still open: No guidance on dignity at the end of life beyond general palliative principles. Needed: an end-of-life dignity standard.

10.7
10.8

No additional material yet.

Still open: Bereavement support is only mentioned in passing in the library's palliative guidance. Needed: a bereavement follow-up guidance.

10.9
10.10

No additional material yet.

Still open: No guidance on out-of-hours symptom advice in the library. Needed: an out-of-hours palliative guidance.

10.11

No additional material yet.

Still open: No WHO, PAHO or MSF guidance on treatment limits in the library. Needed: an advance care planning guidance.

Standard 11: Procedure Units, Endoscopy and Interventional Care

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6 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 11

11.1

No additional material yet.

Still open: No WHO, PAHO or MSF pre-procedure assessment guidance in the library. Needed: a pre-procedure assessment standard.

11.2

Still open: Medication safety is covered in general. No product verification or storage standard for procedure units. Needed: a product verification guidance.

11.3

No additional material yet.

Still open: No guidance on practitioner training for each procedure in the library. Needed: a procedure competency standard.

11.4

No additional material yet.

Still open: No guidance on procedure-specific consent in the library. Needed: a consent standard for procedures.

11.5

No additional material yet.

Still open: No guidance on managing procedure complications in the library. Needed: a complications pathway guidance.

11.6

Still open: Emergency treatment is covered only for anaphylaxis. No general procedure emergency standard. Needed: an emergency readiness guidance for procedure units.

11.7
11.8

No additional material yet.

Still open: No guidance on follow-up after procedures in the library. Needed: a follow-up standard.

11.9

No additional material yet.

Still open: No WHO or PAHO guidance on product recalls or adverse-reaction action in the library. Needed: a recall and adverse-reaction guidance.

Standard 12: Obstetrics and Gynaecology

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107 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 12

12.1

Still open: Core WHO antenatal care recommendations are not yet confirmed in the library; the WHO adaptation toolkit is used as the schedule reference.

12.2

Still open: No WHO skilled-birth-attendant competency standard is in the library yet.

12.3

Still open: No WHO-issued obstetric emergency response guidance verified yet; PAHO 2024 used.

12.4

Still open: Transfusion safety guidance for obstetric emergencies is not yet in the library.

12.5

Still open: WHO neonatal resuscitation guidance is not yet verified; newborn quality standards and PAHO follow-up guidance used.

12.6

Still open: Postnatal care schedule is covered only by the WHO adaptation toolkit; the WHO postnatal recommendations themselves are not yet confirmed.

12.7

Still open: WHO respectful maternity care guidance is not yet verified; PAHO culturally safe childbirth tool used.

12.8

No additional material yet.

Still open: Maternal and perinatal death review guidance is not in the library. Needed: WHO MPDSR (maternal and perinatal death surveillance and response).

12.9

Still open: Mother-newborn rooming-in is covered through the breastfeeding monitoring manual; no separate WHO rooming-in standard yet.

12.10

Still open: No dedicated maternal early-warning tool guidance is verified yet; obstetric early-warning content from PAHO 2024 used.

12.11

No additional material yet.

Still open: No gynaecology assessment pathway guidance is in the library. Needed: WHO guidance on gynaecological care.

12.12

Still open: Coverage is WHO 2025; no WHO-published item on counselling for reproductive choice beyond these.

12.13

Still open: Breast cancer early-detection guidance is not in the library. Needed: WHO breast cancer early detection guidance.

12.14

Still open: WHO guidance on miscarriage and abortion care is not yet verified; MSF field guidance (non-WHO) used.

12.15

Still open: No general deterioration or sepsis recognition tool is verified yet; PAHO 2024 used for obstetric early warning.

Standard 13: Mobile Clinic and Outreach

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5 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 13

13.1

Still open: No WHO site-assessment tool for mobile outreach sites is in the library. Needed: outreach site assessment checklist.

13.2

Still open: No WHO standard kit list for mobile outreach is in the library yet; medicines list and vaccination guidance used.

13.3

Still open: No general referral and transfer standard for mobile units is in the library. The COVID-era PAHO transfer item is used only as a principle source.

13.4

Still open: No WHO guidance on record-keeping for mobile clinics is in the library. Needed: outreach record-keeping guidance.

13.5

Still open: No WHO training standard specific to outreach staff is in the library; mhGAP and paediatric emergency guidance used.

13.6

Still open: No WHO consent guidance for community or outreach settings is in the library.

13.7

Still open: No WHO follow-up standard for outreach patients beyond these items is in the library.

13.8

Still open: Coverage review for non-vaccine outreach services is not yet in the library.

13.9

Still open: No WHO vehicle roadworthiness or equipment check standard is in the library. Ambulance operations guidance used for operations only.

13.10

No additional material yet.

Still open: No lone-working check-in or response guidance is in the library. Needed: lone and remote working safety guidance.

Standard 14: Occupational Health

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9 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 14

14.1

Still open: No WHO confidentiality standard for occupational assessments is in the library. Needed: occupational health records and confidentiality guidance.

14.2

Still open: No WHO standard for occupational health assessor qualification is in the library. The IPC curriculum is general training, not assessment-specific.

14.3

Still open: No WHO schedule for staff health surveillance is in the library. Needed: baseline and periodic occupational health surveillance schedule.

14.4

Still open: No WHO guidance on reporting concerns to employers is in the library. Needed: guidance on confidential fitness reporting.

14.5

Still open: Workplace advice relies on MSF respiratory protection and WHO occupational guidance; the COVID-era PAHO item is labelled.

14.6

Still open: Return-to-work guidance is COVID-era only (PAHO 2020). Needed: general return-to-work guidance for health workers.

14.7

No additional material yet.

Still open: No WHO guidance on separating assessor and employer roles is in the library. Needed: occupational health independence standard.

14.8

No additional material yet.

Still open: No guidance on worker access to outcomes or review processes is in the library. Needed: worker review and appeal guidance.

Standard 15: Optical and Hearing

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11 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 15

15.1

Still open: No WHO clinical protocol for eye refraction examinations is in the library. Needed: WHO eye examination guidance beyond screening.

15.2

Still open: Covered by the WHO eye care competency and ear and hearing training materials.

15.3

Still open: No WHO spectacle or hearing aid fitting standard is in the library. Needed: fitting and product-check guidance.

15.4

No additional material yet.

Still open: No guidance on teaching contact lens or hearing aid hygiene is in the library. Needed: patient education material on device hygiene.

15.5

Still open: Aftercare pathways are covered only through the screening handbook and the rehabilitation package.

15.6

No additional material yet.

Still open: No WHO guidance on product complaints is in the library. Needed: complaint handling standard for optical and hearing products.

15.7

Still open: Same-day referral thresholds are set out in the WHO screening and primary ear care materials.

Standard 16: Paediatric Care

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46 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 16

16.1

Still open: Age and size appropriateness is covered by the WHO child and newborn standards; no separate adolescent-specific item here.

16.2

Still open: No WHO standard on parental or guardian consent for paediatric care is in the library. The PAHO item covers communication only.

16.3

No additional material yet.

Still open: No WHO child safeguarding standard is in the library. Needed: WHO or UNICEF child protection in health facilities guidance.

16.4

Still open: Family involvement is covered through the WHO child and newborn standards; no dedicated family support guidance in the library yet.

16.5

No additional material yet.

Still open: No child-friendly environment standard is in the library. Needed: paediatric facility environment guidance.

16.6

Still open: Covered by the WHO paediatric emergency and ETAT training materials.

16.7

Still open: No WHO routine childhood immunisation schedule document is verified yet; the travel module and PAHO communication guidance are used.

16.8

Still open: No WHO paediatric transfer standard is in the library. Used: PAHO evacuation guidance and NICE sepsis transfer guidance (non-WHO).

16.9

No additional material yet.

Still open: No guidance on reviewing child health outcomes is in the library. Needed: paediatric outcome review standard.

16.10

Still open: Equipment and weight-based dose references are covered by WHO emergency guidance and RCUK anaphylaxis guidance (non-WHO).

16.11

Still open: Weight recording before dosing is covered by the WHO newborn standards and IMCI guideline.

16.12

Still open: No WHO specialist neonatal or paediatric transfer guidance is in the library. Used: PAHO evacuation and NICE sepsis guidance (non-WHO).

Standard 17: Pharmacy

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6 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 17

17.1

Still open: Prescription checking is covered by WHO medication safety guidance and non-WHO CDC and NICE items; no WHO dispensing checklist is in the library.

17.2

Still open: No WHO pharmacy counselling standard is in the library. NICE medicines optimisation (non-WHO) is used for the pharmacist role only.

17.3

Still open: No WHO standard on pharmacist accountability is in the library. NICE medicines optimisation (non-WHO) used.

17.4

Still open: Covered by WHO medication safety guidance on errors; no WHO dispensing error review tool is verified yet.

17.5

Still open: No WHO controlled-medicines recording standard is in the library. CDC (non-WHO) and WHO opioid treatment guidance used.

17.6

Still open: No WHO medicine storage standard is in the library. Only vaccine cold chain guidance (PAHO) is verified.

17.7

Still open: Supply management is covered by the WHO essential medicines list and antibiotic preparedness guidance; no WHO stock management tool is in the library.

17.8

Still open: Recall procedures are covered only by WHO substandard medicines reporting and PAHO surveillance guidance; no recall procedure document yet.

17.9

Still open: Licensed sourcing is covered by WHO substandard medicines guidance and PAHO regulatory guidance (non-WHO).

17.10

Still open: Safe storage and administration are covered only partly: WHO medication safety and PAHO cold chain guidance. No general storage standard yet.

Standard 18: Physiotherapy

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7 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 18

18.1

Still open: Clinical assessment is covered by the WHO rehabilitation package and ICOPE; NICE falls guidance (non-WHO) is used for assessment detail.

18.2

Still open: No WHO physiotherapy staff competency standard is in the library. The rehabilitation package is used for workforce context only.

18.3

Still open: Evidence-based treatment is covered by WHO back pain and paediatric pain guidance; no WHO physiotherapy-specific treatment guideline is verified yet.

18.4

Still open: No WHO goal-setting or functional measurement standard is in the library. ICOPE and NICE falls guidance (non-WHO) are used.

18.5

No additional material yet.

Still open: No WHO standard on checking physiotherapy equipment is in the library. Needed: equipment safety checks for rehabilitation services.

18.6

Still open: Home advice and exercise guidance are covered by the WHO falls and physical activity materials.

18.7

No additional material yet.

Still open: No WHO outcome review standard for rehabilitation is in the library. Needed: rehabilitation outcome measurement guidance.

Standard 19: Specimen Collection Point

Read Standard 19

3 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 19

19.1

Still open: No WHO specimen labelling standard is in the library. Needed: specimen identification guidance at collection.

19.2

Still open: No WHO specimen collection procedure is in the library. Used: WHO WPRO diagnostic stewardship and MSF TB diagnostic guidance (non-WHO).

19.3

Still open: Sharps and waste handling are covered by WHO IPC requirements and PAHO environmental and WASH guidance (non-WHO).

19.4

No additional material yet.

Still open: No WHO specimen transport standard is in the library. Needed: specimen transport and cold-chain guidance for laboratories.

19.5

No additional material yet.

Still open: No guidance on recording refused or unsuitable specimens is in the library.

19.6

Still open: Covered by the WHO IPC pre-service curriculum; no specimen-collection training standard is in the library yet.

19.7

Still open: Results reporting is covered only by a COVID-era PAHO item; no general result communication standard is in the library.

19.8

No additional material yet.

Still open: No WHO guidance on recording consent or refusal for specimen collection is in the library.

Standard 20: Sports Medicine

Read Standard 20

7 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 20

20.1

Still open: No WHO athlete clinical assessment standard is in the library. NICE head injury guidance (non-WHO) and the WHO rehabilitation package are used.

20.2

No additional material yet.

Still open: No WHO return-to-sport staging guidance is in the library. Needed: staged return-to-play and documentation guidance.

20.3

No additional material yet.

Still open: No WHO pre-participation screening guidance is in the library. Needed: pre-participation check guidance for athletes.

20.4

No additional material yet.

Still open: No WHO sports medicine staff competency standard is in the library. Needed: sports medicine competency framework.

20.5

Still open: Covered by WHO mass gathering guidance, including heat illness, risk assessment and simulation exercises.

20.6

No additional material yet.

Still open: No WHO guidance on anti-doping or medicines at sports events is in the library. Needed: anti-doping and team medicines guidance.

20.7

Still open: No WHO training load or sports injury review standard is in the library; the WHO rehabilitation package is used for recovery review only.

20.8
  • GuidelineHead injury: assessment and early management (NG232)
    National Institute for Health and Care Excellence (UK) · 2023 · Clinical guideline
    Non-WHO (NICE NG232, 2023). Head injury assessment and early management, including removal from activity and transfer.

Still open: Covered by NICE head injury guidance (non-WHO). No WHO sports-specific concussion guidance is in the library yet.

Standard 21: Urgent Care

Read Standard 21

8 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 21

21.1

Still open: Adult triage on arrival is not covered by a WHO urgent care standard in the library; paediatric and hospital triage guidance used.

21.2

Still open: No WHO definition of urgent care service limits is in the library. NICE service guidance (non-WHO) used.

21.3

Still open: Covered by WHO hospital emergency and safety guidance and PAHO evacuation guidance.

21.4

No additional material yet.

Still open: No WHO waiting-time measurement standard is in the library. Needed: urgent care waiting time and flow guidance.

21.5

No additional material yet.

Still open: No WHO discharge or follow-up advice standard for urgent care is in the library.

21.6

No additional material yet.

Still open: No guidance on reviewing attendance patterns is in the library.

21.7

Still open: Repeated observation is covered by NICE deterioration guidance (non-WHO, 2007; older edition).

21.8

No additional material yet.

Still open: No WHO guidance on public information about urgent care services is in the library.

21.9

Still open: Emergency equipment and drugs are covered by WHO anaphylaxis guidance, the Surviving Sepsis Campaign (non-WHO), and a COVID-era PAHO ICU medicines list.

Standard 22: Academic Medical Centre

Read Standard 22

19 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 22

22.1

No additional material yet.

Still open: No WHO or PAHO standard on graded supervision of trainees is in the library. Needed: resident supervision and autonomy guidance.

22.2

Still open: Patient rights to information are covered by the WMA Lisbon declaration (non-WHO). No item on disclosing trainee involvement specifically.

22.3

Still open: Ethics review is covered only by COVID-era PAHO guidance (non-WHO). No general research ethics standard is in the library.

22.4

Still open: Consent separation is covered only by COVID-era PAHO ethics guidance (non-WHO). Needed: consent standard for care and research.

22.5

No additional material yet.

Still open: No conflict of interest guidance for research and clinical care is in the library. Needed: conflict of interest management guidance.

22.6

Still open: No faculty competency standard is in the library. The WHO IPC curriculum is used only as a teaching framework example.

Standard 23: Multi-Site Governance

Read Standard 23

5 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 23

23.1

Still open: Central and site-level authority is covered only by COVID-era PAHO network guidance (non-WHO). No general multi-site governance standard is in the library.

23.2

Still open: Incident learning across sites is covered by the WHO patient safety action plan. No WHO guidance on sharing learning between sites specifically.

23.3

Still open: Clinical policy standardisation is covered by WHO district surgical care and medication safety guidance; local variation rules are not in the library.

23.4

No additional material yet.

Still open: No WHO credentialing or privileging standard is in the library. Needed: credentialing and privileging guidance for multi-site organisations.

23.5

No additional material yet.

Still open: No guidance on evaluating central resource and staffing decisions for patient safety is in the library.

23.6

Still open: Quality data review is covered by the WHO patient safety action plan. No guidance specific to central review of site-level data yet.

Standard 24: Medical Tourism

Read Standard 24

7 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 24

24.1

Still open: No WHO pricing standard for medical tourism is in the library. Only non-WHO sources (WMA, EU) are used.

24.2

Still open: No WHO records transfer guidance is in the library. Non-WHO sources used (EU, NABH).

24.3

Still open: No WHO language access guidance for foreign patients is in the library. Non-WHO sources used.

24.4

Still open: Travel logistics are covered only by non-WHO travel health and accreditation sources (CDC, UK TravelHealthPro, NABH).

24.5

No additional material yet.

Still open: No guidance on tracking complications after return is in the library. Needed: post-return surveillance guidance.

24.6

Still open: Travel documentation is covered only by non-WHO sources (WMA, NABH).

24.7

Still open: No WHO complaint and redress guidance for international patients is in the library. Non-WHO sources used.

24.8
  • GuidelineNABH Empanelment Standards for Medical Value Travel Facilitators, 2nd Edition
    National Accreditation Board for Hospitals and Healthcare Providers (India) · 2025 · Accreditation standards
    Non-WHO (NABH, 2025, 2nd edition). Empanelment of medical value travel facilitators: language, records, documents, complaints and facilitator checks.
  • Guideline
    International Organization for Standardization · 2020 · Service requirements
    Medical tourism service requirements, including facilitators and cross-border records.

Still open:No WHO guidance in the library.

24.9
  • GuidelineCDC Yellow Book 2026 — Medical Tourism
    Centers for Disease Control and Prevention (USA) · 2025 · Travel health guidance
    Non-WHO (CDC Yellow Book 2026 chapter). Medical tourism: travel health, infection risk and complications.
  • GuidelineTravelling for treatment (medical tourism) — Factsheet 59
    TravelHealthPro / NaTHNaC (UK) · 2024 · Travel health factsheet
    Non-WHO (TravelHealthPro, UK, 2024). Counselling on medical tourism: travel, infection, complications and thrombosis risk.

Still open: Travel-associated infection risk is covered by CDC and UK travel health guidance (non-WHO). No WHO item in the library.

24.10

Still open: Post-procedure VTE risk is covered by NICE VTE guidance and UK and CDC travel guidance (non-WHO).

Standard 25: Health and Migration

Read Standard 25

42 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 25

25.1

Still open: Migration-adapted care is covered only by a PAHO regional proposal (non-WHO). No WHO people-centred migrant care standard is in the library.

25.2

No additional material yet.

Still open: No guidance on patient agency for migrants is in the library. Needed: health system literacy guidance for migrants.

25.3

No additional material yet.

Still open: No WHO interpreter or cultural mediator standard is in the library. Needed: language access guidance for migrant health services.

25.4

Still open: Cross-sector collaboration is touched on in the PAHO coverage proposal (non-WHO). No dedicated collaboration standard yet.

25.5

No additional material yet.

Still open: No surge capacity guidance for migration-related demand is in the library.

25.6

Still open: Evidence for migrant populations is covered by PAHO regional materials (non-WHO, one COVID-era). No WHO migrant health evidence guideline in the library.

25.7

No additional material yet.

Still open: No guidance on reflective practice, bias awareness or staff self-care in migration contexts is in the library.

25.8

Still open: Cross-border continuity is covered by PAHO and EU sources (non-WHO). No WHO guidance on continuity for migrants.

25.9

Still open: Camp and non-camp service models are covered by WHO mpox and malaria emergency guidance; no general WHO service-model standard.

25.10

No additional material yet.

Still open: No guidance on legal status diversity in health services is in the library. Needed: legal status and entitlement guidance for migrants.

Standard 26: Dialysis and Renal Replacement

Read Standard 26

12 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 26

26.1

Still open: No WHO dialysis water standard is in the library. The WHO water technologies guidance is general to facilities, not dialysis-specific.

26.2

Still open: Water equipment monitoring is covered only by the general WHO water technologies guidance. No dialysis-specific maintenance standard.

26.4

Still open: Reprocessing is covered by WHO medical device reprocessing guidance. No dialyser-specific reuse or tracing standard in the library.

26.5

Still open: Adequacy monitoring is covered only by KDIGO CKD guidance (non-WHO). No dialysis adequacy standard in the library.

26.6

Still open: Vascular access infections are covered by the WHO central venous catheter guidance (2026). No WHO dialysis access assessment standard yet.

26.8

Still open: Emergency response during dialysis is covered only by PAHO evacuation guidance (non-WHO). No dialysis-specific emergency standard.

26.9

Still open: Infection prevention is covered by WHO catheter and reprocessing guidance, plus an older CDC disinfection guideline (non-WHO).

26.10

No additional material yet.

Still open: No WHO guidance on informing dialysis patients about treatment choices is in the library. Needed: shared decision-making guidance for kidney care.

26.11

No additional material yet.

Still open: No WHO staffing or competence standard for dialysis is in the library.

26.12

No additional material yet.

Still open: No guidance on reviewing dialysis outcomes and incidents is in the library.

Standard 27: Telemedicine

Read Standard 27

6 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 27

27.1

Still open: Non-digital access is covered by the WHO accessible telehealth toolkit and telemedicine guide.

27.2

Still open: Covered by the WHO AI ethics and governance guidance (2021), which the standard cites.

27.3

Still open: Covered by the WHO AI governance guidance; no WHO post-deployment monitoring tool yet.

27.4

Still open: Consultation before AI introduction is referenced in WHO AI governance guidance; no step-by-step consultation procedure yet.

27.5

Still open: Accountability is covered by the WHO AI governance guidance; no WHO clinical accountability template yet.

27.6

No additional material yet.

Still open: No WHO guidance on ongoing education and peer connection for telemedicine providers is in the library.

27.7

Still open: Clinician wellbeing is covered by the WHO occupational health guide. Isolation risk in remote working is not specifically addressed.

27.8

Still open: Digital infrastructure impact is covered only by general WHO digital health recommendations. No WHO assessment method for digital carbon impact.

27.9

Still open: Procurement and energy are covered by WHO climate-resilient facility guidance; no hosting-specific standard.

27.10

Still open: Patient travel reduction is referenced in WHO sustainability guidance only in general terms.

27.11

Still open: Staff engagement in sustainability is covered only by the WHO 2024 overview; no staff engagement standard.

27.12

Still open: Review of sustainability commitments is covered by the WHO climate-resilient facility guidance.

27.13

No additional material yet.

Still open: No WHO guidance on patient identity checks for remote consultations is in the library. Needed: remote identity verification guidance.

27.14
  • GuidelineConsolidated telemedicine implementation guide
    World Health Organization · 2022 · Implementation guide
    WHO 2022. Consolidated telemedicine implementation guide: consent, records, prescribing at a distance and programme design.

Still open: Consent for remote care is covered by the WHO telemedicine guide.

27.15

Still open: Prescribing at a distance is mentioned in WHO telehealth and telemedicine guidance; no dedicated safe-process standard.

27.16
  • GuidelineConsolidated telemedicine implementation guide
    World Health Organization · 2022 · Implementation guide
    WHO 2022. Consolidated telemedicine implementation guide: consent, records, prescribing at a distance and programme design.

Still open: Record completeness for remote consultations is covered by the WHO telemedicine guide.

27.17

Still open: Technical failure is covered by the WHO accessible telehealth toolkit; no dedicated contingency standard.

Standard 28: Long-Term Care

Read Standard 28

27 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 28

28.1

Still open: Functional maintenance planning is covered by the WHO long-term care package and ICOPE.

28.2

Still open: Therapy and nursing coordination is only touched on in the WHO long-term care package. No coordination standard in the library.

28.3

Still open: Goal-setting with residents and families is covered by the WHO long-term care package and ICOPE.

28.4

Still open: Function tracking is covered by ICOPE and WHO falls guidance; NICE falls guidance (non-WHO) adds decline review.

28.5

No additional material yet.

Still open: No WHO equipment and assistive device provision standard for long-term care is in the library.

28.6

Still open: Restraint-free mobility is referenced in the WHO long-term care package and falls guidance; no dedicated restraint standard.

28.7

Still open: Environmental impact is covered by WHO climate-resilient guidance and a COVID-era PAHO item (non-WHO).

28.8

Still open: Waste segregation is covered only by COVID-era PAHO infection prevention and residential guidance (non-WHO).

28.9

Still open: Procurement and environmental impact are covered by WHO climate-resilient facility guidance.

28.10

Still open: Energy and water use are covered by WHO climate-resilient facility guidance.

28.11

Still open: Staff and resident engagement in sustainability is only covered in general terms by the WHO 2024 overview.

28.12

Still open: Climate-related risk is covered by WHO climate-resilient facility guidance.

28.13

Still open: Review of commitments is covered by WHO climate-resilient facility guidance.

28.14

Still open: Digital system evaluation is covered by WHO digital interventions guidance.

28.15

Still open: Non-digital access is covered by the WHO accessible telehealth toolkit and telemedicine guide.

28.16

Still open: Technical support is covered by the WHO accessible telehealth toolkit.

28.17

Still open: Covered by the WHO AI ethics and governance guidance (2021).

28.18

Still open: Covered by the WHO AI governance guidance; no WHO post-deployment monitoring tool yet.

28.19

Still open: Consultation before AI introduction is referenced in WHO AI governance guidance.

28.20

Still open: Accountability is covered by the WHO AI governance guidance.

28.21

Still open: Information to residents and families about AI is only referenced in WHO AI governance guidance; no dedicated patient information standard.

28.22

No additional material yet.

Still open: No WHO workforce credentialing standard for long-term care is in the library.

28.23

Still open: Workforce safety and manual handling are covered by the WHO occupational health guide.

28.24

No additional material yet.

Still open: No guidance on staff protection from resident or family aggression is in the library.

28.25

Still open: End-of-life and palliative care planning is covered by WHO palliative care and long-term care guidance.

28.26

Still open: Advance care planning is covered by WHO palliative care and long-term care guidance.

28.27

Still open: Dignity and learning after death are covered by WHO palliative care and long-term care guidance.

Standard 29: Home Care

Read Standard 29

8 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 29

29.1

No additional material yet.

Still open: No WHO guidance on client control of the home is in the library. Needed: home care client rights standard.

29.2

Still open: Information for clients is covered by the WHO patient engagement series. No written home care rights statement guidance.

29.3

No additional material yet.

Still open: No WHO guidance on caregiver replacement is in the library.

29.4

No additional material yet.

Still open: No WHO guidance on alternate contacts for home care clients is in the library.

29.5
29.6

No additional material yet.

Still open: No WHO background screening or abuse registry standard for home care workers is in the library. Needed: home care workforce screening guidance.

29.7

No additional material yet.

Still open: No WHO background screening or abuse registry standard for home care workers is in the library. Needed: home care workforce screening guidance.

29.8

No additional material yet.

Still open: No WHO background screening or abuse registry standard for home care workers is in the library. Needed: home care workforce screening guidance.

29.9

No additional material yet.

Still open: No WHO background screening or abuse registry standard for home care workers is in the library. Needed: home care workforce screening guidance.

29.10

No additional material yet.

Still open: No WHO background screening or abuse registry standard for home care workers is in the library. Needed: home care workforce screening guidance.

29.11

Still open: Home safety assessment is covered by WHO home environment guidance (mpox home care and falls). No dedicated home care assessment tool.

29.12

Still open: Hazard remediation is covered by WHO falls and home environment guidance; no tracked remediation standard.

29.13

Still open: Fall reassessment is covered by WHO falls guidance and NICE falls guidance (non-WHO).

29.14

Still open: Periodic home reassessment is covered only by WHO falls guidance.

29.15

No additional material yet.

Still open: No WHO guidance on emergency access to homes is in the library.

29.16
  • GuidelineMedication safety in transitions of care
    World Health Organization · 2020 · Patient safety guidance
    WHO 2020. Medication safety in transitions of care: medication lists, reconciliation and review after a change.

Still open: Medication reminders and administration are covered by WHO medication safety in transitions of care.

29.17
  • GuidelineMedication safety in transitions of care
    World Health Organization · 2020 · Patient safety guidance
    WHO 2020. Medication safety in transitions of care: medication lists, reconciliation and review after a change.

Still open: A single current medication list is covered by WHO medication safety in transitions of care.

29.18
  • GuidelineMedication safety in transitions of care
    World Health Organization · 2020 · Patient safety guidance
    WHO 2020. Medication safety in transitions of care: medication lists, reconciliation and review after a change.

Still open: Structured medication review after a transition is covered by WHO medication safety in transitions of care.

29.19

No additional material yet.

Still open: No WHO guidance on separating household members' medicines is in the library.

29.20
  • GuidelineMedication safety in transitions of care
    World Health Organization · 2020 · Patient safety guidance
    WHO 2020. Medication safety in transitions of care: medication lists, reconciliation and review after a change.

Still open: Missed doses are only touched on in WHO medication transitions guidance; no follow-up standard.

29.21

Still open: Pre-visit home risk assessment is covered only by WHO home care guidance for mpox; no general standard.

29.22

Still open: Workplace violence prevention is covered by the WHO occupational health guide; not adapted to the home setting.

29.23

Still open: Distress signalling for staff is covered only in general terms by the WHO occupational health guide.

29.24

No additional material yet.

Still open: No WHO guidance on hostile animals or environmental hazards in home care is in the library.

29.25

Still open: Near-miss reporting is covered by the WHO patient safety action plan; no home care specific guidance.

29.26

No additional material yet.

Still open: No WHO guidance on supervisory home visits or observed care is in the library. Needed: home care supervision standard.

29.27

No additional material yet.

Still open: No WHO guidance on supervisory home visits or observed care is in the library. Needed: home care supervision standard.

29.28

No additional material yet.

Still open: No WHO guidance on supervisory home visits or observed care is in the library. Needed: home care supervision standard.

29.29

Still open: Care review on change of needs is covered by ICOPE pathways.

29.30

No additional material yet.

Still open: No WHO guidance on retraining after deficiency in home care is in the library.

29.31

No additional material yet.

Still open: No WHO guidance on coverage plans for solo caregivers is in the library.

29.32

No additional material yet.

Still open: No WHO guidance on caregiver continuity tracking is in the library.

29.33

No additional material yet.

Still open: No WHO guidance on new caregiver retention is in the library.

29.34

Still open: Caregiver isolation is covered only in general terms by the WHO occupational health guide.

29.35

Still open: Incident reporting is covered by WHO patient safety guidance; detection delay in unsupervised settings is not covered.

29.36

Still open: Migration-adapted care is covered only by a PAHO regional proposal (non-WHO).

29.37

No additional material yet.

Still open: No WHO guidance on this criterion is in the library. Needed: home care guidance on language, culture, legal status or bias for migrant caregivers and clients.

29.38

No additional material yet.

Still open: No WHO guidance on this criterion is in the library. Needed: home care guidance on language, culture, legal status or bias for migrant caregivers and clients.

29.39
29.40

No additional material yet.

Still open: No WHO guidance on this criterion is in the library. Needed: home care guidance on language, culture, legal status or bias for migrant caregivers and clients.

29.41

No additional material yet.

Still open: No WHO guidance on this criterion is in the library. Needed: home care guidance on language, culture, legal status or bias for migrant caregivers and clients.

29.42
29.43

No additional material yet.

Still open: No WHO guidance on this criterion is in the library. Needed: home care guidance on language, culture, legal status or bias for migrant caregivers and clients.

29.44

No additional material yet.

Still open: No WHO guidance on this criterion is in the library. Needed: home care guidance on language, culture, legal status or bias for migrant caregivers and clients.

29.45

Still open: Continuity across relocation is covered by the PAHO coverage proposal (non-WHO).

Standard 30: Fitness and Wellness

Read Standard 30

4 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 30

30.1

Still open: Health-tracking data protection is covered only by WHO AI ethics principles. No WHO wearable or biometric data standard is in the library.

30.2

No additional material yet.

Still open: No WHO medical clearance standard before post-injury programmes is in the library.

30.3

No additional material yet.

Still open: No WHO staff qualification standard for post-injury exercise programmes is in the library.

30.4

Still open: Individualised programmes are covered by WHO physical activity guidance and ICOPE functional assessment.

30.5

Still open: Pain and warning sign recognition is covered by WHO back pain guidance; no stop protocol standard.

30.6

No additional material yet.

Still open: No WHO guidance on communication with referring clinicians for exercise programmes is in the library.

30.7

No additional material yet.

Still open: No WHO pre-participation screening guidance for exercise is in the library. Needed: exercise pre-participation screening standard.

30.8

Still open: Supervised exercise is covered only in general terms by WHO physical activity guidance; no staff supervision standard.

30.9

No additional material yet.

Still open: No WHO equipment safety standard for exercise facilities is in the library.

30.10

No additional material yet.

Still open: No WHO guidance on cardiac emergency planning for exercise facilities is in the library.

30.11

Still open: Informed participation is covered by WHO patient engagement and AI ethics guidance; no exercise-specific consent standard.

Standard 31: Dental Care

Read Standard 31

10 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 31

31.1

Still open: Sterilisation of dental instruments is covered by the CDC 2008 guideline (US, non-WHO). No WHO dental-specific instrument reprocessing guidance is in the library.

31.2

Still open: Monitoring of sterilisation is covered in general terms by the CDC 2008 guideline (US, non-WHO). No dental-specific monitoring standard is in the library.

31.3

No additional material yet.

Still open: No WHO or other library source on one-way instrument flow in dental clinics.

31.4

No additional material yet.

Still open: No WHO or other library source on single-use item reuse in dental clinics.

31.5

No additional material yet.

Still open: No library source on dental unit waterline management.

31.6

No additional material yet.

Still open: No library source on between-patient chair turnover documentation.

31.7

No additional material yet.

Still open: No WHO source on aerosol and splatter control in dental clinics is in the library.

31.8

Still open: Dental radiography justification and dose optimisation is covered in general terms by the IAEA 2018 guide (non-WHO). No WHO dental radiography guidance is in the library.

31.9

Still open: The radiation protection programme is covered in general terms by the IAEA BSS 2014 (non-WHO). No dental-specific programme guidance is in the library.

31.10

Still open: Amalgam waste and mercury release are covered by the WHO 2025 oral health guideline. The library holds no separate WHO waste-handling standard for dental amalgam.

31.11

Still open: Sharps and clinical waste segregation are covered in general terms by the PAHO 2020 recommendations (non-WHO). No dental-specific waste guidance is in the library.

31.12

Still open: Emergency medicines are covered in general terms by the WHO anaphylaxis guidance and the WHO essential medicines list. No WHO dental emergency equipment checklist is in the library.

31.13

Still open: Anaphylaxis emergency treatment is covered by the RCUK 2021 guideline (non-WHO). No WHO dental medical emergency training standard is in the library.

31.14

No additional material yet.

Still open: No library source on local anaesthetic dose calculation for dental care.

31.15

No additional material yet.

Still open: No library source on dental sedation competence or monitoring.

31.16

No additional material yet.

Still open: No library source on minor oral surgery assessment and follow-up.

31.17

No additional material yet.

Still open: No library source on dental charting standards.

31.18

No additional material yet.

Still open: Consent before each dental procedure is not covered by a library source. The WHO patient engagement series is general and is not cited here for consent.

31.19

No additional material yet.

Still open: No library source on fee transparency in dental care.

31.20

No additional material yet.

Still open: No library source on dental implant traceability.

31.21

No additional material yet.

Still open: No library source on dental laboratory work or disinfection.

31.22
31.23

No additional material yet.

Still open: No library source on dental care for children or people with special needs.

31.24

No additional material yet.

Still open: No library source on referral documentation in dental care.

31.25

Still open: Oral health education is covered by the WHO 2025 oral health guideline. Recording of education is covered only by general patient-engagement principles (WHO 2016). No dedicated dental education record standard is in the library.

Standard 32: Aesthetic and Cosmetic Procedures (non-surgical only)

Read Standard 32

9 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 32

32.1

Still open: No WHO guidance on aesthetic or cosmetic procedures is in the library. All sources here are professional, regulatory or standards-body documents (non-WHO). Competence for each procedure is covered by the JCCP framework and EN 16844.

32.2

Still open: No WHO guidance on aesthetic or cosmetic procedures is in the library. All sources here are professional, regulatory or standards-body documents (non-WHO). The consent requirements are in the JCCP code, the GMC guidance and EN 16844. Time to reconsider is not stated explicitly in these sources.

32.3

Still open: No WHO guidance on aesthetic or cosmetic procedures is in the library. All sources here are professional, regulatory or standards-body documents (non-WHO). Contraindication and pre-treatment assessment are covered by the JCCP framework, the Medical Board of Australia guidelines and EN 16844.

32.4

Still open: Sedation and anaesthesia safety is covered by the ASDSA statement and the CPSO OHPIP standards (both non-WHO) and by general WHO anaesthesia guidance. No WHO guidance on sedation for cosmetic procedures is in the library.

32.5

Still open: No WHO guidance on aesthetic or cosmetic procedures is in the library. All sources here are professional, regulatory or standards-body documents (non-WHO). Advertising accuracy is covered by the Medical Board of Australia advertising guidelines and the JCCP code.

32.6

Still open: No WHO guidance on aesthetic or cosmetic procedures is in the library. All sources here are professional, regulatory or standards-body documents (non-WHO). Complications are covered by the CMAC filler guideline; follow-up is covered in general terms by the GMC guidance and EN 16844. No WHO complications standard is in the library.

Standard 33: Laboratory

Read Standard 33

56 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 33

33.1

No additional material yet.

Still open: No library source on calibration traceability for laboratory equipment.

33.2

No additional material yet.

Still open: No library source on reagent lot verification. The PAHO COVID-era procurement criteria (63816) cover test validation but not lot verification, so are not cited.

33.3

Still open: Method validation before clinical use is covered only for tuberculosis tests (WHO 2026, WHO 2025). No general WHO laboratory method validation standard is in the library.

33.4

No additional material yet.

Still open: No library source on internal quality control before release of results.

33.5

No additional material yet.

Still open: No library source on external quality assessment (proficiency testing) participation.

33.6

Still open: Test indications and limitations are covered for tuberculosis (WHO 2025) and for COVID-19 (PAHO 2020, COVID-era, non-WHO). Patient preparation is not covered by a library source.

33.7

No additional material yet.

Still open: No library source on specimen acceptance or rejection criteria.

33.8

No additional material yet.

Still open: No library source on specimen transport.

33.9

No additional material yet.

Still open: No library source on STAT or turnaround prioritisation.

33.10

No additional material yet.

Still open: No library source on chain of custody for forensic or legal specimens.

33.11

No additional material yet.

Still open: No library source on critical value communication.

33.12

No additional material yet.

Still open: No library source on authorisation of results before release.

33.13

No additional material yet.

Still open: No library source on minimum report content or recipient verification.

33.14

No additional material yet.

Still open: No library source on amendment traceability for laboratory results.

33.15

Still open: Supplier and reagent qualification is covered in general terms by the PAHO COVID-era procurement criteria (non-WHO). No general WHO standard on laboratory supplier qualification is in the library.

Standard 34: Rehabilitation

Read Standard 34

12 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 34

34.1

Still open: An individualised rehabilitation plan is covered by the WHO rehabilitation package for Georgia and the WHO long-term care package. No general WHO standard on plan individualisation is in the library.

34.2

Still open: Team coordination is covered by the WHO rehabilitation package for Georgia and the WHO long-term care package. No separate multidisciplinary coordination standard is in the library.

34.3

Still open: Goal-setting with patients and families is covered in general terms by the WHO children's care brief (child-specific) and the WHO low back pain guideline (condition-specific). No general WHO goal-setting standard is in the library.

34.4

Still open: Validated outcome tools are covered in general terms by the WHO rehabilitation package for Georgia and the WHO Healthy Ageing indicators (population-level, not rehabilitation-specific). No WHO standard on validated rehabilitation outcome measures is in the library.

34.5

Still open: Assistive devices are covered by the WHO long-term care package and, for hearing only, by the WHO primary ear and hearing care manual. No WHO general assistive technology standard is in the library.

34.6

Still open: Discharge and community planning are covered in general terms by the WHO long-term care package and the WHO rehabilitation package for Georgia. No separate reintegration standard is in the library.

34.7

No additional material yet.

Still open: No library source on the initial clinical assessment before rehabilitation treatment is separately verified. The functional assessment in 34.1 covers the rehabilitation plan only.

34.8

Still open: Aftercare is covered by the WHO meningitis guideline (condition-specific) and the WHO long-term care package. No general WHO aftercare standard for rehabilitation is in the library.

34.9

Still open: Home advice is covered by the WHO low back pain guideline (condition-specific: exercise and self-management) and the WHO long-term care package. No general WHO home-advice standard is in the library.

Standard 35: Critical Care

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23 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 35

35.1

No additional material yet.

Still open: No library source on continuous monitoring appropriate to acuity. A COVID-era PAHO ICU guideline mentions monitoring but is not a monitoring standard, so not cited.

35.2

No additional material yet.

Still open: No library source on nurse-to-patient ratios in critical care.

35.3

Still open: Deterioration recognition and escalation are covered for sepsis only (NICE 2026). No general WHO rapid response standard is in the library.

35.4

Still open: Delirium is covered by the MSF guideline (non-WHO, delirium-specific). ICU sedation is covered by a PAHO COVID-era medicines list (non-WHO, COVID-era). No WHO sedation protocol is in the library.

35.5

No additional material yet.

Still open: No library source on family presence or communication policy in critical care. The WHO palliative care guidance is not cited here as it does not address ICU family presence.

35.6

Still open: End-of-life care is covered by WHO palliative care guidance (2021, 2019). Withdrawal of life support is not covered by a library source.

35.7

Still open: Early recognition of deterioration is covered for sepsis only (NICE 2026). No general WHO early recognition standard is in the library.

35.8

Still open: Dignity for dying patients is covered in general terms by WHO palliative care guidance. No intensive care-specific dignity standard is in the library.

Standard 36: Hospital Emergency Department

Read Standard 36

13 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 36

36.1

Still open: Triage is covered for children only (WHO ETAT 2021, WHO paediatric triage 2020). No WHO adult triage standard is in the library.

36.2

No additional material yet.

Still open: No library source on resuscitation area readiness in an emergency department.

36.3

Still open: Senior clinician responsibility is covered by NICE NG94 (UK, non-WHO, adult-focused). No WHO standard on senior responsibility is in the library.

36.4

Still open: Admission, transfer, discharge and handover are covered by NICE NG94 (non-WHO) and, for medication transitions only, by WHO 2020. No WHO standard on recording these decisions is in the library.

36.5

No additional material yet.

Still open: No library source on patients who leave before assessment.

Standard 37: Neonatal and Paediatric Hospital Care

Read Standard 37

24 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 37

37.1

No additional material yet.

Still open: No library source on weight- and age-based paediatric dosing in hospital.

37.2

Still open: Newborn care matched to a level of care is covered by WHO newborn standards (2020) and the PAHO at-risk neonate guideline (non-WHO, 2021). No WHO level-of-care definition is in the library.

37.3

Still open: Family information and presence are covered by WHO KMC counselling (2025), WHO children's standards (2019) and WHO newborn standards (2020). Family presence policy in hospital is not covered by a library source.

37.4

Still open: Protection from harm is covered in general terms by the WHO children's standards (2019) and WHO newborn standards (2020). No WHO child safeguarding standard is in the library.

37.5

Still open: Transfer of newborns is covered only as referral pathways in the WHO newborn standards (2020) and the PAHO follow-up guideline (non-WHO, 2021). No WHO transport standard is in the library.

Standard 38: Substance Use and Addiction Treatment

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15 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 38

38.1

Still open: Validated substance use assessment is covered by the WHO mhGAP guidance (2023, 2025). No separate WHO substance use screening standard is in the library.

38.2

Still open: Individual treatment and prescribing by licensed clinicians are covered for opioid dependence by WHO guidance (2019, 2025). No WHO standard covers other substances.

38.3

Still open: Harm reduction is covered for opioids (WHO 2025), in prisons (WHO 2023) and for people who inject drugs in hepatitis services (WHO 2026). No general WHO harm reduction standard for all substances is in the library.

38.4

Still open: Confidentiality is covered only for adolescents (WHO 2025). No general WHO confidentiality standard for substance use treatment is in the library.

38.5

Still open: Community links at discharge are covered in general terms by WHO opioid treatment guidance (2025) and the WHO mhGAP intervention guide (2025). No separate discharge standard is in the library.

Standard 39: Humanitarian and Emergency Operations

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61 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 39

39.1

Still open: Needs and risk assessment before services start are covered in general terms by WHO emergency-ready primary care guidance (2026) and PAHO resilient hospitals guidance (2024, non-WHO). No WHO needs assessment standard for humanitarian deployments is in the library.

39.2

Still open: Defined exit or handover is covered only in general terms by the ICRC war surgery manual (2010, non-WHO). No WHO standard on exit planning is in the library.

39.3

Still open: Protection and gender-responsive emergency response are covered by PAHO guidance (2020, non-WHO). No WHO do-no-harm standard for humanitarian activities is in the library.

39.4

Still open: Mass-casualty planning and testing are covered by WHO hospital emergency response guidance (2020), WHO emergency surgery guidance (2020), and PAHO hospital evacuation and resilience guidance (2025, 2024; non-WHO).

39.5

Still open: Staff wellbeing is covered by WHO occupational health guidance (2022) and, for security, by PAHO hospital resilience guidance (2024, non-WHO). No separate staff security standard is in the library.

Standard 40: Nutrition and Dietetics

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24 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 40

40.1

No additional material yet.

Still open: No library source on the qualifications required for nutrition care.

40.2

Still open: Individual nutrition plans are covered in general terms by the WHO long-term care package for older people. No WHO standard for individual hospital nutrition plans is in the library.

40.3

Still open: Malnutrition screening and monitoring are covered by WHO guidance for older people (2024), for critically ill children (2020) and for small and sick newborns (2020). No general WHO malnutrition treatment standard is in the library.

40.4

No additional material yet.

Still open: No library source on diet texture matched to swallowing assessment. A COVID-era PAHO rehabilitation note mentions swallowing but is not a dietary standard, so it is not cited.

40.5

No additional material yet.

Still open: No library source on hygiene of hospital food service. The WHO salt reduction and PAHO traditional food market guidance are population or market measures, not food service standards, so they are not cited.

Standard 41: Complementary and Traditional Medicine

Read Standard 41

6 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 41

41.1
41.2

Still open: Patients being told what is and is not evidence-based is covered only for COVID-19 products (PAHO 2020, non-WHO). No WHO traditional medicine evidence standard is in the library.

41.3

No additional material yet.

Still open: No library source on conventional care not being replaced. The PAHO COVID-era medicines guidance does not address this directly, so it is not cited.

41.4

Still open: Product safety and misleading claims are covered only for specific COVID-era products (PAHO 2020, non-WHO). No WHO product labelling standard for complementary medicines is in the library.

41.5

Still open: Adverse event recording and review are covered by PAHO COVID-era product surveillance (non-WHO) and by the WHO patient safety action plan (general, 2021). No complementary medicine adverse event standard is in the library.

Standard 42: Aftercare, Follow-Up and Post-Discharge Safety

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6 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 42

42.1

Still open: Discharge plans are covered by WHO medication transitions guidance (2020, medicines only), NICE NG94 (non-WHO, adult emergency care) and the PAHO neonatal follow-up guideline (non-WHO, newborns). No general WHO discharge plan standard is in the library.

42.2

Still open: Booked follow-up before discharge is covered by the PAHO neonatal follow-up guideline (non-WHO, newborns) and the WHO hearing care manual (hearing only). No general WHO standard is in the library.

42.3

No additional material yet.

Still open: No library source on contacting high-risk patients after discharge. The NICE sepsis and head injury guidance mention high-risk groups but do not set a contact standard, so they are not cited here.

42.4

Still open: Safety-netting advice on when and how to seek urgent help is covered for head injury and sepsis only (NICE, non-WHO). No general WHO safety-netting standard is in the library.

42.5

No additional material yet.

Still open: No library source on reviewing readmissions or aftercare problems.

42.6

No additional material yet.

Still open: No library source on complaints after discharge. The WMA patient rights declaration and NICE patient experience guidance were checked and do not cover complaint handling after discharge.

Standard 43: Organ and Tissue Transplant

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3 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 43

43.1

Still open: Donor consent through an independent process is covered by the WHO 2025 principles. No separate consent standard is in the library.

43.2

Still open: Allocation transparency is covered by the WHO 2025 principles and by the Declaration of Istanbul (non-WHO, 2018). No WHO allocation protocol template is in the library.

43.3

Still open: Prohibition of financial incentives is covered by the WHO 2025 principles and by the Declaration of Istanbul (non-WHO, 2018).

43.4

Still open: Recipient evaluation and consent are covered by the WHO 2025 principles. No separate recipient evaluation standard is in the library.

43.5

Still open: Traceability is covered by the WHO 2025 principles. No separate tracking system standard is in the library.

43.6

Still open: Post-transplant follow-up is covered in general terms by the WHO 2025 principles. No WHO outcome tracking standard is in the library.

Standard 44: Access, Findability and Wayfinding

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3 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 44

44.1

No additional material yet.

Still open: No library source on patients finding a service before arrival. The library holds no WHO facility information or wayfinding standard.

44.2
44.3

Still open: Accessible information for people with disability and limited literacy is covered for telehealth only (WHO 2024). No WHO standard on physical signage is in the library.

44.4

No additional material yet.

Still open: No library source on marked and tested routes within facilities.

44.5

No additional material yet.

Still open: No library source on keeping access information current.

Standard 45: Reception, Waiting and Health Information

Read Standard 45

3 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 45

45.1

No additional material yet.

Still open: No library source on measuring and sharing waiting times.

45.2

Still open: Urgent patients not being left unseen is covered only for children by triage guidance (WHO 2021). No WHO adult triage or reception standard is in the library.

45.3

Still open: Keeping waiting patients informed is covered in general terms by NICE CG138 (UK, non-WHO, adult NHS). No WHO waiting-room standard is in the library.

45.4

Still open: Plain-language health information is covered in general terms by NICE CG138 (non-WHO) and the WHO patient engagement series (2020). No WHO plain-language standard for health information is in the library.

45.5

Still open: Patients asking questions and receiving answers is covered by the WMA patient rights declaration (non-WHO, 2015) and the WHO patient engagement series (2020).

Standard 46: Hospital Disaster and Emergency Preparedness

Read Standard 46

17 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 46

46.1

Still open: A written hospital disaster plan is covered by WHO and PAHO guidance (2020, 2025, 2024; the PAHO items are non-WHO). No WHO template plan for ownership is in the library.

46.2

Still open: Hazard assessment including climate and utilities is covered by PAHO STAR-H (2023, non-WHO) and WHO climate-resilient facilities guidance (2024, 2020), with PAHO resilient hospitals (2024, non-WHO).

46.3

Still open: Essential services during utility failure are covered by WHO climate-resilient facilities guidance (2020), the WHO emergency response checklist (2020) and PAHO evacuation guidance (2025, non-WHO).

46.4

Still open: Staff training and drills are covered by PAHO evacuation guidance (2025, non-WHO), the WHO checklist (2020), and general WHO simulation guidance (mass gatherings 2025, national programme 2026). No hospital-specific WHO drill standard is in the library.

46.5

Still open: Review after activation is covered by PAHO resilient hospitals (2024, non-WHO), PAHO evacuation guidance (2025, non-WHO) and WHO simulation after-action guidance (2025).

Standard 47: Sepsis, Clinical Deterioration and Venous Thromboembolism

Read Standard 47

12 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 47

47.1

Still open: A recognised deterioration score is covered by NICE sepsis guidance (2026) and NICE deterioration guidance (2007, older). No WHO scoring standard is in the library.

47.2

Still open: Sepsis recognition and treatment within one hour are covered by NICE (2026, adults and under 16s) and the Surviving Sepsis Campaign (2021, non-WHO). No WHO time standard is in the library.

47.3

Still open: VTE risk assessment on admission is covered by NICE NG89 (2019, non-WHO). No WHO VTE risk standard is in the library.

47.4

Still open: Anticoagulant monitoring is covered for head injury (NICE 2023) and for hospital VTE prophylaxis (NICE 2019). Planned reversal is covered only for head injury, so no general reversal standard is cited.

47.5

Still open: Review of deterioration and sepsis events is covered by NICE deterioration guidance (2007) and NICE sepsis guidance (2026). No WHO review standard is in the library.

Standard 48: Falls, Pressure Injury and Safe Handover

Read Standard 48

5 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 48

48.1

Still open: Falls risk assessment and action are covered by NICE (2025, non-WHO) and WHO falls guidance (2021). Both are general, not inpatient-specific.

48.2
  • GuidelinePressure ulcers: prevention and management
    National Institute for Health and Care Excellence (UK) · 2014 · Guideline
    NICE 2014 (UK, non-WHO, older). Pressure ulcer risk assessment, prevention, dressings and documentation.

Still open: Pressure injury prevention in at-risk patients is covered by NICE pressure ulcer guidance (2014, non-WHO, older). No WHO pressure injury standard is in the library.

48.3
  • GuidelinePressure ulcers: prevention and management
    National Institute for Health and Care Excellence (UK) · 2014 · Guideline
    NICE 2014 (UK, non-WHO, older). Pressure ulcer risk assessment, prevention, dressings and documentation.

Still open: Staging, treatment and recording of pressure injuries are covered in general terms by NICE pressure ulcer guidance (2014, non-WHO). No WHO staging standard is in the library.

48.4

Still open: Structured handover is covered by NICE NG94 (non-WHO, adult emergency care) and by WHO medication transitions guidance (2020, medicines only). No general WHO structured handover standard is in the library.

48.5

No additional material yet.

Still open: No library source on reviewing falls, pressure injury or handover events after they occur. The falls and handover guidance refer to reviewing care plans, not to event review.

Standard 49: Advance Care Planning, Palliative Needs and Dignity

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9 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 49

49.1

Still open: Asking about wishes for future care is mentioned in WHO palliative and long-term care guidance (advance care planning), but not as a dedicated standard.

49.2

No additional material yet.

Still open: No library source on recognising or following advance directives. The WMA patient rights declaration does not name them, so it is not cited for this criterion.

49.3

Still open: Palliative needs are covered by WHO palliative care guidance (2021, 2019): needs assessment and symptom relief.

49.4

Still open: Dignity is covered in general terms by the WMA patient rights declaration (non-WHO, 2015), WHO long-term care guidance (2024) and WHO palliative care guidance (2021).

49.5

Still open: Staff training is covered by WHO palliative care guidance (2021, 2019). It is not specific to dignity or communication training.

Standard 50: Diagnostic Imaging

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12 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 50

50.1

Still open: Dose optimisation and justification are covered by WHO imaging guidance (2020) and IAEA safety standards (2018, 2014, non-WHO).

50.2

Still open: Equipment calibration and quality assurance are covered by IAEA safety standards (non-WHO) and WHO radiotherapy equipment guidance (2021, 2023). No WHO diagnostic imaging QA standard is in the library.

50.3

No additional material yet.

Still open: No library source on timely reporting or critical finding escalation for imaging.

50.4

No additional material yet.

Still open: No library source on contrast media safety.

50.5
50.6

No additional material yet.

Still open: No library source on image and report retention for comparison.

50.7

Standard 51: Oncology and Cancer Care

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17 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 51

51.1
51.2

No additional material yet.

Still open: No library source on independent two-person chemotherapy dose checks.

51.3

No additional material yet.

Still open: No library source on neutropenic fever. The sepsis guidance is general and does not cover neutropenia, so it is not cited here.

51.4

No additional material yet.

Still open: No library source on extravasation management.

51.5

No additional material yet.

Still open: No library source on multidisciplinary tumour boards. The WHO cancer control guidance in the library does not describe them.

51.6

Still open: Palliative care alongside active treatment is covered by WHO palliative care guidance (2021, 2019) and WHO cancer pain guidance (2019).

51.7

No additional material yet.

Still open: No library source on high-alert medicine safeguards in oncology.

51.8

No additional material yet.

Still open: No library source on triage by urgency in oncology services.

51.9

Still open: Sepsis recognition and treatment are covered by NICE (2026) and the Surviving Sepsis Campaign (2021, non-WHO). Both are general, not cancer-specific.

51.10

Still open: Pain and symptom assessment and control are covered by the WHO cancer pain guideline (2019).

51.11

Still open: Patient goals and wishes are covered only as advance care planning mentioned in WHO palliative care guidance (2021). No dedicated standard is in the library.

Standard 52: Psychiatry and Mental Health

Read Standard 52

13 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 52

52.1

Still open: Suicide risk screening and observation are covered by WHO guidance for prisons (2024) and mhGAP (2023, 2025). No WHO standard for general psychiatric observation is in the library.

52.2
  • GuidelinePreventing suicide in jails and prisons
    World Health Organization · 2024 · Guidance
    WHO 2024. Suicide prevention in jails and prisons: risk screening, observation, ligature risk and staff training. Custodial settings, not general psychiatric wards.

Still open: Ligature risk is covered only in WHO guidance for prisons (2024). No WHO environmental ligature standard for psychiatric units is in the library.

52.3

No additional material yet.

Still open: No library source on restraint or seclusion. The PAHO COVID-era psychiatric hospital guidance was checked and does not cover them.

52.4

Still open: Psychiatric medicine monitoring is mentioned only in general terms in the WHO mhGAP guideline (2023). No defined interaction protocol is in the library.

52.5

No additional material yet.

Still open: No library source on de-escalation training or drills. Suicide prevention training in the WHO prisons guidance is not de-escalation training.

52.6

Still open: Follow-up care is covered in general terms by the WHO mhGAP intervention guide (2025). No WHO discharge safety planning standard is in the library.

Standard 53: Allergology

Read Standard 53

8 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 53

53.1

No additional material yet.

Still open: No library source on allergy history taking or recording.

53.2

Still open: Anaphylaxis recognition and immediate treatment are covered by WHO guidance (2021, primary care, vaccine context) and RCUK guidance (2021, non-WHO). No general WHO allergy standard is in the library.

53.3

No additional material yet.

Still open: No library source on allergen testing quality control or interpretation.

53.4

No additional material yet.

Still open: No library source on allergen immunotherapy protocols.

53.5

No additional material yet.

Still open: No library source on communicating allergy results.

Standard 54: Dermatology and Skin Clinics

Read Standard 54

23 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 54

54.1

Still open: Lesion examination and referral are covered by the WHO skin NTD guidance (2026) and the JCCP cosmetic competency framework (2018, non-WHO). No WHO dermatology referral standard is in the library.

54.2

Still open: Sterile technique is covered by WHO surgical site infection guidance (2023), WHO device reprocessing guidance (2020) and JCCP cosmetic competency framework (2018, non-WHO). None is dermatology-specific.

54.3

Still open: Laser and light device safety is covered only for cosmetic practice in the JCCP competency framework (2018, non-WHO). No WHO standard on laser devices is in the library.

54.4

No additional material yet.

Still open: No library source on monitoring of systemic dermatology drugs.

54.5

Still open: Written aftercare and booked follow-up are covered for non-surgical aesthetic treatments only (EN 16844, 2019, non-WHO). No WHO dermatology aftercare standard is in the library.

Standard 55: Cosmetic and Plastic Surgery

Read Standard 55

21 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 55

55.1
  • GuidelineProfessional Standards for Cosmetic Surgery
    Royal College of Surgeons of England · 2016 · Professional standards
    RCS 2016 (non-WHO). Professional standards for cosmetic surgery: realistic expectations, consent, anaesthesia, recovery and follow-up.
  • GuidelineEN 16372:2014 Aesthetic surgery services
    European Committee for Standardization · 2014 · Standard
    CEN EN 16372 2014 (European standard, non-WHO). Aesthetic surgery services: assessment, qualifications, consent and anaesthesia.

Still open: Suitability and realistic expectations are covered by the RCS standards (2016, non-WHO) and CEN EN 16372 (2014, non-WHO). No WHO standard on surgical suitability is in the library.

55.2
  • GuidelineProfessional Standards for Cosmetic Surgery
    Royal College of Surgeons of England · 2016 · Professional standards
    RCS 2016 (non-WHO). Professional standards for cosmetic surgery: realistic expectations, consent, anaesthesia, recovery and follow-up.
  • GuidelineEN 16372:2014 Aesthetic surgery services
    European Committee for Standardization · 2014 · Standard
    CEN EN 16372 2014 (European standard, non-WHO). Aesthetic surgery services: assessment, qualifications, consent and anaesthesia.

Still open: Informed and realistic consent is covered by the RCS standards (2016) and CEN EN 16372 (2014), both non-WHO.

55.3
  • GuidelineOut-of-Hospital Premises Inspection Program (OHPIP) Standards
    College of Physicians and Surgeons of Ontario (Canada) · 2023 · Standards
    CPSO OHPIP 2023 (Canadian regulator, non-WHO). Premises standards for sedation and anaesthesia: credentialing and privileges.
  • GuidelineASDSA Position Statement on Office-Based Surgery
    American Society for Dermatologic Surgery Association · 2023 · Position statement
    ASDSA 2023 (US, non-WHO). Office-based surgery: sedation, anaesthesia and infection control.
  • GuidelineProfessional Standards for Cosmetic Surgery
    Royal College of Surgeons of England · 2016 · Professional standards
    RCS 2016 (non-WHO). Professional standards for cosmetic surgery: realistic expectations, consent, anaesthesia, recovery and follow-up.

Still open: Credentialed sedation and anaesthesia are covered by CPSO OHPIP standards (2023), the ASDSA statement (2023) and RCS standards (2016), all non-WHO. No WHO anaesthesia credentialing standard for cosmetic surgery is in the library.

55.4

Still open: The infection bundle is covered by WHO surgical site infection guidance (2023, 2020). The WHO Surgical Safety Checklist is not in the library, so the checklist element is not covered.

55.5
  • GuidelineProfessional Standards for Cosmetic Surgery
    Royal College of Surgeons of England · 2016 · Professional standards
    RCS 2016 (non-WHO). Professional standards for cosmetic surgery: realistic expectations, consent, anaesthesia, recovery and follow-up.

Still open: Recovery and follow-up are covered by the RCS standards (2016, non-WHO). No WHO discharge planning standard for surgery is in the library.

Standard 56: Cardiology, Outpatient and Cardiac Procedures

Read Standard 56

11 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 56

56.1

No additional material yet.

Still open: No library source on cardiac risk assessment before investigation or procedure. The NICE VTE guidance is not cardiac and is not cited here.

56.2

No additional material yet.

Still open: No library source on a safety standard for cardiac procedures.

56.3
56.4

Still open: Antithrombotic therapy management is covered for hospital VTE prophylaxis (NICE 2019) and anticoagulation after head injury (NICE 2023), both non-WHO. No cardiac antithrombotic plan standard is in the library.

56.5

Still open: Follow-up and risk reduction are covered for hypertension and cardiovascular risk in primary care (PAHO HEARTS, 2022, non-WHO). No WHO cardiac rehabilitation or post-procedure plan standard is in the library.

Standard 57: Radiotherapy

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11 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 57

57.1

Still open: Plan justification and independent checks are covered by the IAEA safety guide (2018, non-WHO) and WHO radiotherapy equipment specifications (2021).

57.2

No additional material yet.

Still open: No library source on patient identity and treatment site verification before each fraction.

57.3

Still open: Quality assurance of treatment equipment is covered by WHO radiotherapy guidance (2021, 2023) and the IAEA safety guide (2018, non-WHO).

57.4

Still open: Shielding, controlled areas and dosimetry are covered by the IAEA safety guide (2018, non-WHO) and WHO radiotherapy equipment specifications (2021).

57.5

No additional material yet.

Still open: No library source on written information about radiotherapy side effects and follow-up. The WHO cancer pain guidance was checked and does not cover this.

Standard 58: Inpatient Ward Care

Read Standard 58

12 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 58

58.1

Still open: Admission assessment and daily review are covered by NICE NG94 (non-WHO, adult emergency care) and NICE 2007 (non-WHO, older, ward-focused). No WHO ward round standard is in the library.

58.2

Still open: Medication reconciliation is covered by WHO transitions of care guidance (2020, medicines only). No WHO ward medicine administration standard is in the library.

58.3

Still open: Deterioration recognition and escalation are covered by NICE (2007, older) and NICE sepsis guidance (2026), both non-WHO. No WHO ward standard is in the library.

58.4

Still open: Falls, pressure injury and infection prevention are covered by NICE falls (2025) and pressure ulcer (2014) guidance, WHO falls guidance (2021), WHO catheter bloodstream infection guidance (2026) and WHO IPC programme requirements (2020).

58.5

Still open: Discharge planning and handover are covered by NICE NG94 (non-WHO) and WHO medicines transitions guidance (2020, medicines only).

Standard 59: Outpatient Medical Specialties

Read Standard 59

6 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 59

59.1

Still open: Referral triage and tracking are covered by WHO school screening guidance (2025, child-specific), WHO telemedicine guidance (2022) and KDIGO kidney guidance (2024, non-WHO). No WHO outpatient referral tracking standard is in the library.

59.2

Still open: Consultation consent and scope are covered for telemedicine (WHO 2022). No WHO outpatient specialist consultation standard is in the library.

59.3

No additional material yet.

Still open: No library source on communicating results or following up missing results in outpatient care.

59.4

Still open: Language access is covered by NICE CG138 (non-WHO) and WHO telehealth guidance (2024). No WHO standard on medicines review at each visit is in the library.

59.5

Still open: Follow-up planning is covered by the WHO mhGAP intervention guide (2025) and WHO telemedicine guidance (2022). No WHO recall standard is in the library.

Standard 60: Surgical and Specialty Clinics

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17 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 60

60.1

Still open: Operating within granted privileges is covered by CPSO OHPIP credentialing (2023, non-WHO) and WHO district surgery competence guidance (2019). No WHO privilege standard is in the library.

60.2

No additional material yet.

Still open: The WHO Surgical Safety Checklist and site marking are not in the library, so this criterion is not covered.

60.3

Still open: Anaesthesia and sedation monitoring are covered by WHO district anaesthesia guidance (2019), CPSO OHPIP (2023, non-WHO) and ASDSA (2023, non-WHO). Emergency equipment is covered only as monitoring equipment.

60.4

Still open: Surgical site infection prevention is covered by WHO guidance (2023, 2020). Thrombosis prevention is covered by NICE VTE guidance (2019, non-WHO).

60.5

Still open: Discharge and follow-up after surgery are covered only for VTE (NICE 2019, non-WHO). No general WHO recovery or discharge standard for surgical clinics is in the library.

Standard 61: Falls Prevention

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7 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 61

61.1
61.2

No additional material yet.

Still open: No specific guidance on checking the environment and equipment for falls hazards is in the library. Step Safely (WHO 2021) covers general prevention strategies only.

61.3

Still open: Post-fall management is covered only in general terms by WHO Step Safely (2021). No standard on fall reporting or review is in the library.

61.4

No additional material yet.

Still open: No staff training standard on falls prevention is in the library.

61.5

No additional material yet.

Still open: No standard on falls data review or use of falls data is in the library.

Standard 62: Penitentiary Health Services

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17 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 62

62.1

No additional material yet.

Still open: No WHO or other standard on health screening and medical examination at entry to custody is in the library.

62.2

No additional material yet.

Still open: No standard on equivalence of care for people in custody is in the library. The WHO HIV/hepatitis/STI package (2023) covers prison settings but is not claimed for 62.2.

62.3

No additional material yet.

Still open: No standard on medical confidentiality in custody is in the library.

62.4

No additional material yet.

Still open: No standard on restraint or punishment and the role of health staff is in the library.

62.5

Still open: Self-harm is covered by WHO suicide prevention in jails and prisons (2024). Infection is covered by WHO HIV/hepatitis/STI (2023) and PAHO COVID-era cleaning guidance (2020, non-WHO). Hospital transfer from custody is not covered.

Standard 63: Safe Handover

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3 guideline(s) from the GMJ library support this standard. View the guidelines for Standard 63

63.1

No additional material yet.

Still open: The library holds no structured handover method (such as SBAR or I-PASS) as a standard. Not claimed.

63.2

No additional material yet.

Still open: No standard on handover content or receiver confirmation is in the library.

63.3

Still open: Escalation for deteriorating patients is covered by NICE 2007 (older, labelled) and NICE NG94 (2018, non-WHO). No WHO escalation standard is in the library.

63.4

Still open: Transfers between care settings are covered by WHO medication safety in transitions of care (2020). Inter-hospital transfer is covered by PAHO COVID-era guidance (2022, non-WHO, labelled).

63.5

No additional material yet.

Still open: No standard on auditing handover or reviewing handover failures is in the library.