Standards › Standard S1 › Forms
Form · HOS-FRM-003 · Version 1.0 · Approved by the ASF Expert Committee
Supports: System S1 (Hospital), criterion S1.3
Purpose
Records the sepsis screen and the times of recognition and antibiotic.
How to complete
- Complete the screen for every suspected infection.
- Write the recognition time and the antibiotic time.
Checks
| Check | Entry |
|---|---|
| Screen completed | Yes |
| Recognition time recorded | Yes |
| Antibiotic time recorded | Yes |
| Review time recorded | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Surviving Sepsis Campaign 2021 (sccm.org). |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
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References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)