Standards › Standard 23 › Forms
Form · NET-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 23.5
Purpose
Records the patient safety impact at each affected site for a central decision on staffing, equipment or resources, before it is finalised.
How to complete
- Describe the central decision and the site it affects.
- Assess the patient safety impact at that site.
- Record the decision and the review before it is finalised.
Checks
| Check | Entry |
|---|---|
| Central decision and site affected | Yes |
| Patient safety impact at the site (assessed by) | Yes |
| Mitigation agreed | Yes |
| Decision finalised after review (date) | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO Framework on integrated people-centred health services (2016) and ISO 9001:2015 quality management principles. |
| 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 |
E-learning for this document
- Governance & Management (H-07)
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)