Standards › Standard S6 › Forms
Form · PTR-FRM-007 · Version 1.0 · Approved by the ASF Expert Committee
Supports: System S6 (Patient transfers and referrals), criterion S6.45
Purpose
Records the structured debrief after each significant incident in transfer, and the actions and their owners.
How to complete
- Hold the debrief within 72 hours of a significant incident.
- Record what happened, what went well and what to change.
- Assign each action an owner and a date, and check it is done.
Checks
| Check | Entry |
|---|---|
| Incident reference | Yes |
| Debrief date and attendees | Yes |
| What happened | Yes |
| What went well | Yes |
| Actions with owner and date | Yes |
| Actions checked as done | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | ASF Expert Committee consensus. |
| 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)