E-learning by standard

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Every standard criterion, with the e-learning courses that support it and the courses still to be built. Click a course to open it on the ASF Academy.

Standard 1: Assessment, Care Planning and Safety

Criterion	E-learning courses	Planned course
1.1 Staffing Matches Patient Need	Correct Patient Identification Patient Identification, Informed Consent and Patient Rights Governance & Management Care & Treatment: Clinical Standards for Accreditation
1.2 Every Patient Gets a Structured Assessment	Hand Hygiene and Standard Precautions Care & Treatment: Clinical Standards for Accreditation
1.3 There is an Actual Care Plan	Patient Identification, Informed Consent and Patient Rights Healthcare Ethics for ASF Accreditation Care Plan Development & Ongoing Supervision Care & Treatment: Clinical Standards for Accreditation
1.4 Restraint and Seclusion Use Is Governed and Minimised	Slip, Trip & Fall Prevention Patient Identification, Informed Consent and Patient Rights Care & Treatment: Clinical Standards for Accreditation	Hospital falls prevention, based on the falls guideline. New course planned.
1.5 Nutrition and Therapeutic Diet Needs Are Actively Managed	Equity, Diversity & Inclusion in Healthcare Language Access & Communication Standards Refugee & Migrant Health Standards Care & Treatment: Clinical Standards for Accreditation Clinical & Medical Care in Long-Term Care
1.6 Pressure Injury Risk Is Assessed and Actively Prevented	Emergency Preparedness and Fire Safety Basic Fire Response & Extinguisher Use Safety & Emergency Preparedness Clinical & Medical Care in Long-Term Care Care & Treatment: Clinical Standards for Accreditation
1.7 VTE Risk Is Assessed Before Every Admission and Procedure	Patient Rights and Responsibilities Patient Identification, Informed Consent and Patient Rights Care & Treatment: Clinical Standards for Accreditation Medication Safety: Operating SOP-MED-01 End to End

Standard 2: Operating Theatre and Surgical Safety

Criterion	E-learning courses	Planned course
2.1 The Surgical Safety Checklist Is Used	Ophthalmology & Day Surgery Safety Care & Treatment: Clinical Standards for Accreditation
2.2 Anaesthesia Is Delivered Safely	Emergency Medical Equipment & AED Readiness Care & Treatment: Clinical Standards for Accreditation
2.3 Surgical Site Infection Is Actively Prevented	Hand Hygiene and Standard Precautions Infection Prevention & Control

Standard 3: Medicines and Pain

Criterion	E-learning courses	Planned course
3.1 Look-Alike, Sound-Alike Medications Are Specifically Managed	Medication Safety: Operating SOP-MED-01 End to End Care & Treatment: Clinical Standards for Accreditation
3.2 Opioid Prescribing Is Deliberately Stewarded	Prescribing & Controlled Substance Management Medication Safety: Operating SOP-MED-01 End to End
3.3 Pain Is Formally Assessed and Reassessed, Not Just Asked About Once	Care & Treatment: Clinical Standards for Accreditation Clinical & Medical Care in Long-Term Care

Standard 4: Environment and Accessibility

Criterion	E-learning courses	Planned course
4.1 Handrails Are Fitted Where Patients Walk	Slip, Trip & Fall Prevention Safety & Emergency Preparedness
4.2 Toilets and Washrooms Have Correct Grab Bars	Slip, Trip & Fall Prevention
4.3 An Accessible Toilet Is Available Where Patients Need One	Safety & Emergency Preparedness
4.4 Toilet and Washroom Doors Allow Rescue	Emergency Preparedness and Fire Safety Safety & Emergency Preparedness
4.5 Lighting Supports Safe Movement	Emergency Preparedness and Fire Safety Slip, Trip & Fall Prevention
4.6 Beds and Chairs Are Set to Reduce Fall Risk	Slip, Trip & Fall Prevention Safety & Emergency Preparedness
4.7 Walking Aids and Mobility Equipment Are Available and Checked	Slip, Trip & Fall Prevention Safety & Emergency Preparedness
4.8 Routes Are Clear of Clutter and Trip Hazards	Slip, Trip & Fall Prevention Emergency Preparedness and Fire Safety

Standard 5: Blood Bank

Criterion	E-learning courses	Planned course
5.1 Donors Are Selected and Screened
5.2 Each Donation Is Tested
5.3 Each Donation Is Traceable
5.4 Storage and Transport Keep Products Within Their Conditions	Equipment, calibration, maintenance and environment Hand Hygiene and Standard Precautions
5.5 Issuing Blood Is Checked	Patient Identification, Informed Consent and Patient Rights Care & Treatment: Clinical Standards for Accreditation
5.6 Staff Are Qualified	Safety Training Programme & Competency Assessment
5.7 Adverse Reactions Are Investigated	Incident Reporting, Just Culture and Open Disclosure Care & Treatment: Clinical Standards for Accreditation
5.8 Quality Management Is in Place
5.9 Emergency Release Follows a Written Procedure	Medical Emergency Protocol Development Patient Identification, Informed Consent and Patient Rights

Standard 6: Day Clinic and Day Surgery

Criterion	E-learning courses	Planned course
6.1 Patients Are Selected for Same-Day Surgery	Ophthalmology & Day Surgery Safety Aftercare & Follow-up: Standards for Safe Discharge
6.2 Anaesthesia and Sedation Are Given by Trained Staff	Ophthalmology & Day Surgery Safety Emergency Medical Equipment & AED Readiness
6.3 Recovery Is Monitored Until Discharge Criteria Are Met	Aftercare & Follow-up: Standards for Safe Discharge Medical Emergency Protocol Development
6.4 Each Patient Goes Home With an Adult Escort and Advice	Aftercare & Follow-up: Standards for Safe Discharge
6.5 Theatre Safety Checks Are Done	Ophthalmology & Day Surgery Safety Patient Identification, Informed Consent and Patient Rights
6.6 Surgical Site Infections Are Tracked	Infection Prevention & Control Hand Hygiene and Standard Precautions
6.7 Unplanned Admissions Are Reviewed	Incident Reporting, Just Culture and Open Disclosure Aftercare & Follow-up: Standards for Safe Discharge
6.8 Anaesthesia Is Delivered Safely	Emergency Medical Equipment & AED Readiness Ophthalmology & Day Surgery Safety
6.9 The Surgical Safety Checklist Is Used	Ophthalmology & Day Surgery Safety Care & Treatment: Clinical Standards for Accreditation
6.10 Surgical Site Infection Is Actively Prevented	Infection Prevention & Control Ophthalmology & Day Surgery Safety

Standard 7: Emergency Dispatch

Criterion	E-learning courses	Planned course
7.1 Calls Are Answered Within a Set Time	Emergency Response During Transport Safety Training Programme & Competency Assessment
7.2 Calls Are Triaged by Clinical Priority	Medical Emergency Protocol Development Patient Assessment & Fitness for Transport
7.3 Resources Are Dispatched Within a Set Time	Emergency Response During Transport Vehicle & Equipment Readiness for ASF Accreditation
7.4 Staff Are Trained for Call Handling	Safety Training Programme & Competency Assessment Medical Emergency Protocol Development
7.5 Each Call Is Recorded	Records, Confidentiality and Data Protection Document Control and the Records System
7.6 System Resilience Is Planned	Emergency Preparedness and Fire Safety Emergency Escalation for the Remote Patient
7.7 Calls Are Reviewed	Incident Reporting, Just Culture and Open Disclosure Safety Training Programme & Competency Assessment
7.8 Waiting Calls Are Re-Prioritised and Escalated	Emergency Response During Transport
7.9 A Clinical Supervisor Is Available to Call Takers	Emergency Escalation for the Remote Patient Medical Emergency Protocol Development
7.10 The end of the provider’s responsibility is written down	Handover & Communication for ASF Accreditation
7.11 Dispatch decision rule and right to refuse	Emergency Response During Transport

Standard 8: Fertility Clinic

Criterion	E-learning courses	Planned course
8.1 Patients Receive Clear Information on Treatment	Fertility & IVF Accreditation Training Patient Identification, Informed Consent and Patient Rights
8.2 Consent Is Specific to Each Stage	Patient Identification, Informed Consent and Patient Rights Healthcare Ethics for ASF Accreditation
8.3 Gametes and Embryos Are Identified and Traced	Fertility & IVF Accreditation Training Equipment, Reagents & Traceability
8.4 Storage Is Secure and Monitored	Equipment, calibration, maintenance and environment Information security, LIS downtime, backup and data protection
8.5 Screening and Donor Checks Are Done	Fertility & IVF Accreditation Training Biosafety, PPE, spills, sharps, waste, fire and access
8.6 Staff Are Qualified	Credentialing, Competence and the Training Matrix Personnel competence, training and health
8.7 Adverse Events and Outcomes Are Reviewed	Incident Reporting, Just Culture and Open Disclosure Fertility & IVF Accreditation Training
8.8 Psychological Support Is Offered	Patient Rights and Responsibilities Complaints Handling and Patient Feedback
8.9 A Written Plan Responds to a Gamete or Embryo Mix-Up	Incident Reporting, Just Culture and Open Disclosure Fertility & IVF Accreditation Training
8.10 Prices Are Disclosed Before Treatment Begins	Fertility & IVF Accreditation Training Patient Rights and Responsibilities
8.11 Organ and Tissue Traceability, End to End	Supplier Evaluation and Purchasing Equipment, Reagents & Traceability

Standard 9: Field Hospital

Criterion	E-learning courses	Planned course
9.1 The Unit Is Set Up to a Minimum Safe Standard	Safety & Emergency Preparedness Emergency Preparedness and Fire Safety
9.2 Triage Works Under Pressure	Medical Emergency Protocol Development Safety & Emergency Preparedness
9.3 Surgical Safety Is Maintained Under Constraint	Care & Treatment: Clinical Standards for Accreditation Emergency Medical Equipment & AED Readiness
9.4 Blood and Medicines Are Managed Under Constraint	Medication Safety: Operating SOP-MED-01 End to End Medication Safety & Storage in Guest Facilities
9.5 Referral and Evacuation Routes Are Defined	Emergency Response During Transport Handover & Communication for ASF Accreditation
9.6 Staff Are Qualified and Supervised	Credentialing, Competence and the Training Matrix Safety Training Programme & Competency Assessment
9.7 Records Are Kept Under Constraint	Records, Confidentiality and Data Protection Document Control and the Records System
9.8 Infection Control and Outbreak Response Are in Place	Hand Hygiene and Standard Precautions Infection Prevention & Control
9.9 Protection of Patients and Staff Is Planned	Security Protocols & Incident Response Emergency Preparedness and Fire Safety
9.10 Mental Health and Psychosocial Support Are Offered	—	Psychological first aid for field staff. New course planned.
9.11 Handover to Permanent Services Is Planned	Handover & Communication for ASF Accreditation Document Control and the Records System
9.12 Donated Medicines and Equipment Are Checked Before Use	Supplier Evaluation and Purchasing Medication Safety: Operating SOP-MED-01 End to End
9.13 Patients Who Report Sexual Violence Receive a Defined Clinical Response	—	Clinical response to sexual violence in field settings. New course planned.
9.14 Patients Are Triaged by Urgency	Medical Emergency Protocol Development Patient Assessment & Fitness for Transport
9.15 A Mass-Casualty and Utility-Failure Plan Exists and Is Rehearsed	Safety & Emergency Preparedness Emergency Preparedness and Fire Safety
9.16 The Surgical Safety Checklist Is Used	—	WHO Surgical Safety Checklist and team pause, for field teams. New course planned.
9.17 Anaesthesia Is Delivered Safely	Care & Treatment: Clinical Standards for Accreditation
9.18 Surgical Site Infection Is Actively Prevented	Hand Hygiene and Standard Precautions Care & Treatment: Clinical Standards for Accreditation
9.19 Blood Is Verified Before Every Transfusion	Care & Treatment: Clinical Standards for Accreditation Patient Identification, Informed Consent and Patient Rights
9.20 The transfer plan is written before departure, with a back-up plan	Vehicle & Equipment Readiness for ASF Accreditation Handover & Communication for ASF Accreditation
9.21 Dispatch decision rule and right to refuse	Emergency Response During Transport
9.22 Violence Against Staff Is Prevented	Security Protocols & Incident Response Incident Reporting, Just Culture and Open Disclosure
9.23 Vulnerable Patients Have Specific Protections	Patient Rights and Responsibilities Patient Identification, Informed Consent and Patient Rights

Standard 10: Hospice and Palliative Care

Criterion	E-learning courses	Planned course
10.1 Pain and Symptoms Are Assessed and Controlled	Care & Treatment: Clinical Standards for Accreditation
10.2 Opioids and Controlled Medicines Are Managed Safely	Medication Safety: Operating SOP-MED-01 End to End Medication Safety & Storage in Guest Facilities
10.3 The Patient’s Goals and Wishes Are Recorded	Healthcare Ethics for ASF Accreditation Patient Identification, Informed Consent and Patient Rights
10.4 Family and Carers Are Supported	Patient Rights and Responsibilities Patient Identification, Informed Consent and Patient Rights
10.5 Spiritual, Cultural and Psychological Needs Are Addressed	Healthcare Ethics for ASF Accreditation Patient Rights and Responsibilities
10.6 Dying Patients Are Cared for With Dignity	Care & Treatment: Clinical Standards for Accreditation Patient Identification, Informed Consent and Patient Rights
10.7 Staff Are Trained in Palliative Care	Credentialing, Competence and the Training Matrix
10.8 Bereavement Follow-Up Is Offered	Complaints Handling and Patient Feedback
10.9 Service Quality Is Reviewed	Management Review: Inputs, Outputs, and Real Decisions Nonconformity, Corrective Action and Risk
10.10 Out-of-Hours Symptom Advice Is Available	Emergency Response During Transport Credentialing, Competence and the Training Matrix
10.11 Treatment Limits Are Visible at the Point of Care	Patient Identification, Informed Consent and Patient Rights Healthcare Ethics for ASF Accreditation

Standard 11: Procedure Units, Endoscopy and Interventional Care

Criterion	E-learning courses	Planned course
11.1 Each Patient Is Assessed Before the Procedure	Care & Treatment: Twelve Clinical Criteria for Safe Ambulatory Practice Care & Treatment: Clinical Standards for Accreditation
11.2 Products and Medicines Are Verified and Stored Correctly	Supplier Evaluation and Purchasing Medication Safety & Storage in Guest Facilities
11.3 The Practitioner Is Trained for Each Procedure	Credentialing, Competence and the Training Matrix Aesthetic & Injectable Medicine Accreditation
11.4 Consent Covers Risks and Complications	Patient Identification, Informed Consent and Patient Rights Healthcare Ethics for ASF Accreditation
11.5 Complications Are Managed Through a Defined Pathway	Medical Emergency Protocol Development Gastroenterology & Endoscopy Safety Standards
11.6 Emergency Response Is Ready	Emergency Medical Equipment & AED Readiness Medical Emergency Protocol Development
11.7 Sterile Technique and Infection Control Are Practised	Hand Hygiene and Standard Precautions Ophthalmology & Day Surgery Safety
11.8 Follow-Up Is Arranged	Aftercare & Follow-up: Closing the Loop After Every Visit
11.9 Product Recalls and Adverse Reactions Are Acted On	Incident Reporting, Just Culture and Open Disclosure Medication Safety & Storage in Guest Facilities

Standard 12: Obstetrics and Gynaecology

Criterion	E-learning courses	Planned course
12.1 Antenatal Care Follows a Schedule	Care & Treatment: Clinical Standards for Accreditation
12.2 Birth Is Attended by Trained Staff	Care & Treatment: Clinical Standards for Accreditation Medical Emergency Protocol Development
12.3 Emergency Obstetric Response Is Ready	Medical Emergency Protocol Development Emergency Medical Equipment & AED Readiness
12.4 Blood Is Available for Obstetric Emergencies	Medication Safety: Operating SOP-MED-01 End to End Care & Treatment: Clinical Standards for Accreditation
12.5 Neonatal Care Is Available	Emergency Medical Equipment & AED Readiness Safety & Emergency Preparedness
12.6 Postnatal Care Is Provided	Care & Treatment: Clinical Standards for Accreditation Patient Identification, Informed Consent and Patient Rights
12.7 Women Are Informed and Involved in Choices	Patient Identification, Informed Consent and Patient Rights Patient Rights and Responsibilities
12.8 Maternal and Perinatal Outcomes Are Reviewed	Incident Reporting, Just Culture and Open Disclosure Management Review: Inputs, Outputs, and Real Decisions
12.9 Mother and Newborn Are Identified Together	Patient Identification, Informed Consent and Patient Rights Records, Confidentiality and Data Protection
12.10 Deterioration After Birth Is Recognised With an Early-Warning Tool	Medical Emergency Protocol Development
12.11 Gynaecological Problems Are Assessed Through a Defined Pathway	Medical Emergency Protocol Development Patient Rights and Responsibilities
12.12 Contraception and Reproductive Choice Are Offered	Fertility & IVF Accreditation Training Patient Rights and Responsibilities
12.13 Cervical and Breast Screening Is Offered and Followed Up	Preventive Care & Screening
12.14 Care After Pregnancy Loss Is Provided With Support	Patient Identification, Informed Consent and Patient Rights Healthcare Ethics for ASF Accreditation
12.15 Deteriorating Patients Are Recognised Early	Care & Treatment: Clinical Standards for Accreditation Medical Emergency Protocol Development

Standard 13: Mobile Clinic and Outreach

Criterion	E-learning courses	Planned course
13.1 Each Site Is Assessed Before Use	Environment & Shared Spaces Emergency Preparedness and Fire Safety
13.2 The Unit Carries the Equipment It Needs	Emergency Medical Equipment & AED Readiness Vehicle & Equipment Readiness for ASF Accreditation
13.3 Emergency Transfer Is Planned	Emergency Response During Transport Handover & Communication for ASF Accreditation
13.4 Records Are Kept and Brought Back	Records, Confidentiality and Data Protection Document Control and the Records System
13.5 Staff Are Trained for the Setting	Safety Training Programme & Competency Assessment Credentialing, Competence and the Training Matrix
13.6 Consent and Privacy Are Respected in the Community	Patient Identification, Informed Consent and Patient Rights Patient Rights and Responsibilities
13.7 Follow-Up Is Arranged	Referral & Care Coordination Aftercare & Follow-up: Closing the Loop After Every Visit
13.8 Coverage Is Reviewed	Preventive Care & Screening Patient Rights and Responsibilities
13.9 The Vehicle Is Roadworthy and Equipped	Vehicle & Equipment Readiness for ASF Accreditation Crew Qualification & Competence
13.10 Lone Working Has a Check-In and a Response	Security Protocols & Incident Response Emergency Preparedness and Fire Safety

Standard 14: Occupational Health

Criterion	E-learning courses	Planned course
14.1 Assessments Are Clinically Sound and Confidential	Staff Health Screening & Wellness Standards Records, Confidentiality and Data Protection
14.2 Staff Are Qualified for the Assessments They Make	Credentialing, Competence and the Training Matrix Personnel competence, training and health
14.3 Health Surveillance Follows a Schedule	Staff Health Screening & Wellness Standards
14.4 Concerns Are Reported to the Employer in Line With International Guidance	Healthcare Ethics for ASF Accreditation Patient Identification, Informed Consent and Patient Rights
14.5 Workplace Advice Is Given	Staff Health Screening & Wellness Standards
14.6 Return-to-Work Plans Are Made	Staff Health Screening & Wellness Standards
14.7 Assessors Are Free of Conflicting Roles	Healthcare Ethics for ASF Accreditation
14.8 Workers Can See Outcomes and Ask for Review	Complaints Handling and Patient Feedback Patient Rights and Responsibilities

Standard 15: Optical and Hearing

Criterion	E-learning courses	Planned course
15.1 Eye and Hearing Examinations Are Clinically Sound	Emergency Medical Equipment & AED Readiness
15.2 Staff Are Qualified for the Service They Give	Credentialing, Competence and the Training Matrix Personnel competence, training and health
15.3 Products Are Fitted and Checked	Patient Identification, Informed Consent and Patient Rights
15.4 Contact Lens and Hearing Aid Hygiene Is Taught	Hand Hygiene and Standard Precautions
15.5 Aftercare and Follow-Up Are Arranged	Aftercare & Follow-up: Closing the Loop After Every Visit
15.6 Complaints About Products Are Recorded and Acted On	Complaints Handling and Patient Feedback
15.7 Urgent Eye and Ear Findings Are Referred the Same Day	Medical Emergency Protocol Development Safety & Emergency Preparedness

Standard 16: Paediatric Care

Criterion	E-learning courses	Planned course
16.1 Care Is Appropriate to Children’s Age and Size	Pediatric Ambulatory Care
16.2 Consent Is Obtained From a Parent or Guardian	Patient Rights and Responsibilities
16.3 Child Safeguarding Is in Place	Child Safety & Safeguarding in Tourism Facilities	Child safeguarding in healthcare settings. New course planned.
16.4 Families Are Involved and Supported	Pediatric Ambulatory Care
16.5 The Environment Is Child-Friendly and Safe	Pediatric Ambulatory Care
16.6 Staff Are Trained in Paediatric Care	Pediatric Ambulatory Care
16.7 Immunisation and Child Health Checks Are Provided	—	Immunisation and child health checks. New course planned.
16.8 Children Are Transferred Safely	Patient Assessment & Fitness for Transport
16.9 Child Health Outcomes Are Reviewed	Quality Management in Healthcare
16.10 Emergency Equipment and Weight-Based Dose References Are Available	Emergency Medical Equipment & AED Readiness
16.11 Weight Is Recorded at Each Contact Before a Dose Is Calculated	Medication Safety: Operating SOP-MED-01 End to End
16.12 Neonatal and paediatric transfers use specialist arrangements	—	Neonatal and paediatric transfers. New course planned.

Standard 17: Pharmacy

Criterion	E-learning courses	Planned course
17.1 Each Prescription Is Checked Before Dispensing	Medication Safety: Operating SOP-MED-01 End to End
17.2 Counselling Is Given	Medication Safety: Operating SOP-MED-01 End to End
17.3 A Qualified Pharmacist Is Accountable	Medication Safety: Operating SOP-MED-01 End to End
17.4 Dispensing Errors Are Recorded and Reviewed	Medication Safety: Operating SOP-MED-01 End to End
17.5 Controlled Medicines Are Recorded	Medication Safety: Operating SOP-MED-01 End to End Prescribing & Controlled Substance Management
17.6 Medicines Are Stored Securely and Correctly	Medication Safety & Storage in Guest Facilities
17.7 Medicine Supply Is Managed	Medication Safety: Operating SOP-MED-01 End to End
17.8 Medicines Are Recalled When Needed	Medication Safety: Operating SOP-MED-01 End to End
17.9 Medicines Are Bought From Licensed Sources	Medication Safety: Operating SOP-MED-01 End to End
17.10 Medicines Are Stored and Given Safely	Medication Safety & Storage in Guest Facilities

Standard 18: Physiotherapy

Criterion	E-learning courses	Planned course
18.1 Each Patient Has a Clinical Assessment Before Treatment	—	Physiotherapy assessment before treatment. New course planned.
18.2 Treatment Is Delivered by Trained Staff	—	Assistant scope and supervision in physiotherapy. New course planned.
18.3 Treatment Is Based on Current Evidence	—	Evidence-based physiotherapy treatment. New course planned.
18.4 Progress Is Measured Against the Goals	Rehabilitation and Recovery Programs in Fitness and Wellness
18.5 Equipment Is Safe and Checked	Equipment Safety & Facility Environment
18.6 Patients Are Given Advice to Continue at Home	Rehabilitation and Recovery Programs in Fitness and Wellness
18.7 Outcomes Are Reviewed	—	Outcome review in physiotherapy services. New course planned.

Standard 19: Specimen Collection Point

Criterion	E-learning courses	Planned course
19.1 Each Specimen Is Correctly Identified at Collection	Patient Identification, Informed Consent and Patient Rights
19.2 Collection Is Done Correctly	Pre-Examination: Specimen Pathway
19.3 Sharps and Waste Are Handled Safely	Hand Hygiene and Standard Precautions
19.4 Specimens Are Transported Safely and on Time	Pre-Examination: Specimen Pathway
19.5 Refused or Unsuitable Specimens Are Recorded	Incident Reporting, Just Culture and Open Disclosure
19.6 Staff Are Trained	Credentialing, Competence and the Training Matrix
19.7 Results Reach the Requester	Pre-examination — patient preparation, collection, identification, transport, reception
19.8 Consent or Refusal for Collection Is Recorded	Patient Identification, Informed Consent and Patient Rights

Standard 20: Sports Medicine

Criterion	E-learning courses	Planned course
20.1 Each Athlete Has a Clinical Assessment	Pre-Participation Screening & Risk Assessment
20.2 Return-to-Sport Decisions Are Staged and Documented	—	Return to sport: staged decisions. New course planned.
20.3 Pre-Participation Checks Are Done Where Required	Pre-Participation Screening & Risk Assessment
20.4 Staff Are Qualified for the Care They Give	Credentialing, Competence and the Training Matrix
20.5 Emergency Response for Sports Events Is Planned	Emergency Medical Equipment & AED Readiness
20.6 Anti-Doping and Medicines Are Handled Correctly	Medication Safety: Operating SOP-MED-01 End to End
20.7 Training Load and Injury Are Reviewed	Incident Reporting, Just Culture and Open Disclosure
20.8 Suspected Head Injury Removes the Athlete From Play	Incident Reporting, Just Culture and Open Disclosure

Standard 21: Urgent Care

Criterion	E-learning courses	Planned course
21.1 Patients Are Triaged on Arrival	Acute & Same-Day Care
21.2 The Service Has Defined Limits	—	Defining and publishing limits of urgent care. New course planned.
21.3 Emergency Response Is Ready	Emergency Preparedness and Fire Safety
21.4 Waiting Times Are Measured and Acted On	Reception & Information Standards for Ambulatory Care	Measuring and acting on waiting times. New course planned.
21.5 Patients Are Given Follow-Up Advice	Aftercare & Follow-up: Standards for Safe Discharge
21.6 Attendance Patterns Are Reviewed	—	Attendance patterns and repeat attenders in urgent care. New course planned.
21.7 Patients Waiting to Be Seen Are Re-Checked	—	Waiting-room re-checks and deterioration. New course planned.
21.8 Patients Can Find the Clinic and Its Services Before Arriving	Access & Arrival: Getting Patients Through the Door
21.9 Emergency Equipment and Drugs Are Ready	Emergency Medical Equipment & AED Readiness

Standard 22: Academic Medical Centre

Criterion	E-learning courses	Planned course
22.1 Resident and Trainee Supervision With Verified, Graduated Autonomy	Credentialing, Competence and the Training Matrix
22.2 Patients Are Informed of Trainee Involvement in Their Care	Patient Identification, Informed Consent and Patient Rights
22.3 Research Activity Operates Under Independent Ethics Review Before Enrolment	—	Research ethics approval before enrolment. New course planned.
22.4 Clinical Care and Research Participation Are Clearly Separated in Consent	Patient Identification, Informed Consent and Patient Rights
22.5 Conflicts of Interest Between Research and Clinical Care Are Disclosed and Managed	—	Conflicts of interest in research. New course planned.
22.6 Teaching Faculty Maintain Verified, Current Clinical Competency	Credentialing, Competence and the Training Matrix

Standard 23: Multi-Site Governance

Criterion	E-learning courses	Planned course
23.1 Governance Structure Defines Authority Between Central and Site-Level Leadership	Governance & Management
23.2 Incident Learning Is Shared Across Sites, Not Siloed	Incident Reporting, Just Culture and Open Disclosure
23.3 Clinical Policy Is Standardised Across Sites, With Any Local Variation Explicitly Justified	Governance & Management
23.4 Credentialing and Privileging Are Centrally Verified and Consistently Recognised	Credentialing, Competence and the Training Matrix
23.5 Central Resource and Staffing Decisions Are Evaluated for Site-Level Patient Safety Impact	Governance & Management
23.6 Site-Level Quality Data Is Reviewed by Central Governance	Governance & Management

Standard 24: Medical Tourism

Criterion	E-learning courses	Planned course
24.1 Pricing Transparency for International Patients	Medical Tourism Coordination for Clinics
24.2 Remote Records Transfer to Home-Country Physician	Medical Tourism Coordination for Clinics
24.3 Language Access for Foreign Patients	Medical Tourism Accreditation: The International Patient Office
24.4 Travel, Accommodation, and Logistics Coordination	Medical Tourism Coordination for Clinics
24.5 Post-Return Complication Tracking	Medical Tourism Coordination for Clinics
24.6 Travel Documentation Support for International Patients	Medical Tourism Coordination for Clinics
24.7 International Patient Complaint and Redress Process	Complaints Handling and Patient Feedback
24.8 Facilitator and Agent Verification	Medical Tourism Coordination for Clinics
24.9 Travel-Associated Infection Risk Protocol	Hand Hygiene and Standard Precautions
24.10 Post-Procedure Travel Timing and Venous Thromboembolism Risk	Medical Tourism Coordination for Clinics

Standard 25: Health and Migration

Criterion	E-learning courses	Planned course
25.1 People-Centred Care Adapted to Migration and Displacement Experience	Refugee & Migrant Health — Endorsement Course
25.2 Supporting Patient Agency Through Understanding of Care and the Health System	Refugee & Migrant Health — Endorsement Course
25.3 Language and Communication Aids — Interpreters and Cultural Mediators	Refugee & Migrant Health — Endorsement Course
25.4 Collaborative Practice Across Health and Social Services	Refugee & Migrant Health — Endorsement Course
25.5 Surge Capacity for Migration-Related Demand	Emergency Preparedness and Fire Safety
25.6 Evidence-Informed Care for Refugee and Migrant Populations	Refugee & Migrant Health — Endorsement Course
25.7 Staff Reflective Practice, Bias Awareness, and Self-Care in Migration Contexts	Refugee & Migrant Health — Endorsement Course
25.8 Cross-Border Continuity of Care	Refugee & Migrant Health — Endorsement Course
25.9 Camp-Based and Non-Camp Service Model Fit	Refugee & Migrant Health — Endorsement Course
25.10 Legal Status Diversity Recognition	Refugee & Migrant Health — Endorsement Course

Standard 26: Dialysis and Renal Replacement

Criterion	E-learning courses	Planned course
26.1 Dialysis Water Is Treated and Tested to a Documented Standard	Dialysis & Renal Replacement Therapy
26.2 Water Treatment Equipment Is Maintained and Monitored Online	Dialysis & Renal Replacement Therapy
26.3 Dialysis Fluid and Concentrates Are Prepared to a Documented Procedure	Dialysis & Renal Replacement Therapy
26.4 Dialysers Are Reprocessed Safely, Traced, and Used Only Where Permitted	Dialysis & Renal Replacement Therapy
26.5 Each Treatment Is Prescribed, and Its Adequacy Is Monitored	Dialysis & Renal Replacement Therapy
26.6 Vascular Access Is Assessed, Protected and Its Infections Tracked	Dialysis & Renal Replacement Therapy
26.7 Dialysis Machines Are Checked Before Each Session	Dialysis & Renal Replacement Therapy
26.8 Emergency Response During Dialysis Is Ready	Emergency Medical Equipment & AED Readiness
26.9 Infection Prevention Across the Dialysis Unit	Hand Hygiene and Standard Precautions
26.10 Patients Are Informed About Their Dialysis Choices	Dialysis & Renal Replacement Therapy
26.11 Staffing and Competence for Dialysis Are Defined	Credentialing, Competence and the Training Matrix
26.12 Dialysis Outcomes and Incidents Are Reviewed	Incident Reporting, Just Culture and Open Disclosure

Standard 27: Telemedicine

Criterion	E-learning courses	Planned course
27.1 The Service Never Disadvantages a Patient Who Cannot Access It Digitally	Remote Clinical Assessment & Limitations Recognition
27.2 AI Systems Are Introduced in Line With WHO AI Governance Guidance	Artificial Intelligence in Healthcare Safety
27.3 AI Systems Are Monitored for Unintended Consequences	Artificial Intelligence in Healthcare Safety
27.4 Clinicians Are Consulted Before an AI System Is Introduced	Artificial Intelligence in Healthcare Safety
27.5 Accountability for AI-Assisted Care Is Explicitly Defined	Artificial Intelligence in Healthcare Safety
27.6 Providers Have Access to Ongoing Education and Peer Connection	Credentialing, Competence and the Training Matrix
27.7 Clinician Wellbeing and Isolation Risk Are Monitored	Supporting the Care Workforce: ASF Accreditation
27.8 Digital Infrastructure Impact Is Assessed, Not Assumed Negligible	Environmental Sustainability Standards for ASF Accreditation
27.9 Hosting and Technology Procurement Considers Environmental Impact	Supplier Evaluation and Purchasing
27.10 The Provider Considers Its Reduction of Patient Travel Impact	Environmental Sustainability Standards for ASF Accreditation
27.11 Staff Are Engaged in Sustainability Practice	Environmental Sustainability Standards for ASF Accreditation
27.12 Sustainability Commitments Are Reviewed, Not Static	Management Review: Inputs, Outputs, and Real Decisions
27.13 Patient Identity Is Confirmed at Every Remote Consultation	Remote Clinical Assessment & Limitations Recognition
27.14 Informed Consent for Remote Care Is Recorded	Remote Clinical Assessment & Limitations Recognition
27.15 Prescribing at a Distance Follows a Safe Process	Medication Safety: Operating SOP-MED-01 End to End
27.16 Clinical Records From Remote Consultations Are Complete	Remote Clinical Assessment & Limitations Recognition
27.17 Technical Failure During a Consultation Has a Safe Route	Remote Clinical Assessment & Limitations Recognition

Standard 28: Long-Term Care

Criterion	E-learning courses	Planned course
28.1 Individualised Functional Maintenance Plan Based on Assessment	Rehabilitation and Recovery Programs in Fitness and Wellness
28.2 Coordination Between Therapy and Daily Nursing Care	Rehabilitation and Recovery Programs in Fitness and Wellness
28.3 Resident and Family Goal-Setting	Rehabilitation and Recovery Programs in Fitness and Wellness
28.4 Function Tracked With Validated Tools, Decline Flagged Early	Rehabilitation and Recovery Programs in Fitness and Wellness
28.5 Equipment and Assistive Device Provision Matches Need	Rehabilitation and Recovery Programs in Fitness and Wellness
28.6 Restraint-Free and Least-Restrictive Mobility Support	Patient Identification, Informed Consent and Patient Rights
28.7 Environmental Impact Is Assessed Across a 24-Hour Operation	Environmental Sustainability Standards for ASF Accreditation
28.8 Clinical and Incontinence Waste Is Segregated and Responsibly Disposed	Environmental Hygiene Standards for ASF Accreditation
28.9 Procurement Considers Environmental Impact	Supplier Evaluation and Purchasing
28.10 Energy and Water Use Are Monitored and Reduced Where Possible	Environmental Sustainability Standards for ASF Accreditation
28.11 Residents, Families, and Staff Are Engaged in Sustainability Practice	Environmental Sustainability Standards for ASF Accreditation
28.12 The Facility Plans for Climate-Related Risk to Resident Safety	Emergency Preparedness and Fire Safety
28.13 Sustainability Commitments Are Reviewed, Not Static	Management Review: Inputs, Outputs, and Real Decisions
28.14 Digital Systems Are Evaluated Before Adoption	Digital Care and AI Systems for Care
28.15 Digital Care Never Disadvantages a Resident or Family Who Cannot Use It	Digital Care and AI Systems for Care
28.16 Technical Support Is Available for Digital Systems	Technology Platform Reliability & Security	Technical support for digital care systems, including overnight cover. No course exists yet; planned as an online course for managers of digital care.
28.17 AI Systems Are Introduced in Line With WHO AI Governance Guidance	Artificial Intelligence in Healthcare Safety
28.18 AI Systems Are Monitored for Unintended Consequences	Artificial Intelligence in Healthcare Safety
28.19 Staff Are Consulted Before an AI System Is Introduced	Artificial Intelligence in Healthcare Safety
28.20 Accountability for AI-Assisted Care Is Explicitly Defined	Artificial Intelligence in Healthcare Safety
28.21 Residents and Families Are Informed When Care Involves AI	Artificial Intelligence in Healthcare Safety
28.22 Every Member of the Workforce Is Credentialed for Their Actual Role	Credentialing, Competence and the Training Matrix
28.23 Workforce Health and Safety Is Protected, Including Manual Handling	Hand Hygiene and Standard Precautions
28.24 Staff Are Protected From Resident and Family Aggression	Security Protocols & Incident Response
28.25 End-of-Life and Palliative Care Is Planned With the Resident	Healthcare Ethics for ASF Accreditation
28.26 Advance Care Planning Is Discussed and Recorded	Healthcare Ethics for ASF Accreditation
28.27 Death of a Resident Is Handled With Dignity and Learning	End-of-Life & Palliative Care

Standard 29: Home Care

Criterion	E-learning courses	Planned course
29.1 The Client’s Home Remains Theirs to Control	Client Rights & Dignity in the Home Setting
29.2 A Written Statement of Rights Is Provided and Understood	Client Rights & Dignity in the Home Setting
29.3 The Client Can Request a Caregiver Replacement	Client Rights & Dignity in the Home Setting
29.4 A Reachable Alternate Contact Exists Beyond the Caregiver Themselves	Governance & Staffing for Home-Based Care
29.5 Freedom From Abuse and Neglect Is Actively Verified	Client Rights & Dignity in the Home Setting
29.6 Background Screening Uses Verified Identity, Not Name-Based Matching Alone	Credentialing, Competence and the Training Matrix
29.7 Abuse Registries Are Checked in Every Country the Caregiver Has Worked	Credentialing, Competence and the Training Matrix
29.8 Any Care-Worker Exclusion Registry Is Specifically Checked	Credentialing, Competence and the Training Matrix
29.9 Screening Is Repeated Periodically	Credentialing, Competence and the Training Matrix
29.10 A Disqualifying Finding Triggers Individualised Assessment	Governance & Staffing for Home-Based Care
29.11 A Structured Home Safety Assessment Occurs Before Care Begins	Home Environment Safety Assessment
29.12 Identified Hazards Lead to Tracked Remediation	Home Environment Safety Assessment
29.13 A Fall Triggers Reassessment	Slip, Trip & Fall Prevention
29.14 The Home Environment Is Reassessed Periodically	Home Environment Safety Assessment
29.15 Emergency Access to the Home Is Confirmed	Home Environment Safety Assessment
29.16 Medication Reminders and Administration Are Distinguished	Medication Safety: Operating SOP-MED-01 End to End
29.17 A Single, Current Medication List Is Shared Across Everyone Involved	Medication Safety: Operating SOP-MED-01 End to End
29.18 A Medication Change or Care Transition Triggers Structured Review	Medication Safety: Operating SOP-MED-01 End to End
29.19 Medications Belonging to Different Household Members Are Distinguished and Secured	Medication Safety: Operating SOP-MED-01 End to End
29.20 A Missed or Uncertain Dose Is Actively Followed Up	Medication Safety: Operating SOP-MED-01 End to End
29.21 A Risk Assessment of the Home Occurs Before the First Visit	Caregiver Safety in an Uncontrolled Environment
29.22 A Workplace Violence Prevention Programme Exists, Adapted for the Home Setting	Caregiver Safety in an Uncontrolled Environment
29.23 The Caregiver Has a Way to Signal Distress Discreetly	Caregiver Safety in an Uncontrolled Environment
29.24 Hostile Animals and Environmental Hazards Are Specifically Assessed	Caregiver Safety in an Uncontrolled Environment
29.25 Near-Misses Are Actively Reported and Used to Update Risk Assessments	Incident Reporting, Just Culture and Open Disclosure
29.26 Supervisory Visits Occur On-Site	Governance & Staffing for Home-Based Care
29.27 Personal Care Supervision Includes Observing the Aide Providing Care	Governance & Staffing for Home-Based Care
29.28 Supervision Documentation Captures Objective, Measurable Observations	Governance & Staffing for Home-Based Care
29.29 A Change in Client Needs Triggers Care Plan Review	Governance & Staffing for Home-Based Care
29.30 An Identified Deficiency Leads to Retraining and Re-Evaluation	Credentialing, Competence and the Training Matrix
29.31 A Coverage Plan Exists for a Solo Caregiver’s Absence	Governance & Staffing for Home-Based Care
29.32 Caregiver Continuity Is Actively Tracked and Prioritised for High-Need Clients	Governance & Staffing for Home-Based Care
29.33 New Caregiver Retention Receives Structured Attention in the First 100 Days	Governance & Staffing for Home-Based Care
29.34 Caregiver Isolation Is Addressed Through Regular Supervisor Contact	Caregiver Safety in an Uncontrolled Environment
29.35 Incident Reporting Accounts for Detection Delay in an Unsupervised Setting	Incident Reporting, Just Culture and Open Disclosure
29.36 Care Is Adapted to a Client’s Migration and Displacement Experience	Refugee & Migrant Health — Endorsement Course
29.37 Language Support Accounts for Persistent, Daily Interaction	Refugee & Migrant Health — Endorsement Course
29.38 Cultural and Religious Practices in the Client’s Home Are Respected	Client Rights & Dignity in the Home Setting
29.39 Caregiver Work Authorisation Is Verified Through Legal, Non-Discriminatory Practice	Governance & Staffing for Home-Based Care
29.40 A Caregiver’s Legal Status Change Is Handled With Support	Governance & Staffing for Home-Based Care
29.41 Immigrant Caregivers’ Retention Advantage Is Recognised and Supported	Refugee & Migrant Health — Endorsement Course
29.42 Legal Status Diversity Recognition for Clients	Refugee & Migrant Health — Endorsement Course
29.43 Care Is Documented and Provided to Clients Regardless of Immigration or Legal Status	Refugee & Migrant Health — Endorsement Course
29.44 Staff Reflective Practice and Bias Awareness Extends to How Immigrant Caregivers Are Treated	Refugee & Migrant Health — Endorsement Course
29.45 Continuity Across a Client’s Relocation Is Actively Supported	Refugee & Migrant Health — Endorsement Course

Standard 30: Fitness and Wellness

Criterion	E-learning courses	Planned course
30.1 Biometric and Health-Tracking Data Is Protected and Appropriately Used	Digital Care and AI Systems for Care
30.2 Medical Clearance Required Before Post-Injury Programming	Rehabilitation and Recovery Programs in Fitness and Wellness
30.3 Qualified Staff Deliver Post-Injury Programming	Rehabilitation and Recovery Programs in Fitness and Wellness
30.4 Individualised Programme Based on Functional Assessment	Rehabilitation and Recovery Programs in Fitness and Wellness
30.5 Pain and Warning Sign Recognition, With a Stop Protocol	Rehabilitation and Recovery Programs in Fitness and Wellness
30.6 Communication With Referring Clinician Where Applicable	Rehabilitation and Recovery Programs in Fitness and Wellness
30.7 Pre-Participation Screening Is Completed Before Exercise	Pre-Participation Screening & Risk Assessment
30.8 Exercise Is Supervised and Instructed by Qualified Staff	Exercise Supervision & Instructor Qualification
30.9 Exercise Equipment Is Safe, Maintained and Correctly Set Up	Equipment Safety & Facility Environment
30.10 Cardiac and Medical Emergencies Are Planned For	Emergency Preparedness & Cardiac Event Response
30.11 Members Are Informed of Risks and Give Consent	Member Rights & Informed Consent

Standard 31: Dental Care

Criterion	E-learning courses	Planned course
31.1 Reusable Instruments Are Sterilised by a Validated Process	Dental Practice: Five Safety Criteria at the Chair
31.2 Sterilisation Is Monitored and the Monitoring Is Recorded	Dental Practice: Five Safety Criteria at the Chair
31.3 Instrument Processing Follows One-Way Flow	Dental Practice: Five Safety Criteria at the Chair
31.4 Single-Use Items Are Never Reused	Dental Practice: Five Safety Criteria at the Chair
31.5 Dental Unit Waterlines Are Managed and Tested	Dental Practice: Five Safety Criteria at the Chair
31.6 Between-Patient Turnover of the Dental Chair Is Documented	Dental Practice: Five Safety Criteria at the Chair
31.7 Aerosol and Splatter Are Controlled	Dental Practice: Five Safety Criteria at the Chair
31.8 Dental Radiography Is Justified and Dose-Optimised	Diagnostic Imaging Safety and Quality Standards
31.9 Radiation Protection Programme Is Documented	Diagnostic Imaging Safety and Quality Standards
31.10 Dental Amalgam Waste Is Handled to Prevent Mercury Release	Hand Hygiene and Standard Precautions
31.11 Sharps and Dental Clinical Waste Are Segregated	Hand Hygiene and Standard Precautions
31.12 Emergency Equipment Is Available and Checked	Emergency Medical Equipment & AED Readiness
31.13 Staff Are Trained in Dental Medical Emergencies	Emergency Medical Equipment & AED Readiness
31.14 Local Anaesthetic Doses Are Calculated and Recorded	Dental Practice: Five Safety Criteria at the Chair
31.15 Sedation Is Offered Only with Competence and Monitoring	Dental Practice: Five Safety Criteria at the Chair
31.16 Minor Oral Surgery Is Assessed, Consented and Followed Up	Dental Practice: Five Safety Criteria at the Chair
31.17 Dental Records Use Standard Charting and Are Complete	Dental Practice: Five Safety Criteria at the Chair
31.18 Consent Is Obtained Before Each Procedure	Patient Identification, Informed Consent and Patient Rights
31.19 Fees Are Transparent and Shown Before Treatment	Dental Practice: Five Safety Criteria at the Chair
31.20 Implants and Prosthetic Components Are Traceable	Supplier Evaluation and Purchasing
31.21 Dental Laboratory Work Is Specified, Traceable and Disinfected	Supplier Evaluation and Purchasing
31.22 Clinicians Hold Current Licences and Competence	Credentialing, Competence and the Training Matrix
31.23 Children and People with Special Needs Are Cared For Safely	Pediatric Ambulatory Care
31.24 Referral to Other Specialists Is Documented	Dental Practice: Five Safety Criteria at the Chair
31.25 Oral Health Education Is Given and Recorded	Dental Practice: Five Safety Criteria at the Chair

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

Criterion	E-learning courses	Planned course
32.1 Practitioners Are Qualified for Each Procedure They Perform	Credentialing, Competence and the Training Matrix
32.2 Consent Reflects Realistic Outcomes and Allows Time to Reconsider	Patient Rights and Responsibilities
32.3 Pre-Procedure Assessment Identifies Contraindications	Care & Treatment: Twelve Clinical Criteria for Safe Ambulatory Practice
32.4 Sedation and Anaesthesia Are Safe	Aesthetic & Injectable Medicine Accreditation
32.5 Advertising and Claims Are Accurate	Aesthetic & Injectable Medicine Accreditation
32.6 Follow-Up and Complications Are Managed	Aesthetic & Injectable Medicine Accreditation

Standard 33: Laboratory

Criterion	E-learning courses	Planned course
33.1 Calibration Current and Traceable to a Reference	Equipment, calibration, maintenance and environment
33.2 Reagent Lots Verified Before Use	Equipment, Reagents & Traceability
33.3 Method Validated Before Clinical Use	Equipment, Reagents & Traceability
33.4 Internal Quality Control Run Before Results Are Released	Equipment, calibration, maintenance and environment
33.5 External Quality Assessment Participation	Equipment, calibration, maintenance and environment
33.6 Test Indications, Limitations and Patient Preparation Given to Users	Pre-examination — patient preparation, collection, identification, transport, reception
33.7 Specimens Accepted, Logged and Rejected by Defined Criteria	Equipment, Reagents & Traceability
33.8 Specimen Transport Preserves Integrity	Equipment, calibration, maintenance and environment
33.9 STAT Specimens Prioritised and Turnaround Monitored	Equipment, Reagents & Traceability
33.10 Chain of Custody for Forensic or Legal Specimens	Records, Confidentiality and Data Protection
33.11 Critical Values Communicated and Receipt Verified	Incident Reporting, Just Culture and Open Disclosure
33.12 Results Authorised Before Release	Credentialing, Competence and the Training Matrix
33.13 Reports Meet a Defined Minimum and Reach the Correct Recipient	Records, Confidentiality and Data Protection
33.14 Result Amendments Traceable to the Original	Records, Confidentiality and Data Protection
33.15 Suppliers and Reagents Qualified	Supplier Evaluation and Purchasing

Standard 34: Rehabilitation

Criterion	E-learning courses	Planned course
34.1 Individualised Rehabilitation Plan Based on Functional Assessment	Rehabilitation and Recovery Programs in Fitness and Wellness
34.2 Multidisciplinary Team Coordination	Rehabilitation and Recovery Programs in Fitness and Wellness
34.3 Patient and Family Goal-Setting and Education	Rehabilitation and Recovery Programs in Fitness and Wellness
34.4 Progress Is Measured With Validated Functional Outcome Tools	Rehabilitation and Recovery Programs in Fitness and Wellness
34.5 Equipment and Assistive Device Provision Matches Need	Rehabilitation and Recovery Programs in Fitness and Wellness
34.6 Discharge and Community Reintegration Planning	Aftercare & Follow-up: Standards for Safe Discharge
34.7 Each Patient Has a Clinical Assessment Before Treatment	—	No e-learning course is linked to this criterion yet. A course is planned to cover it.
34.8 Every Discharged Patient Has an Aftercare Plan	Aftercare & Follow-up: Standards for Safe Discharge
34.9 Patients Are Given Advice to Continue at Home	Rehabilitation and Recovery Programs in Fitness and Wellness

Standard 35: Critical Care

Criterion	E-learning courses	Planned course
35.1 Continuous Physiological Monitoring Appropriate to Acuity	—	No e-learning course is linked to this criterion yet. A course is planned to cover it.
35.2 Nurse-to-Patient Ratio Matches Acuity	—	No e-learning course is linked to this criterion yet. A course is planned to cover it.
35.3 Rapid Response and Deterioration Recognition System	Emergency Medical Equipment & AED Readiness
35.4 Sedation and Delirium Management Protocol	—	No e-learning course is linked to this criterion yet. A course is planned to cover it.
35.5 Family Communication and Presence Policy	Patient Identification, Informed Consent and Patient Rights
35.6 End-of-Life and Withdrawal of Care Protocol	Healthcare Ethics for ASF Accreditation
35.7 Deteriorating Patients Are Recognised Early	Safety & Emergency Preparedness
35.8 Dying Patients Are Cared for With Dignity	End-of-Life & Palliative Care

Standard 36: Hospital Emergency Department

Criterion	E-learning courses	Planned course
36.1 Every Arrival Is Triaged Before Waiting	Safety & Emergency Preparedness
36.2 Resuscitation Area Is Always Ready	Emergency Medical Equipment & AED Readiness
36.3 A Senior Clinician Is Responsible at All Times	Safety & Emergency Preparedness
36.4 Decisions to Admit, Transfer or Discharge Are Recorded and Handed Over	Handover & Communication for ASF Accreditation
36.5 Patients Who Leave Before Assessment Are Recorded and Followed Up	Safety & Emergency Preparedness

Standard 37: Neonatal and Paediatric Hospital Care

Criterion	E-learning courses	Planned course
37.1 Medicines Are Dosed for the Child’s Weight and Age	Pediatric Ambulatory Care
37.2 Newborn Care Is Matched to a Defined Level of Care	Pediatric Ambulatory Care
37.3 Families Are Informed and Present in Care	Patient Identification, Informed Consent and Patient Rights
37.4 Children Are Protected From Harm	Child Safety & Safeguarding in Tourism Facilities
37.5 Newborns Are Transferred Safely to a Higher Level of Care	Handover & Communication for ASF Accreditation

Standard 38: Substance Use and Addiction Treatment

Criterion	E-learning courses	Planned course
38.1 Substance Use Is Assessed With a Validated Tool	Narcology & Addiction Treatment
38.2 Treatment Is Individual and Prescribed by a Licensed Clinician	Narcology & Addiction Treatment
38.3 Harm Reduction Is Available	Narcology & Addiction Treatment
38.4 Information About Use Is Confidential	Records, Confidentiality and Data Protection
38.5 Discharge Is Planned With Links to Community Support	Narcology & Addiction Treatment

Standard 39: Humanitarian and Emergency Operations

Criterion	E-learning courses	Planned course
39.1 Needs Are Assessed Before Services Start	Refugee & Migrant Health — Endorsement Course
39.2 Every Deployment Has a Defined Exit or Handover	Refugee & Migrant Health — Endorsement Course
39.3 Protection and Do-No-Harm Apply to Every Activity	Refugee & Migrant Health — Endorsement Course
39.4 A Mass-Casualty Plan Is Written and Tested	Emergency Preparedness and Fire Safety
39.5 Staff Security and Wellbeing Are Managed	Emergency Preparedness and Fire Safety

Standard 40: Nutrition and Dietetics

Criterion	E-learning courses	Planned course
40.1 Nutrition Care Is Provided by a Qualified Dietitian or Trained Clinician	—	No e-learning course is linked to this criterion yet. A course is planned to cover it.
40.2 Each Patient Has an Individual Nutrition Plan	—	No e-learning course is linked to this criterion yet. A course is planned to cover it.
40.3 Malnutrition Is Identified, Monitored and Treated	Personal Care & Daily Living	No e-learning course is linked to this criterion yet. A course is planned to cover it.
40.4 Diets and Texture Are Matched to the Swallowing Assessment	—	No e-learning course is linked to this criterion yet. A course is planned to cover it.
40.5 Food Service Is Safe and Hygienic	Food Safety & Hygiene Fundamentals

Standard 41: Complementary and Traditional Medicine

Criterion	E-learning courses	Planned course
41.1 Practitioners Are Qualified and Registered	Credentialing, Competence and the Training Matrix
41.2 Patients Are Told What Is and Is Not Supported by Evidence	Patient Identification, Informed Consent and Patient Rights
41.3 Conventional Care Is Not Replaced When It Is Needed	Complaints Handling and Patient Feedback
41.4 Products Are Safe, Sourced, Labelled and Not Misleading	Supplier Evaluation and Purchasing
41.5 Adverse Events Are Recorded and Reviewed	Incident Reporting, Just Culture and Open Disclosure

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

Criterion	E-learning courses	Planned course
42.1 The Discharge Plan Is Written and Passed On	Aftercare & Follow-up: Standards for Safe Discharge
42.2 Follow-Up Is Booked Before the Patient Leaves	Aftercare & Follow-up: Standards for Safe Discharge
42.3 High-Risk Patients Are Contacted After Discharge	Aftercare & Follow-up: Standards for Safe Discharge
42.4 Patients Know When and How to Seek Urgent Help	Aftercare & Follow-up: Standards for Safe Discharge
42.5 Readmissions and Aftercare Problems Are Reviewed	Aftercare & Follow-up: Standards for Safe Discharge
42.6 Patients Can Complain After Leaving, and Complaints Are Answered	Complaints Handling and Patient Feedback

Standard 43: Organ and Tissue Transplant

Criterion	E-learning courses	Planned course
43.1 Donor Consent Obtained Through a Process Independent of the Transplant Team	Healthcare Ethics for ASF Accreditation
43.2 Organ Allocation Follows a Transparent, Documented Protocol	Healthcare Ethics for ASF Accreditation
43.3 No Financial Incentive to Donor or Family	Healthcare Ethics for ASF Accreditation
43.4 Recipient Evaluation and Informed Consent Process	—	No e-learning course is linked to this criterion yet. A course is planned to cover it.
43.5 Organ and Tissue Traceability, End to End	—	No e-learning course is linked to this criterion yet. A course is planned to cover it.
43.6 Post-Transplant Follow-Up and Outcome Tracking	—	No e-learning course is linked to this criterion yet. A course is planned to cover it.

Standard 44: Access, Findability and Wayfinding

Criterion	E-learning courses	Planned course
44.1 Patients Can Find the Service Before They Arrive	Access & Arrival: Getting Patients Through the Door
44.2 The Emergency Entrance Is Clearly Marked and Open	Access & Arrival: Getting Patients Through the Door
44.3 Signs Work for People With Limited Literacy or Sight	Reception & Information: The First Ten Minutes
44.4 The Route to Key Services Is Marked and Tested	Access & Arrival: Getting Patients Through the Door
44.5 Access Information Is Kept Current Through Change	Access & Arrival: Getting Patients Through the Door

Standard 45: Reception, Waiting and Health Information

Criterion	E-learning courses	Planned course
45.1 Waiting Times Are Measured and Shared	Reception & Information: The First Ten Minutes
45.2 Patients in Urgent Need Are Not Left Unseen	Reception & Information: The First Ten Minutes
45.3 Waiting Patients Are Kept Informed	Reception & Information: The First Ten Minutes
45.4 Health Information Is in Plain Language	Reception & Information: The First Ten Minutes
45.5 Patients Can Ask Questions and Get Answers	Reception & Information: The First Ten Minutes

Standard 46: Hospital Disaster and Emergency Preparedness

Criterion	E-learning courses	Planned course
46.1 A Hospital Disaster Plan Is Written and Owned	Emergency Preparedness and Fire Safety
46.2 Hazards Are Assessed, Including Climate and Utilities	Emergency Preparedness and Fire Safety
46.3 Essential Services Continue When Utilities Fail	Emergency Preparedness and Fire Safety
46.4 Staff Are Trained and Drills Are Held	Emergency Preparedness and Fire Safety
46.5 The Plan Is Reviewed After Each Activation	Emergency Preparedness and Fire Safety

Standard 47: Sepsis, Clinical Deterioration and Venous Thromboembolism

Criterion	E-learning courses	Planned course
47.1 Deterioration Is Detected With a Recognised Score	Emergency Medical Equipment & AED Readiness
47.2 Sepsis Is Recognised and Treated Within a Defined Time	Emergency Medical Equipment & AED Readiness
47.3 Venous Thromboembolism Risk Is Assessed on Admission	Emergency Medical Equipment & AED Readiness
47.4 Patients on Anticoagulants Are Monitored and Their Reversal Is Planned	Medication Safety: Operating SOP-MED-01 End to End
47.5 Deterioration and Sepsis Events Are Reviewed	Emergency Medical Equipment & AED Readiness

Standard 48: Falls, Pressure Injury and Safe Handover

Criterion	E-learning courses	Planned course
48.1 Falls Risk Is Assessed and Acted On	Slip, Trip & Fall Prevention
48.2 Pressure Injury Is Prevented in Patients at Risk	Slip, Trip & Fall Prevention
48.3 Pressure Injuries Are Staged, Treated and Recorded	Slip, Trip & Fall Prevention
48.4 Structured Handover Is Used at Every Transfer of Care	Handover & Communication for ASF Accreditation
48.5 Falls, Pressure Injury and Handover Events Are Reviewed	Slip, Trip & Fall Prevention

Standard 49: Advance Care Planning, Palliative Needs and Dignity

Criterion	E-learning courses	Planned course
49.1 Patients Are Asked About Their Wishes for Future Care	Healthcare Ethics for ASF Accreditation
49.2 Advance Directives Are Recognised and Followed Where Permitted	Healthcare Ethics for ASF Accreditation
49.3 Palliative Needs Are Identified and Met	End-of-Life & Palliative Care
49.4 Dignity Is Protected in Every Interaction	Patient Identification, Informed Consent and Patient Rights
49.5 Staff Are Trained in Dignity and Communication	Patient Identification, Informed Consent and Patient Rights

Standard 50: Diagnostic Imaging

Criterion	E-learning courses	Planned course
50.1 Radiation Dose Optimisation and Justification	Diagnostic Imaging Safety and Quality Standards
50.2 Equipment Quality Assurance and Calibration	Diagnostic Imaging Safety and Quality Standards
50.3 Timely, Accurate Reporting With Critical Finding Escalation	Diagnostic Imaging Safety and Quality Standards
50.4 Contrast Media Safety Protocol	Diagnostic Imaging Safety and Quality Standards
50.5 MRI Safety Screening and Zone Control	Diagnostic Imaging Safety and Quality Standards
50.6 Image and Report Retention, Accessible for Comparison	Document Control and the Records System
50.7 Resuscitation Equipment Is Ready Right Now	Emergency Medical Equipment & AED Readiness

Standard 51: Oncology and Cancer Care

Criterion	E-learning courses	Planned course
51.1 Cytotoxic Drug Handling Follows a Verified Safe-Handling Standard	Oncology & Infusion Therapy Safety Endorsement
51.2 Chemotherapy Dose Is Verified by Independent Two-Person Check	Oncology & Infusion Therapy Safety Endorsement
51.3 Neutropenic Fever Triggers an Immediate, Time-Bound Response	Oncology & Infusion Therapy Safety Endorsement
51.4 Extravasation Is Recognised and Managed Immediately	Oncology & Infusion Therapy Safety Endorsement
51.5 Multidisciplinary Tumour Board Informs Treatment Planning	Oncology & Infusion Therapy Safety Endorsement
51.6 Palliative Care Integrated Alongside Active Treatment	Oncology & Infusion Therapy Safety Endorsement
51.7 High-Alert Medicines Have Extra Safeguards	Medication Safety: Operating SOP-MED-01 End to End
51.8 Patients Are Triaged by Urgency	Care & Treatment: Clinical Standards for Accreditation
51.9 Sepsis Is Recognised and Treated Quickly	Safety & Emergency Preparedness
51.10 Pain and Symptoms Are Assessed and Controlled	Clinical & Medical Care in Long-Term Care
51.11 The Patient’s Goals and Wishes Are Recorded	End-of-Life & Palliative Care

Standard 52: Psychiatry and Mental Health

Criterion	E-learning courses	Planned course
52.1 Suicide Risk Screening and Continuous Observation for High-Risk Patients	Psychiatry & Mental Health Accreditation Endorsement
52.2 Environmental Ligature Risk Is Identified and Mitigated	Psychiatry & Mental Health Accreditation Endorsement
52.3 Restraint and Seclusion Used as Last Resort, With Strict Documentation	Psychiatry & Mental Health Accreditation Endorsement
52.4 Psychiatric Medication Management Follows a Defined Interaction and Monitoring Protocol	Medication Safety: Operating SOP-MED-01 End to End
52.5 Staff Are Trained and Drilled in De-escalation, Not Only Briefed	Psychiatry & Mental Health Accreditation Endorsement
52.6 Discharge Safety Planning With Follow-Up Care Arranged	Psychiatry & Mental Health Accreditation Endorsement

Standard 53: Allergology

Criterion	E-learning courses	Planned course
53.1 Allergy History Is Taken and Recorded	Allergy & Immunotherapy Safety Endorsement
53.2 Anaphylaxis Is Recognised and Treated at Once	Allergy & Immunotherapy Safety Endorsement
53.3 Allergen Testing Is Quality-Controlled and Interpreted by a Clinician	Allergy & Immunotherapy Safety Endorsement
53.4 Allergen Immunotherapy Follows a Written Protocol	Allergy & Immunotherapy Safety Endorsement
53.5 Allergy Results Are Communicated and Acted On	Allergy & Immunotherapy Safety Endorsement

Standard 54: Dermatology and Skin Clinics

Criterion	E-learning courses	Planned course
54.1 Skin Lesions Are Examined and Suspicious Lesions Referred	Dermatology Safety & Accreditation Standards
54.2 Skin Procedures Are Done With Sterile Technique	Dermatology Safety & Accreditation Standards
54.3 Laser and Light Devices Are Operated Safely	Dermatology Safety & Accreditation Standards
54.4 Systemic Dermatology Drugs Are Monitored	Dermatology Safety & Accreditation Standards
54.5 Patients Leave With Written Aftercare and a Booked Follow-Up	Dermatology Safety & Accreditation Standards

Standard 55: Cosmetic and Plastic Surgery

Criterion	E-learning courses	Planned course
55.1 Patients Are Assessed for Suitability and Realistic Expectations	Plastic & Cosmetic Surgery Safety Endorsement
55.2 Consent Is Informed, Realistic and Given Without Pressure	Plastic & Cosmetic Surgery Safety Endorsement
55.3 Anaesthesia and Sedation Are Given by Credentialed Staff	Plastic & Cosmetic Surgery Safety Endorsement
55.4 The Surgical Safety Checklist and Infection Bundle Are Used	Plastic & Cosmetic Surgery Safety Endorsement
55.5 Recovery, Discharge and Follow-Up Are Planned	Plastic & Cosmetic Surgery Safety Endorsement

Standard 56: Cardiology, Outpatient and Cardiac Procedures

Criterion	E-learning courses	Planned course
56.1 Cardiac Risk Is Assessed Before Investigation or Procedure	Cardiology & Cardiac Catheterization
56.2 Cardiac Procedures Follow a Defined Safety Standard	Cardiology & Cardiac Catheterization
56.3 Defibrillators and Emergency Equipment Are Checked Daily	Cardiology & Cardiac Catheterization
56.4 Antithrombotic Therapy Is Managed Under a Written Plan	Cardiology & Cardiac Catheterization
56.5 Cardiac Patients Leave With a Follow-Up and Risk Reduction Plan	Cardiology & Cardiac Catheterization

Standard 57: Radiotherapy

Criterion	E-learning courses	Planned course
57.1 The Radiotherapy Plan Is Justified and Independently Checked Before the First Treatment	Oncology & Infusion Therapy Safety Endorsement
57.2 Patient Identity and Treatment Site Are Verified Before Every Fraction	Oncology & Infusion Therapy Safety Endorsement
57.3 Treatment Equipment Is Checked by a Quality Assurance Programme	Oncology & Infusion Therapy Safety Endorsement
57.4 Staff and Visitors Are Protected by Shielding, Controlled Areas and Dosimetry	Oncology & Infusion Therapy Safety Endorsement
57.5 Patients Receive Written Information on Side Effects and Follow-Up	Oncology & Infusion Therapy Safety Endorsement

Standard 58: Inpatient Ward Care

Criterion	E-learning courses	Planned course
58.1 Every Inpatient Has an Admission Assessment and a Daily Review	Safety & Emergency Preparedness
58.2 Medicines Are Reconciled and Given Safely on the Ward	Medication Safety: Operating SOP-MED-01 End to End
58.3 Deterioration Is Recognised and Escalated Without Delay	Handover & Communication for ASF Accreditation
58.4 Falls, Pressure Injuries and Infections Are Prevented on the Ward	Slip, Trip & Fall Prevention
58.5 Discharge Is Planned and Handed Over Safely	Aftercare & Follow-up: Standards for Safe Discharge

Standard 59: Outpatient Medical Specialties

Criterion	E-learning courses	Planned course
59.1 Specialist Referrals Are Triaged and Tracked to an Appointment	Access & Arrival: From Street to Consulting Room
59.2 Specialist Consultations Are Assessed, Consented and Within the Clinician Scope	Care & Treatment: Twelve Clinical Criteria for Safe Ambulatory Practice
59.3 Results Are Communicated and Missing Results Are Followed Up	Aftercare & Follow-up: Closing the Loop After Every Visit
59.4 Medicines Are Reviewed at Each Visit and Language Access Is Provided	Medication Safety: Operating SOP-MED-01 End to End
59.5 Follow-Up and Recall Are Planned for Every Patient	Aftercare & Follow-up: Closing the Loop After Every Visit

Standard 60: Surgical and Specialty Clinics

Criterion	E-learning courses	Planned course
60.1 Surgeons Operate Only Within Their Granted Privileges	Credentialing, Competence and the Training Matrix
60.2 The Surgical Safety Checklist and Site Marking Are Used for Every Operation	Patient Identification, Informed Consent and Patient Rights
60.3 Anaesthesia and Sedation Are Given With Monitoring and Emergency Equipment	Safety & Emergency Preparedness
60.4 Surgical Site Infection and Thrombosis Are Prevented	Hand Hygiene and Standard Precautions
60.5 Patients Recover, Are Discharged and Are Followed Up Safely	Aftercare & Follow-up: Closing the Loop After Every Visit

Standard 61: Falls Prevention

Criterion	E-learning courses	Planned course
61.1 Each Patient at Risk of a Fall Has an Individual Prevention Plan in Use	Slip, Trip & Fall Prevention
61.2 The Environment and Equipment Are Checked for Falls Hazards	Environment & Shared Spaces
61.3 Every Fall Is Reported, the Patient Is Checked and the Event Is Reviewed	Incident Reporting, Just Culture and Open Disclosure
61.4 Staff Are Trained in Falls Prevention	Credentialing, Competence and the Training Matrix
61.5 Falls Data Are Reviewed at Set Intervals and Used to Change Practice	Governance & Management

Standard 62: Penitentiary Health Services

Criterion	E-learning courses	Planned course
62.1 Every Person Entering Custody Has a Health Screening and Medical Examination	Patient Identification, Informed Consent and Patient Rights
62.2 People in Custody Receive Care of the Same Quality as in the Community	Care & Treatment: Clinical Standards for Accreditation
62.3 Medical Confidentiality Is Protected	Records, Confidentiality and Data Protection
62.4 Health Staff Do Not Take Part in Restraint or Punishment	Incident Reporting, Just Culture and Open Disclosure
62.5 Mental Health, Self-Harm, Infection and Hospital Transfer Are Managed Under Written Procedures	Safety & Emergency Preparedness

Standard 63: Safe Handover

Criterion	E-learning courses	Planned course
63.1 Every Handover Between Clinicians Uses a Structured Method	Handover & Communication for ASF Accreditation
63.2 Each Handover Covers the Key Information and the Receiver Confirms It	Handover & Communication for ASF Accreditation
63.3 Deteriorating and High-Risk Patients Are Handed Over With Escalation Status	Safety & Emergency Preparedness
63.4 Patients Moved Between Wards or Facilities Travel With a Written Handover	Aftercare & Follow-up: Standards for Safe Discharge
63.5 Handover Is Audited and Failures Are Reviewed	Governance & Management

Standard BASIS: System BASIS

Criterion	E-learning courses	Planned course

Standard 2A: Governance and Safety Culture

Criterion	E-learning courses	Planned course
2A.1 The Board Is Accountable	Governance & Management Safety Management System & Leadership
2A.2 There Is a Written Strategic Plan	Quality Management in Healthcare Safety Management System & Leadership
2A.3 Policy Gets Followed	Documentation Fundamentals Document Control and the Records System Document Control Fundamentals
2A.4 Patient Data Is Kept Secure	Records, Confidentiality and Data Protection Security Protocols & Incident Response
2A.5 Records Are Kept Exactly as Long as Required	Records, Confidentiality and Data Protection Document Control and the Records System
2A.6 Serious Incidents Get Properly Investigated	Incident Reporting, Just Culture and Open Disclosure Nonconformity, Corrective Action and Risk
2A.7 Safety Culture Is Measured	Incident Reporting, Just Culture and Open Disclosure Safety Management System & Leadership
2A.8 Patient Experience Is Measured Continuously, Not Only After Discharge	Complaints Handling and Patient Feedback
2A.9 An Ethics Consultation Process Exists	Healthcare Ethics for ASF Accreditation
2A.10 Patients and Families Have a Voice in Governance	Complaints Handling and Patient Feedback

Standard 2B: Facility, Environment and Equipment

Criterion	E-learning courses	Planned course
2B.1 Reception Desk Accessibility	Access & Arrival: Getting Patients Through the Door Reception & Information: The First Ten Minutes
2B.2 Waiting and Queue Time Is Actively Managed	Reception & Information: The First Ten Minutes
2B.3 Water Supply Is Safe and Monitored	Water Source Testing & Documentation Legionella Prevention & Hot Water Systems
2B.4 Medical Equipment Is Maintained on Schedule	Environment & Shared Spaces Electrical Safety & Appliance Inspection
2B.5 Shared Spaces Are Clean	Environment & Shared Spaces Environmental Hygiene Standards for ASF Accreditation Linen, Laundry & Housekeeping Standards
2B.6 Facility Risks Are Tracked in One Integrated Register	Environment & Shared Spaces Internal Audit — Planning, Performing, Reporting
2B.7 An Environmental Sustainability Programme Is Active	Environmental Sustainability Standards for ASF Accreditation
2B.8 Facility Signage Is Complete Throughout the Building	Access & Arrival: Getting Patients Through the Door	Facility signage. New course planned.
2B.9 Fault Prevention Is Planned, Not Only Repaired	Environment & Shared Spaces	Planned fault prevention and maintenance. New course planned.
2B.10 Endoscopy Equipment Is Safe to Use and Properly Reprocessed	Gastroenterology & Endoscopy Safety Standards

Standard 2C: Sustainability

Criterion	E-learning courses	Planned course
2C.1 Environmental Impact Is Reviewed at Strategic Level	Environmental Sustainability Standards for ASF Accreditation
2C.2 Staff and Patients Are Informed of Sustainability Goals	Environmental Sustainability Standards for ASF Accreditation
2C.3 Sustainability Progress Is Reported to Governance	—	Reporting sustainability progress to governance. New course planned.
2C.4 Procurement Considers Responsible Stewardship of Resources	Environmental Sustainability Standards for ASF Accreditation Supplier Evaluation and Purchasing
2C.5 Energy Use Is Monitored, With a Move Toward Renewable Sources	Environmental Sustainability Standards for ASF Accreditation
2C.6 A Carbon Footprint Baseline Exists	—	Carbon footprint baseline. New course planned.
2C.7 The Facility Plans for Environmental and Climate Resilience	Environmental Sustainability Standards for ASF Accreditation	Climate and environmental resilience planning. New course planned.

Standard 2D: Digital Care and AI

Criterion	E-learning courses	Planned course
2D.1 Digital Care Systems Follow an Assessment and Management Process	Technology Platform Reliability & Security	Digital care assessment and management process. New course planned.
2D.2 Digital Care Never Disadvantages a Patient Who Cannot Use It	—	Digital inclusion: care that never disadvantages a patient who cannot use digital tools. New course planned.
2D.3 Technical Expertise Supports Digital Care Systems	—	Technical expertise for digital care systems. New course planned.
2D.4 AI Systems Are Introduced in Line With WHO AI Governance Guidance	Artificial Intelligence in Healthcare Safety Artificial Intelligence Systems for Care
2D.5 AI Systems Are Monitored for Unintended Consequences	Artificial Intelligence in Healthcare Safety
2D.6 Staff Are Consulted Before an AI System Is Introduced	Artificial Intelligence in Healthcare Safety
2D.7 Accountability for AI-Assisted Care Is Explicitly Defined	Artificial Intelligence in Healthcare Safety
2D.8 Patients Are Informed When Their Care Involves AI	Artificial Intelligence in Healthcare Safety

Standard 2E: Workforce

Criterion	E-learning courses	Planned course
2E.1 Ongoing Competency Is Regularly Evaluated	Credentialing, Competence and the Training Matrix
2E.2 Staff Have Access to Ongoing Education and Skill Development	Safety Training Programme & Competency Assessment
2E.3 Workforce Health and Safety Is Protected	—	New course planned.
2E.4 Workplace Issues Raised by Staff Are Investigated and Resolved	—	New course planned.
2E.5 Staff Are Protected From Violence and Aggression	—	New course planned.
2E.6 Workforce Feedback Is Gathered and Acted On	—	New course planned.
2E.7 Sick Leave and Attrition Data Inform Organisational Learning	—	New course planned.
2E.8 Equality, Diversity and Inclusion Across the Workforce Are Monitored	Equity, Diversity & Inclusion in Healthcare
2E.9 Working Hours and Rest Are Safe	—	New course planned.
2E.10 Staff Can Raise Concerns Through a Route That Protects Them	Incident Reporting, Just Culture and Open Disclosure
2E.11 Staff Are Trained in Falls Prevention	—

Standard S1: Hospital

Criterion	E-learning courses	Planned course
S1.1 Patients Are Triaged by Urgency	—
S1.2 Deteriorating Patients Are Recognised Early	—
S1.3 Sepsis Is Recognised and Treated Quickly	—
S1.4 Handoffs Are Structured and Verbal	—
S1.5 Medicines Are Stored Securely and Correctly	—
S1.6 High-Alert Medicines Have Extra Safeguards	—
S1.7 Medicines Are Reconciled at Admission, Transfer and Discharge	—
S1.8 Blood Is Verified Before Every Transfusion	—
S1.9 Critical Laboratory Results Are Acted On	—
S1.10 Every Discharged Patient Has an Aftercare Plan	—
S1.11 Patients at Higher Risk Are Checked On After Discharge	—
S1.12 A Mass-Casualty and Utility-Failure Plan Exists and Is Rehearsed	—
S1.13 Violence Against Staff Is Prevented	—
S1.14 Internal Emergency Alerts Are Clear and Consistent	—
S1.15 Pharmacy Dispenses Safely and Accountably	—
S1.16 Vulnerable Patients Have Specific Protections	—
S1.17 Patient Areas Are Safe From Falls in the Environment	—
S1.18 Healthcare-Associated Infections Are Tracked	—
S1.19 Patients Can Find the Hospital and Its Services Before Arriving	—
S1.20 Prices Are Disclosed Before Treatment Begins	—
S1.21 Resuscitation Equipment Is Ready Right Now	—
S1.22 Medicine Safety Does Not Depend on Software Alone	—

Standard S2: Ambulatory clinic

Criterion	E-learning courses	Planned course
S2.1 Patients Can Find the Clinic and Its Services Before Arriving	—
S2.2 Prices Are Disclosed Before Treatment Begins	—
S2.3 Emergency Equipment and Drugs Are Ready	—
S2.4 Medicines Are Stored and Given Safely	—
S2.5 Healthcare-Associated Infections Are Tracked	—

Standard S3: Primary care practice

Criterion	E-learning courses	Planned course
S3.1 Patients Can Register and Have a Named Clinician	—
S3.2 First-Contact Care Covers Common Conditions	—
S3.3 Continuity of Care Is Maintained	—
S3.4 Referrals to Specialist and Hospital Care Are Timely	—
S3.5 Chronic Conditions Are Managed on a Plan	—
S3.6 The Practice Uses Its Population Data	—
S3.7 Screening Programmes Are Offered and Followed Up	—
S3.8 Patients Can Find the Practice and Its Services Before Arriving	—
S3.9 Prices Are Disclosed Before Treatment Begins	—
S3.10 Emergency Equipment and Drugs Are Ready	—
S3.11 Medicines Are Stored and Given Safely	—

Standard S4: Long-term care

Criterion	E-learning courses	Planned course
S4.1 Falls, Pressure Injury and Nutrition Are Assessed	—
S4.2 Patients Can Find the Provider and Its Services Before Arriving	—
S4.3 Prices Are Disclosed Before Treatment Begins	—
S4.4 Medicines Are Reconciled at Admission, Transfer and Discharge	—
S4.5 Emergency Equipment and Drugs Are Ready	—

Standard S5: Ambulance and patient transport

Criterion	E-learning courses	Planned course
S5.1 Fleet register	—
S5.2 Partner operators are bound by written agreements	—
S5.3 Dispatch records for every transfer	—
S5.4 Receiving hospitals and emergency services agree the handover	—
S5.5 Costs and who pays stated before transfer	—

Standard S6: Patient transfers and referrals

Criterion	E-learning courses	Planned course
S6.1 Each segment has a named accountable party	—
S6.2 The end of the provider’s responsibility is written down	—
S6.3 The receiving facility or service accepts the patient before departure	—
S6.4 The transfer plan is written before departure, with a back-up plan	—
S6.5 Pre-transport clinical assessment completed	—
S6.6 Transfer level matches patient need	—
S6.7 Critically ill patients transported with matched staff and equipment	—
S6.8 Neonatal and paediatric transfers use specialist arrangements	—
S6.9 Air transport is planned, authorised and controlled	—
S6.10 Patient consent obtained and documented	—
S6.11 Crew scope of practice matches transfer acuity	—
S6.12 Minimum crew complement written and applied	—
S6.13 Escort doctor qualified and credentialed for the transfer type	—
S6.14 Escort continuity to the handover point	—
S6.15 Certification current before each shift	—
S6.16 Driver training specific to patient transport	—
S6.17 Fatigue management for long-distance transfers	—
S6.18 Vehicle maintenance current and documented	—
S6.19 Medical equipment checked and calibrated	—
S6.20 Medication storage meets requirements	—
S6.21 Vehicle safety equipment present and functional	—
S6.22 Aircraft and cabin equipment suitable for the patient	—
S6.23 Commercial flight: seats, equipment and airline acceptance arranged in advance	—
S6.24 Airport and ground segments are part of the same plan	—
S6.25 Continuous monitoring appropriate to acuity	—
S6.26 Deterioration recognition and response	—
S6.27 Cardiac arrest and life-threatening event protocol	—
S6.28 Diversion to the nearest appropriate facility	—
S6.29 Breakdown or accident contingency	—
S6.30 Mass casualty and surge plan	—
S6.31 Real-time status communication to dispatch	—
S6.32 Structured handover at pickup	—
S6.33 Structured handover at destination and at every segment change	—
S6.34 Written documentation travels with the patient	—
S6.35 Cross-border records and data transfer	—
S6.36 Vehicle cleaned and disinfected between patients	—
S6.37 Personal protective equipment available and used	—
S6.38 Isolation and transmission-risk protocol	—
S6.39 Sharps and biohazard waste disposal	—
S6.40 Crew exposure incident response	—
S6.41 Language-appropriate communication with the patient	—
S6.42 Escort clinicians recognised in the receiving country	—
S6.43 Import of medicines and equipment across borders	—
S6.44 Insurance and liability for the chain	—
S6.45 Post-incident debrief	—
S6.46 Dispatch decision rule and right to refuse	—