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Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Resources › Registers and logs

All registers and logs in one place, grouped by standard. Use the links to read a document, or download the PDF.

Standard 3: Medicines and Pain

Document Title Criteria PDF
MNP-REG-001 Look-alike and sound-alike medicines list 3.1 Download PDF

Standard 4: Environment and Accessibility

Document Title Criteria PDF
ACS-REG-001 Mobility equipment register 4.7 Download PDF

Standard 5: Blood Bank

Document Title Criteria PDF
BLD-REG-001 Donation testing and release register 5.2 Download PDF
BLD-REG-002 Donation traceability register 5.3 Download PDF

Standard 6: Day Clinic and Day Surgery

Document Title Criteria PDF
DAY-REG-001 Sedation credential register 6.2 Download PDF
DAY-REG-002 Unplanned admission review register 6.7 Download PDF

Standard 7: Emergency Dispatch

Document Title Criteria PDF
EDP-REG-001 Dispatch time register 7.3 Download PDF
EDP-REG-003 Back-up test log 7.6 Download PDF
EDP-REG-004 Queue and escalation register 7.8 Download PDF
EDP-REG-002 Call-taker training and competence register 7.4 Download PDF

Standard 8: Fertility Clinic

Document Title Criteria PDF
FRT-REG-001 Gamete and embryo traceability register 8.3 Download PDF
FRT-REG-002 Storage monitoring and alarm log 8.4 Download PDF
FRT-REG-003 Adverse event and success rate register 8.7 Download PDF

Standard 9: Field Hospital

Document Title Criteria PDF
FLD-REG-001 Referral and evacuation log 9.5 Download PDF

Standard 10: Hospice and Palliative Care

Document Title Criteria PDF
HSP-REG-001 Palliative care training register 10.7 Download PDF
HSP-REG-002 Palliative care quality review register 10.9 Download PDF
HSP-REG-003 Out-of-hours contact log 10.10 Download PDF

Standard 11: Procedure Units, Endoscopy and Interventional Care

Document Title Criteria PDF
PRO-REG-001 Product batch register 11.2, 11.9 Download PDF
PRO-REG-002 Procedure competence register 11.3 Download PDF

Standard 12: Obstetrics and Gynaecology

Document Title Criteria PDF
OBS-REG-001 Maternal and perinatal outcomes review register 12.8 Download PDF
GYN-REG-001 Screening recall and result register 12.13 Download PDF

Standard 13: Mobile Clinic and Outreach

Document Title Criteria PDF
MOB-REG-001 Records return register 13.4 Download PDF
MOB-FRM-004 Lone working check-in log 13.10 Download PDF
MOB-REG-002 Coverage review register 13.8 Download PDF

Standard 14: Occupational Health

Document Title Criteria PDF
OHS-REG-001 Assessor qualification register 14.2 Download PDF
OHS-REG-002 Health surveillance register 14.3 Download PDF

Standard 15: Optical and Hearing

Document Title Criteria PDF
OPT-REG-002 Qualification register for sight testing, dispensing and hearing aid fitting 15.2 Download PDF

Standard 16: Paediatric Care

Document Title Criteria PDF
PED-REG-001 Child safeguarding concern register 16.3 Download PDF
PED-REG-002 Paediatric training register 16.6 Download PDF
PED-REG-003 Child health schedule register 16.7 Download PDF
PED-REG-004 Child outcomes review register 16.9 Download PDF

Standard 17: Pharmacy

Document Title Criteria PDF
PHA-REG-001 Pharmacist rota and cover register 17.3 Download PDF
PHA-REG-002 Dispensing error and near-miss log 17.4 Download PDF
PHA-REG-003 Licensed supplier and batch source register 17.9 Download PDF
PHA-REG-004 Stock and expiry register 17.7 Download PDF

Standard 18: Physiotherapy

Document Title Criteria PDF
PHY-REG-001 Qualification and scope register 18.2 Download PDF
PHY-REG-002 Clinical guidance register 18.3 Download PDF
PHY-REG-003 Equipment fault and cleaning log 18.5 Download PDF
PHY-REG-004 Outcome review register 18.7 Download PDF

Standard 19: Specimen Collection Point

Document Title Criteria PDF
SPC-REG-001 Specimen dispatch and arrival register 19.4 Download PDF
SPC-REG-002 Specimen rejection log 19.5 Download PDF
SPC-REG-003 Specimen tracking register 19.7 Download PDF

Standard 20: Sports Medicine

Document Title Criteria PDF
SPM-REG-001 Pre-participation check requirements and register 20.3 Download PDF
SPM-REG-002 Clinician qualification and scope register 20.4 Download PDF
SPM-REG-003 Injury and training load review register 20.7 Download PDF

Standard 21: Urgent Care

Document Title Criteria PDF
URG-REG-001 Emergency drill register 21.3 Download PDF
URG-REG-002 Waiting time register 21.4 Download PDF
URG-REG-003 Attendance and repeat attender review 21.6 Download PDF

Standard 22: Academic Medical Centre

Document Title Criteria PDF
TCH-REG-001 Trainee scope and competency register 22.1 Download PDF
TCH-REG-002 Research ethics approval register 22.3 Download PDF
TCH-REG-003 Research conflict of interest register 22.5 Download PDF
TCH-REG-004 Faculty clinical competency register 22.6 Download PDF

Standard 23: Multi-Site Governance

Document Title Criteria PDF
NET-REG-001 Incident learning log 23.2 Download PDF
NET-REG-002 Register of justified local variations 23.3 Download PDF
NET-REG-003 Verified clinician and site recognition register 23.4 Download PDF
NET-REG-004 Central quality review register 23.6 Download PDF

Standard 24: Medical Tourism

Document Title Criteria PDF
MTR-REG-001 Logistics coordination register 24.4 Download PDF
MTR-REG-002 Post-return follow-up log 24.5 Download PDF
MTR-REG-003 International complaint log 24.7 Download PDF
MTR-REG-004 Verified agents register 24.8 Download PDF

Standard 25: Health and Migration

Document Title Criteria PDF
HMG-REG-001 Interpreter and mediator use register 25.3 Download PDF
HMG-REG-004 Legal status and access rights register 25.10 Download PDF

Standard 26: Dialysis and Renal Replacement

Document Title Criteria PDF
DIA-REG-001 Dialyser traceability and reprocessing register 26.4 Download PDF
DIA-REG-002 Access-related infection register 26.6 Download PDF
DIA-REG-003 Dialysis incident and outcome review register 26.12 Download PDF

Standard 28: Long-Term Care

Document Title Criteria PDF
LTC-REG-002 Functional status measurement register 28.4 Download PDF

Standard 29: Home Care

Document Title Criteria PDF
HC-REG-001 Home hazard remediation register 29.12 Download PDF
HC-REG-003 Caregiver continuity register 29.32 Download PDF

Standard 30: Fitness and Wellness

Document Title Criteria PDF
FW-REG-001 Staff qualification register 30.3 Download PDF
FW-REG-003 Defibrillator check and rehearsal register 30.10 Download PDF

Standard 31: Dental Care

Document Title Criteria PDF
DEN-REG-001 Sterilisation cycle and load register 31.1 Download PDF
DEN-REG-002 Waterline test register 31.5 Download PDF
DEN-REG-003 Radiation equipment and dose audit register 31.9 Download PDF
DEN-REG-004 Dental emergency equipment and drug check register 31.12 Download PDF
DEN-REG-005 Implant and prosthetic component traceability register 31.20 Download PDF

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

Document Title Criteria PDF
AES-REG-002 Advertising and claims review log 32.5 Download PDF

Standard 33: Laboratory

Document Title Criteria PDF
LBT-REG-001 Calibration and maintenance register 33.1 Download PDF
LBT-REG-002 Method validation register 33.3 Download PDF
LBT-REG-003 Internal quality control log 33.4 Download PDF
LBT-REG-004 External quality assessment results register 33.5 Download PDF
LBT-REG-005 Specimen receipt and rejection log 33.7 Download PDF
LBT-REG-006 Turnaround time monitoring log 33.9 Download PDF
LBT-REG-007 Critical value communication log 33.11 Download PDF
LBT-REG-008 Result amendment log 33.14 Download PDF
LBT-REG-009 Supplier qualification register 33.15 Download PDF

Standard 34: Rehabilitation

Document Title Criteria PDF
REH-REG-001 Team review register 34.2 Download PDF

Standard 35: Critical Care

Document Title Criteria PDF
CRT-REG-001 Daily staffing ratio register 35.2 Download PDF

Standard 36: Hospital Emergency Department

Document Title Criteria PDF
ED-REG-001 Resuscitation area readiness register 36.2 Download PDF
ED-REG-002 Left-before-assessment register 36.5 Download PDF

Standard 37: Neonatal and Paediatric Hospital Care

Document Title Criteria PDF
NEO-REG-001 Neonatal staffing against level of care register 37.2 Download PDF

Standard 38: Substance Use and Addiction Treatment

Document Title Criteria PDF
SUB-REG-001 Naloxone and harm reduction register 38.3 Download PDF

Standard 39: Humanitarian and Emergency Operations

Document Title Criteria PDF
HUM-REG-001 Handover tracking register 39.2 Download PDF
HUM-REG-002 Staff incident register 39.5 Download PDF

Standard 40: Nutrition and Dietetics

Document Title Criteria PDF
NUT-REG-001 Nutrition staff competence register 40.1 Download PDF
NUT-REG-002 Food temperature and hygiene check register 40.5 Download PDF

Standard 41: Complementary and Traditional Medicine

Document Title Criteria PDF
TRM-REG-001 Practitioner registration register 41.1 Download PDF
TRM-REG-002 Product sourcing and labelling register 41.4 Download PDF
TRM-REG-003 Adverse event register 41.5 Download PDF

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

Document Title Criteria PDF
AFT-REG-001 Post-discharge contact register 42.3 Download PDF
AFT-REG-002 Readmission and aftercare problem review register 42.5 Download PDF
AFT-REG-003 Post-discharge complaint response register 42.6 Download PDF

Standard 43: Organ and Tissue Transplant

Document Title Criteria PDF
TXP-REG-001 Allocation decision register 43.2 Download PDF
TXP-REG-002 Payments and reimbursement register 43.3 Download PDF
TXP-REG-004 Graft and patient outcome register 43.6 Download PDF

Standard 44: Access, Findability and Wayfinding

Document Title Criteria PDF
WAY-REG-001 Emergency entrance open-hours and clear-access check register 44.2 Download PDF
WAY-REG-002 Route test register 44.4 Download PDF
WAY-REG-003 Access information change log 44.5 Download PDF

Standard 45: Reception, Waiting and Health Information

Document Title Criteria PDF
WTG-REG-001 Patient information test register 45.4 Download PDF

Standard 46: Hospital Disaster and Emergency Preparedness

Document Title Criteria PDF
DIS-REG-001 Utility back-up test register 46.3 Download PDF

Standard 47: Sepsis, Clinical Deterioration and Venous Thromboembolism

Document Title Criteria PDF
SEP-REG-001 Sepsis time-to-antibiotic register 47.2 Download PDF
ANT-REG-001 Anticoagulant use and reversal register 47.4 Download PDF

Standard 48: Falls, Pressure Injury and Safe Handover

Document Title Criteria PDF
PRS-REG-001 Pressure injury register 48.3 Download PDF

Standard 49: Advance Care Planning, Palliative Needs and Dignity

Document Title Criteria PDF
ADV-REG-001 Advance directive register 49.2 Download PDF

Standard 50: Diagnostic Imaging

Document Title Criteria PDF
IMG-REG-002 Imaging equipment quality assurance register 50.2 Download PDF
IMG-REG-001 Imaging report turnaround and critical finding log 50.3 Download PDF
ARC-REG-001 Image retrieval test register 50.6 Download PDF

Standard 51: Oncology and Cancer Care

Document Title Criteria PDF
ONC-REG-001 Cytotoxic handling verification register 51.1 Download PDF
ONC-REG-002 Neutropenic fever time register 51.3 Download PDF
ONC-REG-003 Tumour board decision register 51.5 Download PDF

Standard 52: Psychiatry and Mental Health

Document Title Criteria PDF
PSY-REG-001 Continuous observation log 52.1 Download PDF
PSY-REG-002 Ligature risk mitigation register 52.2 Download PDF
PSY-REG-003 De-escalation drill register 52.5 Download PDF

Standard 53: Allergology

Document Title Criteria PDF
ALR-REG-001 Anaphylaxis episode and adrenaline check register 53.2 Download PDF

Standard 54: Dermatology and Skin Clinics

Document Title Criteria PDF
DRM-REG-002 Laser and light device use log 54.3 Download PDF

Standard 55: Cosmetic and Plastic Surgery

Document Title Criteria PDF
PLS-REG-001 Procedure safety credential register 55.3 Download PDF

Standard 56: Cardiology, Outpatient and Cardiac Procedures

Document Title Criteria PDF
CAR-REG-001 Cardiac procedure log 56.2 Download PDF

Standard 57: Radiotherapy

Document Title Criteria PDF
RTH-REG-001 Machine quality assurance register 57.3 Download PDF
RTH-REG-002 Personal dosimetry register 57.4 Download PDF

Standard 58: Inpatient Ward Care

Document Title Criteria PDF
WRD-REG-001 Medicine administration and omission register 58.2 Download PDF

Standard 59: Outpatient Medical Specialties

Document Title Criteria PDF
OMS-REG-001 Outpatient recall and follow-up register 59.5 Download PDF

Standard 60: Surgical and Specialty Clinics

Document Title Criteria PDF
SSC-REG-001 Surgeon privileges register 60.1 Download PDF

Standard 62: Penitentiary Health Services

Document Title Criteria PDF
PNT-REG-001 Custody health and transfer register 62.4 Download PDF

Standard 63: Safe Handover

Document Title Criteria PDF
SHO-REG-001 Safe handover audit register 63.5 Download PDF

Standard BASIS: System BASIS

Document Title Criteria PDF
IPC-REG-001 Healthcare-associated infection surveillance register B1.15 Download PDF
CAN-REG-001 Harm disclosure register B2.14 Download PDF
SAF-REG-001 Adult safeguarding concern register B1.14 Download PDF
SIR-REG-001 Serious incident register B2.6 Download PDF
OPR-REG-001 Policy register B2.2 Download PDF
PCA-REG-001 Policy compliance audit register B2.3 Download PDF

Standard 2A: Governance and Safety Culture

Document Title Criteria PDF
GOV-REG-001 Register of Governing Body Members 2A.1 Download PDF
GOV-REG-002 Policy Register 2A.3 Download PDF
REC-FRM-003 Records Disposal Record 2A.5 Download PDF
INC-REG-001 Incident Action Tracker 2A.6 Download PDF
QUA-REG-001 Safety Culture Action Plan Register 2A.7 Download PDF
QUA-REG-002 Patient Feedback Summary (quarterly) 2A.8 Download PDF
GOV-REG-003 Ethics Consultation Log 2A.9 Download PDF
GOV-REG-004 Attendance Register (governance meetings) 2A.10 Download PDF

Standard 2B: Facility, Environment and Equipment

Document Title Criteria PDF
ACC-REG-001 Monthly Wait-Time Review 2B.2 Download PDF
EQP-REG-001 Equipment Inventory and Service Log 2B.4 Download PDF
FAC-REG-001 Integrated Facility Risk Register 2B.6 Download PDF
FAC-REG-002 Failure Log 2B.9 Download PDF
EQP-REG-002 Reprocessing and Test Log (endoscopy) 2B.10 Download PDF

Standard 2C: Sustainability

Document Title Criteria PDF
ENV-REG-001 Sustainability Communication Record 2C.2 Download PDF

Standard 2D: Digital Care and AI

Document Title Criteria PDF
AI-REG-001 AI Monitoring Register 2D.5 Download PDF

Standard 2E: Workforce

Document Title Criteria PDF
WRK-REG-001 Training matrix register 2E.1, 2E.2 Download PDF
WRK-REG-002 Sickness absence and turnover register 2E.7 Download PDF
WRK-REG-003 Workforce equity register 2E.8 Download PDF
WRK-REG-004 Rota and working hours log 2E.9 Download PDF
WRK-REG-005 Falls prevention training record 2E.11 Download PDF

Standard S1: Hospital

Document Title Criteria PDF
HOS-REG-001 Controlled drugs register Download PDF
HOS-REG-002 Critical result log Download PDF
HOS-REG-003 Post-discharge follow-up register Download PDF
HOS-REG-004 Rehearsal and drill record Download PDF
HOS-REG-005 Healthcare-associated infection surveillance register Download PDF

Standard S3: Primary care practice

Document Title Criteria PDF
PHC-REG-001 Patient register Download PDF
PHC-REG-002 Referral tracking register Download PDF
PHC-REG-003 Recall register Download PDF
PHC-REG-004 Care gaps register Download PDF
PHC-REG-005 Screening register Download PDF

Standard S4: Long-term care

Document Title Criteria PDF
LTC-REG-001 Falls, pressure injury and weight register Download PDF

Standard S5: Ambulance and patient transport

Document Title Criteria PDF
AMT-REG-001 Vehicle and aircraft register Download PDF
AMT-REG-002 Receiving service agreements register Download PDF

Standard S6: Patient transfers and referrals

Document Title Criteria PDF
PTR-REG-001 Escort and crew credential and pre-shift register Download PDF
PTR-REG-002 Vehicle maintenance, equipment calibration and medicines check register Download PDF