Section 5.4 · Pillar 1 · Clinical Excellence, Patient Safety & Quality of Care
Emergency Care and Trauma Systems
Emergency care as a national priority: zero-refusal policy, standardized triage with time targets, resuscitation readiness and EMS systems.
The issue
Emergency care should be treated as a national priority. Preventable deaths often result from delayed triage, delayed clinical assessment, delayed diagnostics, limited blood access, inadequate supplies, poor referral coordination, or refusal of care.
Priority components
What good looks like in this domain, expressed as the components an institution should be able to show.
- 01Zero-refusal emergency care policy
- 02Standardized triage with defined time targets
- 03Emergency stabilization before payment discussions
- 0424-hour emergency staffing standards
- 05Resuscitation readiness
- 06Trauma protocols
- 07Obstetric emergency protocols
- 08Referral and transfer standards
- 09Ambulance and pre-hospital care integration
- 10Emergency blood access pathways
- 11Establishment of regional and national Emergency Medical Services (EMS) systems
Implementation
What this domain requires in practice: the standard, the pack, the measurement, the tools and the evidence.
Standards
No approved ASQAT standards have been published for this domain yet. The standards layer is in place so that approved statements can be released without restructuring the platform.
Measurement
Measurement specifications for this domain are being developed. Indicator definitions are published only once the numerator, denominator and data source are agreed.
Measurement frameworkResources
Implementation resources for this domain are currently in development. Approved policies, procedures, checklists and tools will be released through the resource library.
Open the libraryAwaiting approved content
Evidence in practice
No approved implementation evidence has been published for this domain yet. Case studies are published only after review of what was measured and how.