CBAHI Acute Coronary Syndrome (ACS) QMS Templates
CBAHI Acute Coronary Syndrome (ACS) QMS Templates
Documentation for the chest pain pathway, written to the service-level requirements CBAHI applies to acute coronary syndrome care.
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Written and reviewed by practising specialists. Who writes this
Built and reviewed with our methodology. Read it
Read the guide: CBAHI Acute Coronary Syndrome Services Accreditation: What Cardiology Teams Need to Know
By document type
| Category | Files |
|---|---|
| Manuals | 2 |
| Policies | 1 |
| Procedures & SOPs | 19 |
| Plans & Programmes | 1 |
| Forms & Records | 17 |
| Checklists & Audit Tools | 10 |
| Training & Awareness | 2 |
| Guides & Work Instructions | 3 |
Key documents
| Reference | Document | Format |
|---|---|---|
| AGS-ACS-QM-001 | Quality Manual – ACS Services | Word |
| AGS-ACS-PR-011 | Patient Access, Triage and Emergency Management of ACS | Word |
| AGS-ACS-PR-015 | Cardiac Catheterization Laboratory Operations and Pre-Procedure Preparation | Word |
| AGS-ACS-PR-017 | Percutaneous Coronary Intervention and Intra-Procedure Care | Word |
| AGS-ACS-FRM-010 | ACS Multidisciplinary Plan of Care | Word |
| AGS-ACS-CHK-001 | CBAHI ACS Standards Self-Assessment Checklist | Word |
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Overview
The CBAHI Acute Coronary Syndrome Services standards, 2022 Edition, are issued by the Saudi Central Board for Accreditation of Healthcare Institutions (CBAHI), the Kingdom of Saudi Arabia's national accreditation authority. Unlike whole-hospital accreditation, this standard is applied at service and programme level: what is examined is the route a patient with a suspected acute coronary event actually travels, from arrival through definitive treatment to recovery. It is built for that route, and for the cardiology, emergency and quality teams who share it.
Procedures govern patient access, triage and emergency management of ACS, multidisciplinary assessment and inpatient care planning, percutaneous coronary intervention and intra-procedure care, radiation safety in the cardiac catheterisation laboratory, transfer and referral, and cardiac rehabilitation with secondary prevention and morbidity and mortality review. Time-critical performance is treated as measurable: a KPI dictionary defines the indicators behind door-to-balloon and door-to-needle monitoring, while readiness checklists, consent and pre-sedation records and a CBAHI self-assessment checklist leave a traceable evidence trail against each ACS requirement.
What this system covers
- Triage and early electrocardiogram acquisition, and escalation of suspected ACS on arrival
- STEMI and NSTEMI risk stratification and reperfusion choice, with door-to-balloon monitoring for primary PCI and door-to-needle tracking for fibrinolysis
- Catheterisation laboratory readiness, pre-procedure safety time-out, intra-procedure care, recovery and discharge
- Radiation safety for patients and staff during work in the catheterisation laboratory
- Transfer, referral and escalation where interventional capability sits elsewhere
- Cardiac rehabilitation, secondary prevention and structured morbidity and mortality review
- Service governance, credentialing and privileging, mandatory training, incident reporting and corrective action
Who it's for
Cardiology service directors, emergency department leads and accreditation officers in Saudi hospitals preparing for a CBAHI survey of their ACS programme. The trigger is usually a survey date, or a decision to formalise a chest pain pathway that exists in practice but not on paper. What follows is a documented service, with protocols, time targets, records and audit tools carrying the facility's own names and clinical model, rather than a folder assembled in the weeks before surveyors arrive.
Everything you get
Every toolkit gives you a full set of working documents for your standard, ready to edit and use.
Native Microsoft files. Add your logo and adapt every document to how you work.
Your full toolkit arrives as a ZIP the moment payment clears.
Any of your staff, at any of your own sites. No per-seat fees.
Sector specialists author each toolkit. A principal reviewer with more than twenty years reviews it.
One payment, perpetual licence for your organisation. No subscriptions, no renewals.
If a document is wrong, missing or not as described, tell us within 14 days. We fix it or refund you.
Frequently asked questions
What exactly do I receive?
A downloadable ZIP containing the full set of ready-to-use documents for this toolkit — manuals, procedures, forms, records, checklists, guidance and training material, all in editable Word and Excel format. The exact document count is shown at the top of this page.
Are the documents really editable?
Yes. Every file is native Microsoft Word or Excel — no locked PDFs. Add your logo, change wording, and tailor the content to your organisation. The toolkit is yours to keep and reuse.
Does this certify my organisation?
No. These are documentation toolkits aligned to the relevant standard to help you prepare. Certification itself is issued by an accredited certification body after their audit. Our toolkits give you a strong, audit-ready starting point.
How is it delivered?
Instantly and digitally. There's no physical shipment — you download the files right after payment and receive a backup link by email.
Do I get updates?
Yes, for 12 months. Fixes and revisions to this toolkit are free for 12 months from your order. Email us with your order number to get them.
What is your refund policy?
If a document is wrong, missing or not as described, tell us within 14 days of your order. We fix it or refund you. If you have not downloaded yet, we can cancel the order and refund you in full. We don't refund a change of mind after download. See the Refund policy.
Cannot find your standard?
Tell us which scheme you work to. We will point you to the right toolkit.
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