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-CHK-001 | CBAHI ACS Standards Self Assessment Checklist | Word |
| AGS-ACS-PR-011 | Patient Access Triage and Emergency Management of ACS | Word |
| AGS-ACS-PR-017 | Percutaneous Coronary Intervention and Intra Procedure Care | Word |
| AGS-ACS-PR-018 | Radiation Safety in the Cardiac Catheterization Laboratory | Word |
| AGS-ACS-CHK-003 | Emergency Department ACS Readiness 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.
One purchase covers everyone in your organisation. No per-seat fees.
Built by people who run real audits, so the content matches what assessors check.
One payment, perpetual licence for your organisation. No subscriptions, no renewals.
Full refund if your files are faulty, incomplete or not as described and we can't put it right
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. If we revise this toolkit, you're entitled to the updated version at no extra cost — just contact us with your order details.
What is your refund policy?
These are digital products, so once a toolkit has been downloaded we cannot take it back. If you have not downloaded yet, contact us and we will cancel the order and refund you in full. We also refund in full if the files are damaged, incomplete, or not what the product page described.
Cannot find your standard?
Tell us which scheme you work to. We will point you to the right toolkit.




