Standardized Clinical Forms

Standardized Clinical Forms

By enhancing the consistency of care, documentation and data collection, standardized clinical forms contribute to reducing preventable deaths and improving overall system planning and responsiveness. High-quality clinical data is essential for driving improvements in patient care and strengthening health systems. Standardized clinical documentation play a critical role in enabling systematic data collection at the point of care. When integrated into clinical registries, this information provides a rich source of data on patient presentation, treatment, and outcomes across the continuum—from prehospital through inpatient care. These registries support real-time analysis, helping to identify gaps in care, monitor performance, and guide targeted quality improvement initiatives.

In the sections below, we have provided the forms and supporting reference cards as PDFs. If you would like to access editable versions of any of these documents, please email emergencycare@who.int.

Prehospital tools

Facility-based tools

Emergency unit

The WHO standardized clinical forms improve care by ensuring a systematic and structured approach to every injured or acutely ill person. There are two versions of the form - for trauma cases and for general Emergency Unit cases - each with a corresponding reference card to guide clinician use and ensure quality of data entry. In studies, the standardized clinical form has been shown to assist in guiding the provider towards an evidence-based approach to the acutely ill and injured patients. In addition, the forms provide a simple mechanism for collecting the necessary data points included in the WHO Clinical Registry. 


Referral and counter-referral