Criterion 2.2-12 of the HAS certification framework: requirements and challenges
Criterion 2.2-12: a mandatory element for any healthcare hospital
Criterion 2.2-12, from the Haute Autorité de Santé (HAS) Certification Framework version 2025, is an imperative element that concerns the entire healthcare facility. Its main objective is to ensure that teams are able to manage the care of life-threatening emergencies. This implies immediate responsiveness and optimal coordination to preserve the patient's life.
To assess the mastery of this criterion, several elements are examined:
- at the professional level :
- There must be a single, dedicated phone number to reach a qualified physician in the event of a life-threatening emergency, and this number must be known to professionals.
- All healthcare professionals must be trained in first aid, which includes the ability to detect a life-threatening emergency and to know the appropriate course of action.
- Emergency carts or bags must be adapted to the patients present in the unit and easily accessible.
- These carts or bags should be regularly checked in care units. The verification of their contents and condition must be documented, and a usage log must be maintained.
- Healthcare professionals must perform situation simulation exercises.
- at the governance level :
- An evaluation of the overall system for handling life-threatening emergencies needs to be carried out to validate itseffectiveness.
In summary, Criterion 2.2-12 requires not only individual training of professionals, but also a robust systemic organization, the availability of adequate equipment, and a continuous improvement approach based on evaluation and simulation.
Safeteam training: a concrete response to the requirements of criterion 2.2-12
To enable healthcare professionals to develop and maintain the skills required by Criterion 2.2-12, particularly in terms of training and role-playing exercises, Safeteam offers the training course "Managing life-threatening emergencies in the ward in the first few minutes" [P46]. This training is intended for all healthcare staff.
Its structure is specifically designed for effective learning in a short time: 2 hours in total. As mentioned above, these 2 hours are divided into two one-hour modules:
- part 1: autonomous, asynchronous (1 hour)
- This part begins with an introduction to the training and a pre-test to assess your starting level.
- The core of this hour is an immersive video simulation. You are placed in the role of a caregiver and must manage three successive life-threatening emergency situations (respiratory, neurological, circulatory distress). The objective is to allow you to quickly learn to analyze the situation and acquire the essential reflex actions as a first responder.
- At the end of each video simulation, an "expert's eye" analyzes the situation.
- The evaluation is continuous throughout this part thanks to immersive role-playing, professional simulations, and concrete cases. Interactive quizzes with immediate feedback reinforce continuous monitoring and skills validation.
- This section also includes elements to go further, with an in-depth focus on the emergency cart (its purpose, regulations in healthcare facilities, best practices for its use, verification, and rearming) – a point directly related to the requirements of Criterion 2.2-12. Contributions from BSPP (Paris Fire Brigade) experts on cardiopulmonary resuscitation are also included.
- It ends with a post-test to measure progress and an action plan.
- part 2: group, via videoconference (1 hour)
- This second hour is dedicated to the debriefing of the video simulation.
- It is led by a human factors expert.
- The objective is to analyze collectively and individually the situations encountered during the simulation. You will be asked to identify discrepancies between your practice and the recommendations for managing life-threatening emergencies and using the crash cart.
- This makes it possible to target areas for improvement, whether at the individual or team level.
- Together, you establish an individual and collective action plan and strengthen teamwork.
The pedagogy of this training is varied, using video simulation, concrete cases, quizzes, videos and articles. The targeted skills are knowing how to Protect (secure), Alert (detect and structure the call) and Rescue (implement immediate care). One of the specific educational objectives is to know how to use the emergency cart effectively.
The training is 100% remote. Validation of learning requires a score higher than 70% on the post-test and complete completion of the course.
By participating in this training, professionals develop concrete reflexes for the first ten crucial minutes of a life-threatening emergency. This contributes to patient safety, compliance with the regulatory framework (such as Criterion 2.2-12), operational efficiency, stress reduction, and optimized quality of care.
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