There are numerous standards currently available that relate to accident an
d emergency medicine. Some of these relate to organizational structure; oth
ers are clinical and relate either to the process of care or to outcomes. F
ew, if any, deal explicitly with the dimensions of quality mentioned in rec
ent white papers about the NHS,
It is suggested, to maximize the effect standards have on care, that they s
hould be developed for existing technologies not just for novel ones, rigor
ously developed and effectively disseminated and implemented, formally eval
uated after their introduction and mutually compatible.