No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available VA Risikomanagement (18.12.2017)
RM03	Employee surveys
RM08	Regulated handling of custodial measures LWL-Standard zur Vermeidung, Anwendung und Dokumentation von freiheitsentziehenden Maßnahmen (feM) und Zwangsbehandlungen in der psychiatrischen Behandlung (31.03.2017)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Strukturierte Psychiatrische Fallbesprechungen
RM18	Discharge management VA Entlassung und Pflegeüberleitung (23.11.2017)

Fault reporting systems

Internal to the institution

Conference committee

Conference frequency: bei Bedarf

Measures

MERKE-System (Meldung relevanter kritischer Ereignisse): Relevante Ereignisse werden erfasst und nach Möglichkeit Abhilfe geschaffen, bzw. Maßnahmen erarbeitet.

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 18.12.2017
IF02	Internal evaluation of the received reports taken bei Bedarf

No.

Explanation

IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 18.12.2017

IF02

Internal evaluation of the received reports

taken bei Bedarf

Across all institutions

Conference committee

Conference frequency: halbjährlich

No.	Explanation
EF06	CIRS NRW (North Rhine and Westphalia-Lippe Medical Associations, North Rhine-Westphalia Hospital Association, North Rhine and Westphalia-Lippe Associations of Statutory Health Insurance Physicians, German Medical Association)