No.	Explanation
RM02	Regular further education and training measures
RM03	Employee surveys
RM05	Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen (01.09.2019)
RM06	Fall prophylaxis Beschluss der FG Pflege Sturzprophylaxe (01.02.2023)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Beschluss der FG Pflege Dekubitusprophylaxe (01.11.2021)
RM08	Regulated handling of custodial measures DA zu freiheitsentziehenden Maßnahmen/Fixierung (13.07.2022)
RM09	Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (ZD Einkauf) (29.05.2015)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Mortalitäts- und Morbiditätskonferenzen
RM12	Use of standardised information sheets
RM13	Application of standardised surgical check lists
RM14	Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss Konzernregelung OP-Sicherheit (27.01.2022)
RM15	Preoperative, complete presentation of necessary findings Konzernregelung OP-Sicherheit (27.01.2022)
RM16	Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit (27.01.2022)
RM17	Standards for recovery and postoperative care Dienstanweisung zur Dokumentation postoperativer Verordnungen (11.08.2023)
RM18	Discharge management Verfahrensregelung Entlassungsmanagement (29.03.2023)

Fault reporting systems

Internal to the institution

Conference committee

Conference frequency: quartalsweise

Measures

Zentrales Auswertungsteam CIRS bewertet Fälle und beschließt Maßnahmen sowie verfolgt die Umsetzung der Veränderungs-/Verbesserungsmaßnahmen.

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 22.09.2021
IF02	Internal evaluation of the received reports taken quartalsweise
IF03	Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken monatlich

No.

Explanation

IF01

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

As of: 22.09.2021

IF02

Internal evaluation of the received reports

taken quartalsweise

IF03

Training of employees in handling the error reporting system and in implementing the findings from the error reporting system

taken monatlich

Across all institutions

Conference committee

Conference frequency: quartalsweise

No.	Explanation
EF03	KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)