No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Überwachungsaudit nach DIN ISO 9001:2015 in 09/2022 (20.09.2022)
RM02	Regular further education and training measures
RM03	Employee surveys
RM04	Clinical emergency management VA Notfallmanagement (03.03.2023)
RM06	Fall prophylaxis Expertenstandard Sturz (03.03.2023)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitus (03.03.2023)
RM08	Regulated handling of custodial measures VA Umgang mit freiheitsentziehenden Maßnahmen / Fixierungsrichtlinien (21.02.2023)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Qualitätszirkel Behandlungsplanung
RM18	Discharge management VA Entlassmanagement (10.11.2023)

Conference frequency:

Durch die Verfahrensanweisungen Besondere Vorkommnisse und Notfallmanagement wurden Maßnahmen zur Patientensicherheit abgeleitet.

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 08.11.2023
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 bei Bedarf

No.

Explanation

IF01

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

As of: 08.11.2023

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 bei Bedarf

Conference frequency: quartalsweise

No.	Explanation
EF14	CIRS Health Care