No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available OR 001-010 Klinikmanagementhandbuch (04.07.2022)
RM02	Regular further education and training measures
RM03	Employee surveys
RM04	Clinical emergency management OR 001-010 Klinikmanagementhandbuch (04.07.2022)
RM05	Pain management OR 001-010 Klinikmanagementhandbuch (04.07.2022)
RM06	Fall prophylaxis OR 001-010 Klinikmanagementhandbuch (04.07.2022)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) OR 001-010 Klinikmanagementhandbuch (04.07.2022)
RM08	Regulated handling of custodial measures OR 001-010 Klinikmanagementhandbuch (04.07.2022)
RM09	Regulated handling of occurring malfunctions of devices OR 001-010 Klinikmanagementhandbuch (04.07.2022)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Tumorkonferenzen Mortalitäts- und Morbiditätskonferenzen Pathologiebesprechungen Palliativbesprechungen Qualitätszirkel
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 OR 001-010 Klinikmanagementhandbuch (04.07.2022)
RM15	Preoperative, complete presentation of necessary findings OR 001-010 Klinikmanagementhandbuch (04.07.2022)
RM16	Procedure to avoid procedural and patient mix-ups OR 001-010 Klinikmanagementhandbuch (04.07.2022)
RM17	Standards for recovery and postoperative care OR 001-010 Klinikmanagementhandbuch (04.07.2022)
RM18	Discharge management OR 001-010 Klinikmanagementhandbuch (04.07.2022)

Fault reporting systems

Internal to the institution

Conference committee

Conference frequency: wöchentlich

Measures

Schulungen, Risikomeldungen, Anpassung von Standards und Checklisten

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 22.08.2022
IF02	Internal evaluation of the received reports taken jährlich
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: 22.08.2022

IF02

Internal evaluation of the received reports

taken jährlich

IF03

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

taken bei Bedarf

Across all institutions

Conference committee

Conference frequency: wöchentlich

No.	Explanation
EF01	CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association, National Association of Statutory Health Insurance Doctors)