No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet (20.12.2022)
RM02	Regular further education and training measures
RM04	Clinical emergency management übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet (20.12.2022)
RM05	Pain management übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet (20.12.2022)
RM06	Fall prophylaxis übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet (20.12.2022)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet (20.12.2022)
RM08	Regulated handling of custodial measures übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet (20.12.2022)
RM09	Regulated handling of occurring malfunctions of devices übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet (20.12.2022)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Qualitätszirkel Tumorkonferenzen
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 übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet (20.12.2022)
RM15	Preoperative, complete presentation of necessary findings übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet (20.12.2022)
RM16	Procedure to avoid procedural and patient mix-ups übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet (20.12.2022)
RM17	Standards for recovery and postoperative care übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet (20.12.2022)
RM18	Discharge management übergreifende elektronische QM/RM-Dokumentation - QM-Handbuch im Intranet (20.12.2022)

Fault reporting systems

Internal to the institution

Conference committee

Conference frequency: monatlich

Measures

Kennzeichnung von Hilfsmitteln für schwergewichtige Patienten

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 11.04.2016
IF02	Internal evaluation of the received reports taken monatlich
IF03	Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken jährlich

No.

Explanation

IF01

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

As of: 11.04.2016

IF02

Internal evaluation of the received reports

taken monatlich

IF03

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

taken jährlich

Across all institutions

Conference committee

Conference frequency: monatlich

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)