No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (31.10.2021)
RM02	Regular further education and training measures
RM03	Employee surveys
RM04	Clinical emergency management VA Medizinische Notfälle (06.11.2023)
RM05	Pain management VA Präampel Perioperative und Akutschmerztherapie (19.05.2023)
RM06	Fall prophylaxis VA Sturzprophylaxe (05.09.2022)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) VA Dekubitusprophylaxe (26.10.2020)
RM08	Regulated handling of custodial measures VA Fixierung (08.09.2021)
RM09	Regulated handling of occurring malfunctions of devices QM-Handbuch (01.11.2022)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Tumorkonferenzen Mortalitäts- und Morbiditätskonferenzen
RM12	Use of standardised information sheets
RM13	Application of standardised surgical check lists
RM18	Discharge management va Entlassmanagement (16.08.2022)

Conference frequency: bei Bedarf

Maßnahmeableitung erfolgt nach Bedarf

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 11.10.2021
IF02	Internal evaluation of the received reports taken bei Bedarf
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: 11.10.2021

IF02

Internal evaluation of the received reports

taken bei Bedarf

IF03

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

taken jährlich

Conference frequency: bei Bedarf

No.	Explanation
EF03	KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association)