No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QMH (15.10.2023)
RM02	Regular further education and training measures
RM03	Employee surveys
RM04	Clinical emergency management QMH (15.10.2023)
RM05	Pain management QMH (15.10.2023)
RM06	Fall prophylaxis QMH (15.10.2023)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QMH (15.10.2023)
RM09	Regulated handling of occurring malfunctions of devices QMH (15.10.2023)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Mortalitäts- und Morbiditätskonferenzen Qualitätszirkel
RM12	Use of standardised information sheets
RM18	Discharge management QMH (15.10.2023)

Fault reporting systems

Internal to the institution

Conference committee

Conference frequency: bei Bedarf

Measures

Im Jahr 2024 wurde CIRS durch ein neues EDV-System ersetzt. Mitarbeiterschulungen wurden intensiviert. Die Auswertungsmöglichkeiten wurden dadurch erweitert und die Verfolgung von Maßnahmen verbessert.

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 01.02.2022
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 quartalsweise

No.

Explanation

IF01

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

As of: 01.02.2022

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 quartalsweise

Across all institutions

Conference committee

Conference frequency: