No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagementpolitik des Ev. Krankenhauses (02.02.2023)
RM02	Regular further education and training measures
RM03	Employee surveys
RM04	Clinical emergency management Versorgung von Erwachsenen mit Atem-/Herz-Kreislaufstillstand (08.02.2023)
RM05	Pain management PA Schmerztherapie (11.04.2022)
RM06	Fall prophylaxis Expertenstandard Sturz (01.03.2023)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe - Pflegestandard (10.08.2023)
RM08	Regulated handling of custodial measures Freiheitsentziehende Maßnahmen (07.04.2015)
RM09	Regulated handling of occurring malfunctions of devices Richtlinie Umsetzung MPG und MPBetreibV (30.03.2017)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Qualitätszirkel Tumorkonferenzen Pathologiebesprechungen Palliativbesprechungen
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 Perioperative Checkliste (27.04.2022)
RM15	Preoperative, complete presentation of necessary findings Perioperative Checkliste (27.04.2022)
RM16	Procedure to avoid procedural and patient mix-ups Perioperative Checkliste (27.04.2022)
RM17	Standards for recovery and postoperative care Postoperative Überwachung im Aufwachraum Postoperative Versorgung der Patienten nach operativen Eingriffen (23.06.2023)
RM18	Discharge management Prozessanweisung Entlassmanagement (04.10.2018)

Fault reporting systems

Internal to the institution

Conference committee

Conference frequency: andere Frequenz

Measures

Umstellung des gesamten Medikamentenmanagement auf die Wirkstoffgruppen.

No.	Explanation
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

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: bei Bedarf

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)