No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019)
RM02	Regular further education and training measures
RM06	Fall prophylaxis Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019)
RM08	Regulated handling of custodial measures Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019)
RM09	Regulated handling of occurring malfunctions of devices Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Qualitätszirkel
RM12	Use of standardised information sheets
RM18	Discharge management Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019)

Conference frequency: quartalsweise

-Regelmäßige Schulung der Mitarbeiter zu prozessrelevanten Verfahrensanweisungen/Standards

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 30.11.2019
IF02	Internal evaluation of the received reports taken quartalsweise
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: 30.11.2019

IF02

Internal evaluation of the received reports

taken quartalsweise

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 Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)