No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available - (18.10.2018)
RM02	Regular further education and training measures
RM04	Clinical emergency management - (01.10.2019)
RM05	Pain management - (01.06.2018)
RM06	Fall prophylaxis - (01.11.2016)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) - (01.11.2016)
RM08	Regulated handling of custodial measures - (01.11.2020)
RM09	Regulated handling of occurring malfunctions of devices - (01.09.2019)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Qualitätszirkel Tumorkonferenzen Mortalitäts- und Morbiditätskonferenzen Komplikationsbesprechung
RM12	Use of standardised information sheets
RM13	Application of standardised surgical check lists
RM15	Preoperative, complete presentation of necessary findings - (01.05.2020)
RM16	Procedure to avoid procedural and patient mix-ups - (19.05.2020)
RM17	Standards for recovery and postoperative care - (01.02.2020)
RM18	Discharge management - (01.01.2018)

Conference frequency: monatlich

Schulungen, Aktualisierung entsprechender Standards.

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 01.06.2021
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 bei Bedarf

No.

Explanation

IF01

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

As of: 01.06.2021

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 bei Bedarf

Conference frequency: bei Bedarf

No.	Explanation
EF14	CIRS Health Care