No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Dokumentation (08.11.2023)
RM02	Regular further education and training measures
RM04	Clinical emergency management QM-Dokumentation (08.11.2023)
RM06	Fall prophylaxis QM-Dokumentation (08.11.2023)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Dokumentation (08.11.2023)
RM08	Regulated handling of custodial measures QM-Dokumentation (08.11.2023)
RM09	Regulated handling of occurring malfunctions of devices QM-Dokumentation (08.11.2023)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Mortalitäts- und Morbiditätskonferenzen Qualitätszirkel
RM18	Discharge management QM-Dokumentation (08.11.2023)

Conference frequency: monatlich

Schulung der MA zur Achtsamkeit und Selbstfürsorge sowie zu speziellen Krankheitsbildern der Patienten

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 30.08.2023
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: 30.08.2023

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: monatlich

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)