No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Verfahrensanweisung "Risikomanagement" (11.02.2020)
RM02	Regular further education and training measures
RM03	Employee surveys
RM04	Clinical emergency management Verfahrensanweisung "Risikomanagement" (11.02.2020)
RM05	Pain management "Postoperative Schmerztherapie" (16.10.2019)
RM06	Fall prophylaxis Verfahrensanweisung "Risikomanagement" (11.02.2020)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Verfahrensanweisung "Risikomanagement" (11.02.2020)
RM08	Regulated handling of custodial measures Verfahrensanweisung "Risikomanagement" (11.02.2020)
RM09	Regulated handling of occurring malfunctions of devices Verfahrensanweisung "Risikomanagement" (11.02.2020)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Tumorkonferenzen Mortalitäts- und Morbiditätskonferenzen Palliativbesprechungen Qualitätszirkel strukturierte Nachbesprechungen von Reanimationen
RM12	Use of standardised information sheets
RM13	Application of standardised surgical check lists
RM16	Procedure to avoid procedural and patient mix-ups Verfahrensanweisung "Risikomanagement" (11.02.2020)
RM17	Standards for recovery and postoperative care Verfahrensanweisung "Risikomanagement" (11.02.2020)
RM18	Discharge management Verfahrensanweisung "Risikomanagement" (11.02.2020)

Fault reporting systems

Internal to the institution

Conference committee

Conference frequency: monatlich

Measures

Einführung eines Bereitschaftsdienstes der EDV-Abteilung

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 02.04.2022
IF02	Internal evaluation of the received reports taken monatlich

No.

Explanation

IF01

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

As of: 02.04.2022

IF02

Internal evaluation of the received reports

taken monatlich

Across all institutions

Conference committee

Conference frequency: monatlich

No.	Explanation
	Other
EF03	KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)

No.

Explanation

Other

EF03

KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)