No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch im Intranet verfügbar - Tagesaktuell (15.10.2023)
RM02	Regular further education and training measures
RM03	Employee surveys
RM04	Clinical emergency management Notfallstandard (31.01.2023)
RM05	Pain management Expertenstandard Schmerzmanagement in der Pflege - Aktualisierung 2020 (30.06.2020)
RM06	Fall prophylaxis Expertenstandard Sturzprophylaxe in der Pflege, 2. Aktualisierung 2022 (31.10.2022)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe in der Pflege - 2. Aktualisierung 2017 (04.06.2018)
RM08	Regulated handling of custodial measures Intensivbetreuung (30.07.2021)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Mortalitäts- und Morbiditätskonferenzen
RM12	Use of standardised information sheets
RM18	Discharge management Prozessbeschreibung Entlassung (09.02.2021)

Conference frequency: monatlich

CIRS-Systems (Fehlermeldesystem)

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 14.06.2021
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: 14.06.2021

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: monatlich

No.	Explanation
EF02	CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors)