No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (16.08.2023)
RM02	Regular further education and training measures
RM03	Employee surveys
RM04	Clinical emergency management QM-Handbuch (16.08.2023)
RM05	Pain management QM-Handbuch (16.08.2023)
RM06	Fall prophylaxis QM-Handbuch (16.08.2023)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch (16.08.2023)
RM08	Regulated handling of custodial measures QM-Handbuch (16.08.2023)
RM09	Regulated handling of occurring malfunctions of devices QM-Handbuch (16.08.2023)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Mortalitäts- und Morbiditätskonferenzen Palliativbesprechungen
RM12	Use of standardised information sheets
RM18	Discharge management QM-Handbuch (16.08.2023)

Conference frequency: bei Bedarf

CIRS, regelmäßige Schulungen zur Sturzprophylaxe, Ausbau Weglaufsystem

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 16.08.2023
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 jährlich

No.

Explanation

IF01

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

As of: 16.08.2023

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 jährlich

Conference frequency: