No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Umfassende Dokumentation im Organistationshandbuch (04.02.2021)
RM02	Regular further education and training measures
RM06	Fall prophylaxis Sturzprophylaxe (20.02.2024)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (08.05.2024)
RM08	Regulated handling of custodial measures Fixierung (07.11.2023)
RM09	Regulated handling of occurring malfunctions of devices Umgang mit fehlerhaften Medizinprodukten (06.06.2022)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Qualitätszirkel Tumorkonferenzen Mortalitäts- und Morbiditätskonferenzen
RM12	Use of standardised information sheets
RM13	Application of standardised surgical check lists
RM16	Procedure to avoid procedural and patient mix-ups Patientenidentifikation in den Akutkliniken (24.09.2024)
RM18	Discharge management Entlassmanagement (09.11.2022)

Conference frequency: monatlich

Optimierung, Anpassung von Prozessen und Strukturen

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 04.02.2021
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 jährlich

No.

Explanation

IF01

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

As of: 04.02.2021

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 jährlich

Conference frequency: jährlich

No.	Explanation
EF03	KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association)