No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Konzept Risikomanagement (04.08.2022)
RM02	Regular further education and training measures
RM03	Employee surveys
RM04	Clinical emergency management Konzept med. Notfallmanagement (28.07.2022)
RM05	Pain management Konzept Therapie chronische Schmerzen (28.07.2022)
RM09	Regulated handling of occurring malfunctions of devices Gerätewartung (18.10.2022)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Fallbesprechung im Rahmen der Psychosomatik
RM12	Use of standardised information sheets
RM15	Preoperative, complete presentation of necessary findings Prästationäre Diagnostik PSD (28.07.2022)
RM18	Discharge management Prozess Entlassmanagement (28.07.2022)

Conference frequency: quartalsweise

Hygienekonzept zu Covid-19 Schutzmaßnahmen

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 10.11.2022
IF02	Internal evaluation of the received reports taken quartalsweise
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: 10.11.2022

IF02

Internal evaluation of the received reports

taken quartalsweise

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: quartalsweise

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)