No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikostrategie (11.01.2021)
RM02	Regular further education and training measures
RM03	Employee surveys
RM04	Clinical emergency management Konzept (13.11.2019)
RM05	Pain management Konzept Multimodale Schmerztherapie (20.11.2020)
RM06	Fall prophylaxis Sturzprophylaxe (07.09.2021)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard vom (26.07.2021)
RM08	Regulated handling of custodial measures Dienstanweisung (15.01.2020)
RM09	Regulated handling of occurring malfunctions of devices Ungeplante Durchführung von Instandhaltungsmaßnahmen (04.06.2019)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Qualitätszirkel
RM12	Use of standardised information sheets
RM18	Discharge management Dokument vom (25.05.2021)

Conference frequency: monatlich

Verbesserung der Patientensicherheit

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 14.01.2021
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: 14.01.2021

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: