No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QMH (15.09.2021)
RM02	Regular further education and training measures
RM03	Employee surveys
RM04	Clinical emergency management QMH (15.09.2021)
RM05	Pain management QMH (15.09.2021)
RM06	Fall prophylaxis QMH (15.09.2021)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QMH (15.09.2021)
RM08	Regulated handling of custodial measures QMH (15.09.2021)
RM09	Regulated handling of occurring malfunctions of devices QMH (15.09.2021)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Tumorkonferenzen Mortalitäts- und Morbiditätskonferenzen Palliativbesprechungen Qualitätszirkel
RM12	Use of standardised information sheets
RM13	Application of standardised surgical check lists
RM16	Procedure to avoid procedural and patient mix-ups QMH (15.09.2021)
RM17	Standards for recovery and postoperative care QMH (15.09.2021)
RM18	Discharge management QMH (15.09.2021)

Conference frequency: monatlich

Modul Medikation zukünftig im neuen Krankenhausinformtationssystem

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 02.08.2022
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: 02.08.2022

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: