No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available VLtg15 Klinisches Risikomanagement (29.03.2022)
RM02	Regular further education and training measures
RM03	Employee surveys
RM04	Clinical emergency management VLtg09 Krisenmanagement (16.12.2021)
RM06	Fall prophylaxis VEpi04 Freiheitsentziehende Maßnahmen (18.07.2023)
RM08	Regulated handling of custodial measures VEpi04 Freiheitsentziehende Maßnahmen (18.07.2023)
RM09	Regulated handling of occurring malfunctions of devices VLtg27 Maßnahmenmanagement (07.07.2022)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference patientenbezogene Fallbesprechungen
RM16	Procedure to avoid procedural and patient mix-ups PEpi01 Aufnahmemanagement (19.07.2023)
RM18	Discharge management PEpi03 Entlassmanagement (21.09.2022)

Conference frequency: bei Bedarf

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No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 08.02.2023
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 bei Bedarf

No.

Explanation

IF01

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

As of: 08.02.2023

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 bei Bedarf

Conference frequency: bei Bedarf

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)