No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Maßnahmen zum Umgang mit Risiken und Chancen (22.04.2022)
RM02	Regular further education and training measures
RM03	Employee surveys
RM09	Regulated handling of occurring malfunctions of devices Internes Audit (30.05.2022)
RM12	Use of standardised information sheets
RM13	Application of standardised surgical check lists
RM16	Procedure to avoid procedural and patient mix-ups Maßnahmen zum Umgang mit Risiken und Chancen (22.04.2022)

Fault reporting systems

Internal to the institution

Conference committee

Conference frequency: quartalsweise

Measures

Einführung erweiterter Vorgaben im Hygienebereich und zu MRE-Schutzmaßnahmen. Einführung eines Kommunikationsnetzes in den einzelnen Abteilungen zum Fehlermanagement.

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 30.06.2022
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 jährlich

No.

Explanation

IF01

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

As of: 30.06.2022

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 jährlich

Across all institutions

Conference committee

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)