No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available RiskOp (01.01.2016)
RM02	Regular further education and training measures
RM04	Clinical emergency management RiskOp (01.01.2016)
RM06	Fall prophylaxis RiskOp (01.01.2016)
RM07	Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) RiskOp (01.01.2016)
RM09	Regulated handling of occurring malfunctions of devices RiskOp (01.01.2016)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Qualitätszirkel Tumorkonferenzen Fallkonferenzen für interstitielle Lungenerkrankungen (ILE-Board)
RM12	Use of standardised information sheets

Conference frequency: bei Bedarf

Schulung Händhygiene, Validierung Reinigungsleistungen

No.	Explanation
IF01	Documentation and procedural instructions for handling the error reporting system are available As of: 01.07.2014
IF02	Internal evaluation of the received reports taken bei Bedarf
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: 01.07.2014

IF02

Internal evaluation of the received reports

taken bei Bedarf

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)