[Documentation of treatment and quality assurance: recommendations for a practical solution]

It is proposed to establish an internal quality assurance with a practical care documentation which at the same time will also fulfill the requirements of external quality assurance. A graphically economically designed questionnaire is presented. The integration of the diagnostic standards for child and adolescent psychiatry makes the questionnaire--made concrete for every clinic--usable in a communicably and dialogically external quality assurance. With the example of concrete data from the clinic of child and adolescent psychiatry in the hospital Bremen-East is shown how suitable indicators for quality are included in the care documentation.