National Surveillance Surgical Site Infections

Continue surveillance van Infecties na chirurgische ingrepen (NSIH-SSI) in de Belgische acute ziekenhuizen volgens standaard protocol en zoals bepaald in het KB van 19/06/2007 (BS 28/06/2007). De tellergegevens (infecties) worden ingezameld met vermelding van, per infectie, pathogeen en antimicrobiele resistentiemerkers, oorsprong, en verband met invasieve hulpmiddelen. De noemergegevens worden type chirurgie, geaggregeerd of per individuele patiënt verzameld. Confidentiële feedback van individuele resultaten naar de deelnemende ziekenhuizen, met trendanalyse en vergelijking met nationale gegevens. Regelmatige bespreking nationale resultaten op met federale en gemeenschapsautoriteiten. De surveillances NSIH-ICU en NSIH-SSI kaderen in de Europese surveillance richtlijnen van het Europees Parlement (2119/98/EC).

Data and Resources

Epidemiology

Federal Public Service Health, Food Chain Safety and Environment

General Hospitals

National Institute for Health and Disability Insurance

Nurses

Physicians

Quality of care research

Field	Value
Modified	2020-08-13
Release Date	2018-05-09
Identifier	a03368d4-21e5-46d6-92d6-1d924bc7ea25
License	Creative Commons Attribution
Public Access Level	Public

Protocol

Protocol
Full title of the project	National Surveillance Surgical Site Infections
Name or abbreviated title of the project where available	NSIH SSI
Source type	Patient registries

Sponsor(s)

Primary organization that oversees implementation of study and is responsible for data analysis.
Name of organisation	Sciensano [Dienst Zorginfecties & Antimicrobiële Resistentie]

Commissioner(s)

Organisation that commissioned this project
Name of organisation	Federal Public Service Health, Food Chain Safety and Environment - cell quality and patient safety
Website(s) of organisation	Website

Source(s) of Monetary or Material Support

Organisation (1) providing support
Name of organisation (1)	Federal Public Service Health, Food Chain Safety and Environment - cell quality and patient safety
Website(s) of organisation (1)	Website

Organisation (2) providing support
Name of organisation (2)	National Institute for Health and Disability Insurance
Website(s) of organisation (2)	Website

Additional information	National Institute for Health and Disability Insurance: funding of data collection by healthdata.be

Governance

Governance
Is there a Steering / Accompanying committee?	Yes
Name of Steering/Accompanying Committee (1)	National Surveillance of Infections in Hospitals (NSIH) - Surgical Site Infections (SSI)
Composition of Steering/Accompanying Committee (1)	representatives from WIV-ISP and healthcare facilities

General information

General information
Project description	Continue surveillance van Infecties na chirurgische ingrepen (NSIH-SSI) in de Belgische acute ziekenhuizen volgens standaard protocol en zoals bepaald in het KB van 19/06/2007 (BS 28/06/2007). De tellergegevens (infecties) worden ingezameld met vermelding van, per infectie, pathogeen en antimicrobiele resistentiemerkers, oorsprong, en verband met invasieve hulpmiddelen. De noemergegevens worden type chirurgie, geaggregeerd of per individuele patiënt verzameld. Confidentiële feedback van individuele resultaten naar de deelnemende ziekenhuizen, met trendanalyse en vergelijking met nationale gegevens. Regelmatige bespreking nationale resultaten op met federale en gemeenschapsautoriteiten. De surveillances NSIH-ICU en NSIH-SSI kaderen in de Europese surveillance richtlijnen van het Europees Parlement (2119/98/EC).

Therapeutic area
Disease	Infectious Diseases Bacterial Infections and Mycoses

Objective of the project
Additional information	No additional information available

Scope
Scope	Epidemiology Quality of care research

Legal basis

Type of legal basis
Type of legal basis	EU guideline Royal Decree

Legal documents
Full reference of legal document (1)	19 juni 2007. - Koninklijk besluit tot wijziging van het koninklijk besluit van 25 april 2002 betreffende de vaststelling en de vereffening van het budget van financiële middelen van de ziekenhuizen. (Publicatie: 28 juni 2007)
URL to legal document (1)	http://www.ejustice.just.fgov.be/cgi_loi/change_lg.pl?language=nl&la=N&table_name=wet&cn=2007061933
Full reference of legal document (2)	Aanbeveling van de Raad van 9 juni 2009 betreffende patiëntveiligheid, met inbegrip van de preventie en bestrijding van zorginfecties 2009/C 151/01
URL to legal document (2)	http://ec.europa.eu/health/patient_safety/docs/council_2009_en.pdf

Design of the project

Data transfer frequency
Data transfer frequency	Quarterly

Method of data transfer
Data transfer method(s)	E-mail (secured)

Sites involved in the project

Type of site(s)
Care Provider	General hospitals

Health professionals involved (encoding) in the project

Health professionals involved (encoding) in the project
Care Giver	Nurses Physicians
Specialty of physicians involved (encoding) in the project	Anaesthesia and resuscitationpting physicians Cardiology Clinical biology Gastroenterology Orthopaedic surgery Surgery

Informed consent

Informed consent
Are subjects informed?	No information available
How are subjects informed?	No information available
Do subjects have to give their consent?	No information available
How do subjects give their consent?	No information available
Is there a procedure to provide subjects the ability to consult their registered information?	No
Is there a procedure to provide subjects the ability to correct their registered information?	No
Additional information	No additional information available

Review

Ethics Committee
Authorization by an Ethics Committee?	No

Sectoral Committee National Registry (Privacy Commission)
Authorization by the sectorial committee Health / Social affairs of the Privacy Commission	No

Sectoral Committee Health / Social affairs (Privacy Commission)
Authorization by the sectorial committee Health / Social affairs of the Privacy Commission	No

Sectoral Committee Crossroads Bank of Enterprises (Privacy Commission)
Authorization by the sectorial committee Crossroads Bank of Enterprises of the Privacy Commission (Y/N)	No

Data dictionary

Classifications and Terminology
Name	ICD
Version	ICD-9-CM
Name	Other
Other classification system(s)	Infection risk index of the Natonial Healthcare Safety Network (CDC Atlanta)

Data quality

Data quality
First year for which data is available	1994
Procedures for checking and validating the source data	Checks boths during data entry within the hospital (using local software) as during reception by WIV-ISP. Details of checks are too numerous to mention.
Data compilation process	Hospital enters data in local software tool \| hospital validates data in tool \| hospital exports data from tool \| hospital sends exportfiles to WIV-ISP using email \| WIV-ISP accepts data and acknowledges receipt \| WIV-ISP validates, converts and appends data to annual national db \| WIV-ISP prepares annual national db for reporting and appends to national db
Punctuality for the most recent completed data collection: the data collection was completed	On time
Participation rate of the health institutions	Very low (0-19%)
Participation rate of the health professionals	Very low (0-19%)
Extent of unit non-response	Very low or none (0-4%)
Extent of the item non-response	There is little item non-response (<5%)
Necessity of editing the raw data	There is little item non-response (<5%)
Extend to which the collected data are comparable across the Belgian regions	Comparability across the Belgian areas is unknown
Comparable or reconcilable over time	The collected data is not comparable over time due to fundamental changes or problems
Additional information	No additional information available
Extent of problems with the misclassification of statistical units for their key variables	Very low or none (0-4%)
Can records belonging to same entity be matched?	Yes, no restriction in time
Additional information	No additional information available

Data storage

Data storage
Total number of unique records	30318
The organisation in charge of storage of the collected data, is certified as being compliant with the international standards on information security management system (eg. ISO27001)?	Yes
Additional information	No additional information available

Data access

Data access
Written Data sharing policy?	No

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