Registration projects in health and health care
Clostridium difficile infections (CDI), in particular due to hypervirulent strains, are a major cause of healthcare-associated infections. Surveillance of CDI according to the surveillance protocol is compulsory for acute care hospitals since 2007. For at least 6 months per year (first or last 6 months of the year), hospitals have to register all cases of CDI in the institution. This is a patient-based surveillance (as opposed to aggregated data): the unit of the database is the infection. These data are used to compute incidence rates at hospital and national level.
The interRAI instruments are primarily developed for clients with heavier care needs. A full BelRAI assessment means that all sections of an interRAI instrument are completed. Not all elderly people who receive professional care also need a full BelRAI assessment. The BelRAI screener, a stepped, modular approach makes it possible for clients with a lighter care need not to fill in the full BelRAI. This modular approach takes into account the care burden of clients. The screener comes for a full BelRAI assessment and acts as a uniform entrance gate.
Until 2011 participation was semestrial, since 2012 data delivery is on yearly basis (but the database is still not adapted by the IT-team. Between 1994 and 2006 participation to the surveillance was not compulsory
Since 2006 each hospital is obliged to transmit MRSA data (at least 1 semester or for the whole year).
Eenerzijds laat het de opvolging van de evolutie van AMR toe, anderzijds wordt ook onrechtstreeks "quality of care" gemeten, m.n. in welke mate slaagt het ZH erin om overdracht van MRSA tegen te gaan (nosocomiale MRSA)