RT Journal Article
T1 Governance aspects of large-scale implementation of automated surveillance of healthcare-associated infections.
A1 van Rooden, Stephanie M
A1 Aspevall, Olov
A1 Carrara, Elena
A1 Gubbels, Sophie
A1 Johansson, Anders
A1 Lucet, Jean-Christophe
A1 Mookerjee, Siddharth
A1 Palacios-Baena, Zaira R
A1 Presterl, Elisabeth
A1 Tacconelli, Evelina
A1 Abbas, Mohamed
A1 Behnke, Michael
A1 Gastmeier, Petra
A1 van Mourik, Maaike S M
A1 PRAISE network, 
K1 Algorithm
K1 Governance
K1 Healthcare-associated infections
K1 Regulation
K1 Surveillance
AB Surveillance of healthcare-associated infections (HAI) is increasingly automated by applying algorithms to routine-care data stored in electronic health records. Hitherto, initiatives have mainly been confined to single healthcare facilities and research settings, leading to heterogeneity in design. The PRAISE network - Providing a Roadmap for Automated Infection Surveillance in Europe - designed a roadmap to provide guidance on how to move automated surveillance (AS) from the research setting to large-scale implementation. Supplementary to this roadmap, we here discuss the governance aspects of automated HAI surveillance within networks, aiming to support both the coordinating centres and participating healthcare facilities as they set up governance structures and to enhance involvement of legal specialists. This article is based on PRAISE network discussions during two workshops. A taskforce was installed that further elaborated governance aspects for AS networks by reviewing documents and websites, consulting experts and organizing teleconferences. Finally, the article has been reviewed by an independent panel of international experts. Strict governance is indispensable in surveillance networks, especially when manual decisions are replaced by algorithms and electronically stored routine-care data are reused for the purpose of surveillance. For endorsement of AS networks, governance aspects specifically related to AS networks need to be addressed. Key considerations include enabling participation and inclusion, trust in the collection, use and quality of data (including data protection), accountability and transparency. This article on governance aspects can be used by coordinating centres and healthcare facilities participating in an AS network as a starting point to set up governance structures. Involvement of main stakeholders and legal specialists early in the development of an AS network is important for endorsement, inclusivity and compliance with the laws and regulations that apply.
YR 2021
FD 2021
LK http://hdl.handle.net/10668/18152
UL http://hdl.handle.net/10668/18152
LA en
DS RISalud
RD Apr 13, 2025