of the Nosocomial Infection Notification System in Hospitals in the South-East of
Objective: 1) To assess the nosocomial infection notification (NIN) system in HCS in the southeast of France, 2) to identify reasons why health care workers (HCW) still do not comply with NIN, and 3) to take advantage of the development of the NIN system via Internet to optimize the NIN official form and circuit.
Methods: A self-evaluation survey was conducted by sending a two page questionnaire to the ICT of 943 HCS in December 2008. Data on NIN organization in the HCS and on the perception of the NIN system and the NIN form by HCW were collected.
Results: A total of 470 HCS (49.8%) participated (Table). The NIN system is well organized but functions inefficiently (almost half of HCS never made any NIN since 2001). In spite of reluctance to notify NI events (28.7%), the NIN led to an improvement in health care practices (45.3%). The intervention of the CCLIN seems on the whole justified (81.0%) and appropriate (75.2%), especially for methodological support (60.6%). The NIN form is well adapted to its purpose (95.6%) but some items are difficult to fill in (14.1% for NIN criteria and 17.6% for other information).
Conclusions: The results underline the importance of the organization of an operational internal alert procedure to optimize the effectiveness of the NIN. In the future, the computerization of medical records and the use of Internet for data input and management coordination should simplify the system.