Over nine years ago, a 5-year program (2007-2012) was launched to implement quality and patient safety initiatives in the acute, psychiatric and long term care hospitals[9]. Information on the scope and impact of medical errors in Belgian hospitals necessitated the Belgian government to create a framework for implementing quality and safety strategies according to Donabedian's trilogy which pays attention to structure (how care is organised), processes (what is done by health care providers) and outcome measurement (the health care results achieved)[9]. The federal program ensures confidentiality protections associated with data collected, shared, and analyzed by covered entities in this case an anonymous academic institute. One of the main
