Twelve wards of the hospital will be evaluated at the same time.

1. Audit and feedback: A summary of clinical performance and hospital safety culture over a specified period of time.
2. Benchmarking Achievable: benchmarks are calculated from the performance of all members of a peer group and represents a realistic standard of excellence attained by the top performers in that group (i.e. comparing to the top 10% of peers).
3. Educational outreach: A trained independent person or investigator will meet with health professionals or managers in their practice setting to provide information (e.g. feedback of quality indicators).
4. Action planning: The purpose of action planning is to support quality improvement efforts by identifying opportunities for improvement, strategies and steps to accomplish the work.

In-hospital mortality rate

Experiences of patients will be measures by a validated questionnaire (Flemisch Patient Experience Questionnaire).

Q: Will you recommend our hospital? (scale min 0 until 10 with 0: not and 10: for sure).

For follow questions the scores are 'disagree', 'somewhat agree', 'largely agree', 'totally agree. The higher the score the better the outcome Q: This information was provided by my GP or by healthcare providers in the hospital.

Q: I understand the information I received about the cost of my stay. Q: I received sufficient information about the causes of my condition or about the possible treatment methods for my condition or about the consequences of my disease.

Q: Nurses or doctors explained things in a way I could understand or treated me with courtesy and respect.

Q: My privacy was respected during conversations with caregivers or during examinations, treatment and care.

Q: Before any treatment my identity was checked. Q: Hospital staff always introduced themselves

Length of stay of each patient in the hospital

Each adverse event and following adverse outcomes will be measured: urinary tract infections, pressure ulcers, hospital-acquired pneumonia, shock/cardiac arrest, upper-gastrointestinal bleeding, hospital-acquired sepsis, deep venous thrombosis, central nervous system complications, surgical wound infection, pulmonary failure, metabolic derangement, methicillin-resistant Staphylococcus aureus, vancomycin resistant Enterococcus, central line associated bloodstream infections, carbapenemase producing Enterobacteriaceae