http://www.meb.uni-bonn.de/ards
Form 1.
AGREEMENT ON DATA
HANDLING
The database contains
personaldata. In accordance with the directive95/46/EC of the European
Parliament and of the Council of 24 October 1995 on the protection of
individuals with regard to the processing of personal data and on the free
movement of such data” the storage and/or distribution of data belonging to
identifiable persons must be avoided. Furthermore, “ account should be taken
of all the means likely reasonably to be used either by the controller or by any
other person to identify the said person.” Within the database this is
achieved by removing all initials and dates of birth and by encoding the
institution, where the patient has been treated. It is impossible to identify a
single person merely through accessing the database.
-
Basic data on the number of
ventilated patients and theICU structure are provided.
-
Data for all patients
treated in a given year are entered on 1 May of the following year at the latest
-
The aggreement on
datahandling is signed.
I agree to the
conditions.
Date
Signature
http://www.meb.uni-bonn.de/ards
Form 2.
QUESTTIONAIRE
FOR ARDS NETWORK PARTICIPANTS
Full adress (incl.
E-mail and fax)
Type of ICU
Neonatal and paediatric
yes
no
Paediatric
multidisciplinary
yes
no
Paediatric , specialized
yes
no
(which subspeciality
?)
__________________
Number of
Admissions in 2000
__________________
Number of
ventilated Patients in 2000
Total
__________________
Neonatal
__________________
Paediatric
__________________