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Free text: Used in aggregate form as "per location" and/or "per timeframe", e.g. by month/quarter/year x Ward/Unit x Hospital ==QI domain== * [[QualityDomain::Efficient]] ==Reported as== Ventilation days / Total Patient days in percent (%) ==Significance== VUR is a surrogate marker of multiple interrelated factors: ICU patients characteristics (acuity, comorbidity, premorbid functional status), structural and process-related aspects of ICU care (staffing ratios, staff expertise, processes for effective ventilator), hospital factors (presence of step-down unit, factors affecting patient flow). ==Sampling Plan / Procedure== ===Inclusion Criteria=== * 100% sampling for all patients on invasive mechanical ventilation as indicated by the presence of {{TISS w Nr | Invasive Mechanical Ventilation (TISS Item)}} * 100% sampling for all patients in ICU. ===Exclusion Criteria=== *Exclude non-invasive ventilation. ===Frequency=== * Daily occupancy of patients who stayed in ICU * Daily recording of dates of patient being on invasive mechanical ventilation '''any time''' * Total occupancy in terms of patient days are calculated and reported on a monthly, quarterly or yearly basis based on the daily data. * Total number of ventilated days are calculated and reported on a monthly, quarterly or yearly basis based on the daily data. * Time Reference is '''calendar''' month, quarter or year. ==Definition and Derivation== ===Numerator=== Num = Total Invasive Mechanical Vent Days in a calendar period ===Denominator=== Denom =Total Patient Days on the same period as the numerator ===Formula=== VUR = Num / Denom * 100 ===Example=== *Time Reference: Calendar Dates from Jan 1, 2017 to March 31, 2017 *Total days patients are on invasive ventilator = 830 *Total patient days from Jan 1, 2017 to March 31, 2017 at HSC MICU = 1103.7 *VUR (%) = 830 / 1103.7 = 75.2% ==Data Sources== *Daily data for Invasive are taken on [[TISS28]] element {{TISS w Nr | Invasive Mechanical Ventilation (TISS Item)}}. The TISS form is being marked daily by ICU bed side nurses and quality checked by the Database Data Collectors. Starting Oct 1, 2020, this [[TISS28]] element is collected and entered as CCI procedures by the Database Data Collectors. *Daily occupancy per day are derived from [[Admit DtTm]] and [[Dispo DtTm]]. ==SAS Program== *S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\Prep_CCI_TISS.sas *Part of {{S:\MED\MED_CCMED}}Julie\SAS_CFE\CC_reports\ChartReport\prepCCChart.sas ==Report Users== *Critical Care Directors and Site Managers *Critical Care Quality Improvement Team (QIT) == Related articles == {{Related Articles}} [[Category:TISS28]] [[Category:Admit/Discharge]]