Ventilated patient flow: Difference between revisions

m Inclusion Criteria: links to TISS items
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Used in aggregate form as "per location" and/or "per timeframe", e.g. by month/quarter/year x Ward/Unit x Hospital.
==QI domain==
==QI domain==
* Efficient  
* [[QualityDomain::Efficient]]


==Reported as==
==Reported as==
Count of patients on mechanical ventilation per bed per period of time
Count of patients on mechanical ventilation per bed per time frame


==Significance==
==Significance==
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==Sampling Plan / Procedure==
==Sampling Plan / Procedure==
===Inclusion Criteria===
===Inclusion Criteria===
100% sampling of patients on mechanical ventilation as indicated by the presence of one of the following TISS items:
Same as [[Duration of Mechanical Ventilation]]
* [[Invasive Mechanical Ventilation (TISS Item)]]
* [[Non-invasive CPAP or BIPAP (TISS Item)]]


===Exclusion Criteria===
===Exclusion Criteria===
Patients who are not on mechanical ventilation
Same as [[Duration of Mechanical Ventilation]]
===Frequency===
===Frequency===
* Daily recording of dates of patient being on mechanical ventilation
* Same as [[Duration of Mechanical Ventilation]]
* Total number of ICU discharges being on mechanical ventilation at least one day during the ICU stay are calculated and reported on a monthly, quarterly or yearly basis based on the daily data.
* The number of beds opened per unit is taken from the [[Bed Census]] Database.
* Time Reference for month, quarter or year is based on  ICU discharge dates.
* Number of physical ICU beds available. The number of available bed rarely change except for pandemic or seasonal closures.
** If the number of daily available bed changes over the period of time, use the number of bed which is the most numbered. Example, in a monthly period,  20 out of 30 days have opened bed = 15 while 10 days have 14 beds, use the number of bed=15.  


==Definition and Derivation==
==Definition and Derivation==
===Numerator===
===Numerator===
Num = Total number of discharges who were ventilated at any time during the ICU stay
Num = Total number of discharges who were mechanically ventilated at any time during the ICU stay
===Denominator===
===Denominator===
Denom = Number of ICU beds  
Denom = Number of ICU beds  
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==Data Sources==
==Data Sources==
Daily data for Invasive and non invasive mechanical ventilation are taken on [[TISS28]] elements #18 and #21 respectively.  The TISS form is being marked daily by ICU bed side nurses and quality checked by the Database Data Collectors.
*Same as [[Duration of Mechanical Ventilation]].
The daily bed available or opened per unit is taken from the Bed Census Database.  
*The number bed opened per unit is taken from the [[Bed Census]] Database.


==SAS Program==
==SAS Program==
Part of X:\Julie\SAS_CFE\CC_reports\ChartReport\prepCCChart.sas
S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\Prep_CCI_TISS.sas
==Report Users==
Part of {{S:\MED\CCMED}}Julie\SAS_CFE\CC_reports\ChartReport\prepCCChart.sas  
*Critical Care Directors and Site  Managers
 
*Critical Care Quality Improvement Team (QIT)
 
[[Category:TISS28]]
[[Category: TISS28]]
[[Category: Data Use]]
[[Category: Reporting]]
[[Category: Statistical Analysis]]