Pneumonia, ventilator-associated (VAP): Difference between revisions

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=== Attribution of the VAP to a Hospital Location ===

*The infection is attributed to the location where the patient was on the date the infection became clinically evident -- EXCEPT if all elements of the infection are present within the first 48 hours of arrival, the infection is attributed to the location from which they were transferred.

**An important consequence of this is that if on admission to the current unit it was NOT recognized that the patient has a VAP, but by these rules it is then figured out to be so --> THEN the correct coding of this VAP is as an '''[[Admit Diagnosis]]''', not an [[acquired diagnosis]].

**An important consequence of this is that if on admission to the current unit it was NOT recognized that the patient has a VAP, but by these rules it is then figured out to be so --> THEN the correct coding of this VAP is as an '''[[Admit Diagnosis]]''', not an [[acquired diagnosis -- Tina please put this in for CLI too]].

*The CDC case definition explicitly states that these rules should be followed -- that the physician’s statement of where the infection was acquired should not be substituted for these rules.

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 === Attribution of the VAP to a Hospital Location ===
 *The infection is attributed to the location where the patient was on the date the infection became clinically evident -- EXCEPT if all elements of the infection are present within the first 48 hours of arrival, the infection is attributed to the location from which they were transferred.
-**An important consequence of this is that if on admission to the current unit it was NOT recognized that the patient has a VAP, but by these rules it is then figured out to be so --> THEN the correct coding of this VAP is as an '''[[Admit Diagnosis]]''', not an [[acquired diagnosis]].
+**An important consequence of this is that if on admission to the current unit it was NOT recognized that the patient has a VAP, but by these rules it is then figured out to be so --> THEN the correct coding of this VAP is as an '''[[Admit Diagnosis]]''', not an [[acquired diagnosis -- Tina please put this in for CLI too]].
 *The CDC case definition explicitly states that these rules should be followed -- that the physician’s statement of where the infection was acquired should not be substituted for these rules.