Ventilated patient flow: Difference between revisions
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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== | ||
* [[QualityDomain::Efficient]] | * [[QualityDomain::Efficient]] | ||
==Reported as== | ==Reported as== | ||
Count of patients on mechanical ventilation per bed per | Count of patients on mechanical ventilation per bed per time frame | ||
==Significance== | ==Significance== | ||
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Patients who are not on mechanical ventilation | Patients who are not on mechanical ventilation | ||
===Frequency=== | ===Frequency=== | ||
* Daily recording of dates of patient being on mechanical ventilation | * Daily recording of dates of patient being on mechanical ventilation. | ||
* Total number of ICU discharges being on mechanical ventilation at least one day during the ICU stay are | * Total number of ICU discharges being on mechanical ventilation at least one day during the ICU stay are counted. | ||
* Time Reference for month, quarter or year is based on ICU discharge dates. | * 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. | * Number of physical ICU beds available. The number of available bed rarely change except for pandemic or seasonal closures. | ||
| Line 34: | Line 35: | ||
==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 {{TISS w Nr | Invasive Mechanical Ventilation (TISS Item)}} and {{TISS w Nr | Non-invasive CPAP or BIPAP (TISS Item)}} respectively. The TISS form is being marked daily by ICU bed side nurses and quality checked by the Database Data Collectors. | Daily data for Invasive and non invasive mechanical ventilation are taken on [[TISS28]] elements {{TISS w Nr | Invasive Mechanical Ventilation (TISS Item)}} and {{TISS w Nr | Non-invasive CPAP or BIPAP (TISS Item)}} respectively. The TISS form is being marked daily by ICU bed side nurses and quality checked by the Database Data Collectors. | ||
Starting Oct 1, 2020, these [[TISS28]] elements are collected and entered as CCI procedures by the Database Data Collectors. | |||
The daily bed available or opened per unit is taken from the Bed Census Database. | The daily bed available or opened per unit is taken from the Bed Census Database. | ||
==SAS Program== | ==SAS Program== | ||
Part of X:\Julie\SAS_CFE\CC_reports\ChartReport\ | Part of X:\Julie\SAS_CFE\CC_reports\ChartReport\Prep_CCI_TISS.sas | ||
===Report Users=== | |||
Critical Care Directors and Site Managers | |||
Critical Care Quality Improvement Team (QIT) | |||
[[Category:TISS28]] | [[Category:TISS28]] | ||
Revision as of 12:13, 10 December 2021
Ventilated Patient Flow is the number of mechanically ventilated patients at any time during the ICU stay per bed per period of time.
| Indicators | |
| Indicator: | Ventilated Patient Flow |
| Created/Raw: | Created |
| Program: | Critical Care |
| Start Date: | Jan 1 2013 |
| End Date: | |
| Reports: | Critical Care Program Quality Indicator Report |
| Data Dependencies(Reports/Indicators/Data Elements): | |
Used in aggregate form as "per location" and/or "per timeframe", e.g. by month/quarter/year x Ward/Unit x Hospital.
QI domain
- Efficient
Reported as
Count of patients on mechanical ventilation per bed per time frame
Significance
Experience with mechanical ventilation is associated with improved patient outcomes. Factors affecting ventilated patient flow include ICU patient type and acuity, Structural and process-related aspects of care, and factors affecting patient flow following ICU care.
Sampling Plan / Procedure
Inclusion Criteria
100% sampling of patients on mechanical ventilation as indicated by the presence of one of the following TISS items:
Exclusion Criteria
Patients who are not on mechanical ventilation
Frequency
- Daily recording of dates of patient being on mechanical ventilation.
- Total number of ICU discharges being on mechanical ventilation at least one day during the ICU stay are counted.
- 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
Numerator
Num = Total number of discharges who were mechanically ventilated at any time during the ICU stay
Denominator
Denom = Number of ICU beds
Formula
Ventilated Patient Flow = Num / Denom
Example
- Time Reference: Discharge Dates from Jan 1, 2017 to March 31, 2017
- Number of patients who have discharge dates from Jan 1, 2017 to March 31, 2017 and who were on mechanical ventilation at HSC MICU = 158
- Opened Bed = 15
- Ventilated Patient Flow = 158 / 15 = 10.5
Data Sources
Daily data for Invasive and non invasive mechanical ventilation are taken on TISS28 elements T18 - Invasive Mechanical Ventilation (TISS Item) and T21 - Non-invasive CPAP or BIPAP (TISS Item) respectively. The TISS form is being marked daily by ICU bed side nurses and quality checked by the Database Data Collectors. Starting Oct 1, 2020, these TISS28 elements are collected and entered as CCI procedures by the Database Data Collectors.
The daily bed available or opened per unit is taken from the Bed Census Database.
SAS Program
Part of X:\Julie\SAS_CFE\CC_reports\ChartReport\Prep_CCI_TISS.sas
Report Users
Critical Care Directors and Site Managers
Critical Care Quality Improvement Team (QIT)