Ventilator Associated Pneumonia Rate

Ventilator Associated Pneumonia (VAP) Rate is the number of cases of (old:VAP - Ventilator Associated Pneumonia, new: Pneumonia, ventilator-associated (VAP)) per 1000 invasive ventilator days.

Indicators
Indicator:	Ventilator Associated Pneumonia (VAP) Rate
Created/Raw:	Created
Program:	Critical Care
Start Date:	Jan 1 2013
End Date:
Reports:	Critical Care Program Quality Indicator Report, Directors Quarterly and Annual Report (Critical Care), STB ICUs VAP Rate, CLIBSI Rate Summary, WRHA ICU Hospital-Acquired Conditions

• Cargo

• SMW:

• Categories

• Default form:

QI domain

• Safe

Reported as

Number of cases of VAP - Ventilator Associated Pneumonia per 1000 Ventilator-days

Significance

• VAP is a device-associated infection, the device being the artificial airway-ventilator-circuit system. VAPis associated with worse patient outcomes and higher costs.
• Factors affecting the incidence of VAPinclude those from patients (severity of illness, comorbidities, etc.) and processes of care.
• VAPrate is a measure of the incidence of VAP.

Sampling Plan / Procedure

Inclusion Criteria

• 100% sampling for all patients on invasive mechanical ventilation as indicated by presence of Invasive mechanical ventilation at 2300 hrs (TISS Item)
• 100% sampling for all cases with VAP incidence following the criteria listed in VAP - Ventilator Associated Pneumonia

Exclusion Criteria

Exclude non-invasive ventilation.

Frequency

• Recording the date the VAPoccurred.
• Daily recording of dates of patient being on invasive mechanical ventilation at 2300 HR
• 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 VAP Cases in a calendar period

Denominator

Denom =Total Vent Days on the same period as the numerator

Formula

VAP Rate = Num / Denom * 1000

Example

• Time Reference: Calendar Dates from Jan 1, 2017 to March 31, 2017
• Total VAP cases = 5
• Total days patients are on invasive ventilator at 2300 HR = 688
• VAP Rate per 1000 days = (5 / 688) * 1000 = 7.3%

Data Sources

• Daily data for Invasive are taken on TISS28 element #48. The TISS form is being marked daily by ICU bed side nurses and quality checked by the Database Data Collectors.
• The dates when VAP occurred are taken from the Tmp project called QAInfVAP which was later changed to QA Infection VAP.

SAS Program

Part of X:\Julie\SAS_CFE\CC_reports\ChartReport\prepCCChart.sas

Report Users

• Critical Care Directors and Site Managers
• Critical Care Quality Improvement Team (QIT)

See also

• QA Infection
• QA Infection VAP