ICU Acquired Antibiotic Resistant Organism (ARO) rate: Difference between revisions

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===Frequency===
===Frequency===
* Recorded once per patient
* Recorded once per patient
* On quarterly basis based on discharge dates, tabulate the number of cases on acquired and total number of patient days or Total ICU_LOS in [[Length of Stay (ICU Report)]]
* On quarterly basis based on discharge dates, tabulate the number of cases on acquired and total number of patient days or Total ICU_LOS in [[LOS Per Service]]


==Definition and Derivation==
==Definition and Derivation==
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Number of new ICU ARO acquired cases
Number of new ICU ARO acquired cases
===Denominator===
===Denominator===
Total ICU_LOS  in [[Length of Stay (ICU Report)]]
Total ICU_LOS  in [[LOS Per Service]]


==Data Sources==
==Data Sources==
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==SAS Program==
==SAS Program==
* The SAS program to get the antibiotic resistant organism is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
* The SAS program to get the antibiotic resistant organism is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
* The SAS program to get the LOS is X:\Julie\SAS_CFE\CFE_macros\logphi.sas and (datetimes.sas or datetime_short.sas )
* The SAS program to get the LOS is X:\Julie\SAS_CFE\CFE_macros\datetimes.sas


==Report Users==
==Report Users==
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== Related articles ==  
== Related articles ==  
{{Related Articles}}
{{Related Articles}}
[[Category:Antibiotic resistance]]

Latest revision as of 13:34, 2022 December 29

Identification of new MRSA, VRE or ESBL colonization in ICU patient

Indicators
Indicator: ICU Acquired Antibiotic Resistant Organism (ARO) rate
Created/Raw: Created
Program: Critical Care
Start Date:
End Date:
Reports: Critical Care Program Quality Indicator Report


  • Cargo


  • SMW:
  • Categories
  • Default form:

{Discussion | who=Julie |question= Is the definition in "description" still correct now that we report against resistance rather than specific pathogens being resistant? }}

QI domain

  • Safe

Significance

AROs can cause significant morbidity and mortality. The spread of these organisms can be decreased with good hand hygiene and antibiotic stewardship.

Sampling Plan / Procedure

100 % of all patients will be monitored for acquired infections with organisms resistant to antibiotics.

Inclusion Criteria

All

Exclusion Criteria

None

Frequency

  • Recorded once per patient
  • On quarterly basis based on discharge dates, tabulate the number of cases on acquired and total number of patient days or Total ICU_LOS in LOS Per Service

Definition and Derivation

  • Identification of new antibiotic resistant organism in ICU patient
  • New ARO acquired cases per 1000 ICU patient days

Numerator

Number of new ICU ARO acquired cases

Denominator

Total ICU_LOS in LOS Per Service

Data Sources

  • Starting 2019, antibiotic resistant organism is part of the ICD10 collection with code U82 to U84 under the Acquired Diagnosis / Complication.
Antibiotic resistance codes:
  • Before 2019, only colonization with resistant organisms were collected with old diagnosis code 99 and saved in table L_Dxs

SAS Program

  • The SAS program to get the antibiotic resistant organism is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
  • The SAS program to get the LOS is X:\Julie\SAS_CFE\CFE_macros\datetimes.sas

Report Users

Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee

Related articles

Related articles: