Ventilated patient flow
Ventilated Patient Flow is the number of mechanically ventilated patients any time during the ICU stay per bed per period of time.
| Indicators | |
| Indicator: | Ventilated Patient Flow |
| Created/Raw: | Created |
| Program: | not stated |
| Start Date: | Jan 1 2013 |
| End Date: | |
| Reports: | Critical Care Program Quality Indicator Report |
QI domain
- Efficient
Reported as
Count of patients on mechanical ventilation per bed per period of time
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 for all patients on mechanical ventilation. Mechanical ventilation includes:
- Invasive Mechanical Ventilation via ET Tube or tracheostomy
- Non-invasive CPAP or BIPAP
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 calculated and reported on a monthly, quarterly or yearly basis based on the daily data.
- 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 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 #18 and #21 respectively. The TISS form is being marked daily by ICU bed side nurses and quality checked 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\prepCCChart.sas
Report Users
Critical Care Directors and Site Managers