Ventilator Associated Pneumonia Rate: Difference between revisions
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{{Reporting Indicators | {{Reporting Indicators | ||
| description = Ventilator Associated Pneumonia (VAP) Rate is the number of cases of | | description = Ventilator Associated Pneumonia ([[#VAP]]) Rate is the number of cases of per 1000 invasive ventilator days. | ||
| indicator_name = Ventilator Associated Pneumonia (VAP) Rate | | indicator_name = Ventilator Associated Pneumonia (VAP) Rate | ||
| created_raw = Created | | created_raw = Created | ||
| Line 6: | Line 6: | ||
| indicator_start_date = Jan 1 2013 | | indicator_start_date = Jan 1 2013 | ||
| indicator_end_date = | | indicator_end_date = | ||
}} | }} | ||
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::Safe]] | * [[QualityDomain::Safe]] | ||
==Reported as== | ==Reported as== | ||
Number of cases of [[VAP | Number of cases of [[#VAP]] per 1000 Ventilator-days | ||
==Significance== | ==Significance== | ||
*[[ | *[[#VAP]] is a device-associated infection, the device being the artificial airway-ventilator-circuit system. [[#VAP]] is associated with worse patient outcomes and higher costs. | ||
*Factors affecting the incidence of [[ | *Factors affecting the incidence of [[#VAP]] include those from patients (severity of illness, comorbidities, etc.) and processes of care. | ||
*[[ | *[[#VAP]] rate is a measure of the incidence of [[#VAP]]. | ||
==Sampling Plan / Procedure== | ==Sampling Plan / Procedure== | ||
===Inclusion Criteria=== | ===Inclusion Criteria=== | ||
*100% sampling for all patients on invasive mechanical ventilation as indicated by presence of | *100% sampling for all patients on invasive mechanical ventilation as indicated by presence of [[#Ventilator Days at 23 HR]] | ||
*100% sampling for all cases with VAP incidence following the criteria listed in [[VAP | *100% sampling for all cases with VAP incidence following the criteria listed in [[#VAP]] | ||
===Exclusion Criteria=== | ===Exclusion Criteria=== | ||
Exclude non-invasive ventilation. | Exclude non-invasive ventilation. | ||
===Frequency=== | ===Frequency=== | ||
* Recording the date the [[ | * Recording the date the [[#VAP]] occurred. | ||
* Daily recording of dates of patient being on invasive mechanical ventilation at 2300 HR | * 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. | * Total number of ventilated days are calculated and reported on a monthly, quarterly or yearly basis based on the daily data. | ||
| Line 57: | Line 35: | ||
==Definition and Derivation== | ==Definition and Derivation== | ||
===Numerator=== | ===Numerator=== | ||
Num = Total [[ | Num = Total [[#VAP]] Cases in a calendar period | ||
===Denominator=== | ===Denominator=== | ||
Denom =Total Vent Days on the same period as the numerator | Denom =Total Vent Days on the same period as the numerator | ||
| Line 69: | Line 47: | ||
==Data Sources== | ==Data Sources== | ||
=== Ventilator Days at 23 HR === | |||
* Starting 2019, VAP is part of the ICD10 collection with code J95.88 [[Pneumonia, ventilator-associated (VAP)]] under the Acquired Diagnosis / Complication. The date is the [[Dx Date]] of the [[VAP - Ventilator Associated Pneumonia]] diagnosis | see [[Invasive mechanical ventilation at 2300 hrs (concept)]] | ||
* | |||
=== VAP === | |||
* Starting Jan 2019, VAP is part of the ICD10 collection with code J95.88 [[Pneumonia, ventilator-associated (VAP)]] under the Acquired Diagnosis / Complication. The date is the [[Dx Date]] of the [[VAP - Ventilator Associated Pneumonia]] diagnosis | |||
* Aug 2009 to Dec 2018, the dates when VAP occurred were taken from the Tmp project [[QA Infection]]. | |||
==SAS Program== | ==SAS Program== | ||
* The SAS program to get the VAP is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas | * The SAS program to get the VAP is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas | ||
* The SAS program to get the Ventilator Days is X:\Julie\SAS_CFE\CFE_macros\ | * The SAS program to get the Ventilator Days is X:\Julie\SAS_CFE\CFE_macros\Read_TISS76_TISS28_TISSinCCI.sas | ||
** macro '''%tisscci23hr''' shows the generation of Vent present at 23 HR | |||
* The SAS program to get the VAP rate is X:\Julie\SAS_CFE\CFE_macros\VAPCLICAM.sas | |||
==Report Users== | ==Report Users== | ||
Latest revision as of 15:34, 2022 March 16
Ventilator Associated Pneumonia (#VAP) Rate is the number of cases of 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 |
Used in aggregate form as "per location" and/or "per timeframe", e.g. by month/quarter/year x Ward/Unit x Hospital
QI domain
- Safe
Reported as
Number of cases of #VAP per 1000 Ventilator-days
Significance
- #VAP is a device-associated infection, the device being the artificial airway-ventilator-circuit system. #VAP is associated with worse patient outcomes and higher costs.
- Factors affecting the incidence of #VAP include those from patients (severity of illness, comorbidities, etc.) and processes of care.
- #VAP rate 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 #Ventilator Days at 23 HR
- 100% sampling for all cases with VAP incidence following the criteria listed in #VAP
Exclusion Criteria
Exclude non-invasive ventilation.
Frequency
- Recording the date the #VAP occurred.
- 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
Ventilator Days at 23 HR
see Invasive mechanical ventilation at 2300 hrs (concept)
VAP
- Starting Jan 2019, VAP is part of the ICD10 collection with code J95.88 Pneumonia, ventilator-associated (VAP) under the Acquired Diagnosis / Complication. The date is the Dx Date of the VAP - Ventilator Associated Pneumonia diagnosis
- Aug 2009 to Dec 2018, the dates when VAP occurred were taken from the Tmp project QA Infection.
SAS Program
- The SAS program to get the VAP is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
- The SAS program to get the Ventilator Days is X:\Julie\SAS_CFE\CFE_macros\Read_TISS76_TISS28_TISSinCCI.sas
- macro %tisscci23hr shows the generation of Vent present at 23 HR
- The SAS program to get the VAP rate is X:\Julie\SAS_CFE\CFE_macros\VAPCLICAM.sas
Report Users
- Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
- St Boniface Cardiac Sciences Program (STB site only)
- HSC Infection Prevention & Control (HSC site only)
- WRHA Infection Prevention & Control
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