Ventilator Associated Pneumonia Rate: Difference between revisions

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==Data Sources==
==Data Sources==
*Daily data for Invasive are taken on [[TISS28]] element {{TISS w Nr | Invasive mechanical ventilation at 2300 hrs (TISS Item)}}.  The TISS form is being marked daily by ICU bed side nurses and quality checked by the Database Data Collectors.
*Daily data for Invasive are taken on [[TISS28]] element {{TISS w Nr | Invasive mechanical ventilation at 2300 hrs (TISS Item)}}.  The TISS form is being marked daily by ICU bed side nurses and quality checked by the Database Data Collectors.
*The date is the [[Dx Date]] of the [[VAP - Ventilator Associated Pneumonia]] diagnosis
* 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
**The dates when VAP occurred used to be taken from the Tmp project [[QA Infection VAP]].
** Before 2019, the dates when VAP occurred used to be taken from the Tmp project [[QA Infection VAP]].


==SAS Program==
==SAS Program==

Revision as of 16:26, 2019 August 12

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

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

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\CFE_tiss28.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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