Ventilator Associated Pneumonia Rate: Difference between revisions
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==Sampling Plan / Procedure== | ==Sampling Plan / Procedure== | ||
===Inclusion Criteria=== | ===Inclusion Criteria=== | ||
*100% sampling for all patients on invasive mechanical ventilation via ET Tube or tracheostomy | *100% sampling for all patients on invasive mechanical ventilation via ET Tube or tracheostomy at 2300HR | ||
*100% sampling for all cases with VAP incidence | *100% sampling for all cases with VAP incidence following the criteria listed in [[VAP - Ventilator Associated Pneumonia]] | ||
===Exclusion Criteria=== | ===Exclusion Criteria=== | ||
Exclude non-invasive ventilation. | Exclude non-invasive ventilation. | ||
===Frequency=== | ===Frequency=== | ||
* | * Recording the date the VAP occur. | ||
* Daily recording of dates of patient being on invasive mechanical ventilation | * 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. | ||
* Time Reference is calendar month, quarter or year. | * Time Reference is calendar month, quarter or year. | ||
==Definition and Derivation== | ==Definition and Derivation== | ||
===Numerator=== | ===Numerator=== | ||
Num = Total | Num = Total VAP Cases in a calendar period | ||
===Denominator=== | ===Denominator=== | ||
Denom =Total | Denom =Total Vent Days on the same period as the numerator | ||
===Formula=== | ===Formula=== | ||
VAP Rate = Num / Denom * 1000 | |||
===Example=== | ===Example=== | ||
*Time Reference: Calendar Dates from Jan 1, 2017 to March 31, 2017 | *Time Reference: Calendar Dates from Jan 1, 2017 to March 31, 2017 | ||
*Total days patients are on invasive ventilator = | *Total VAP cases = 5 | ||
* | *Total days patients are on invasive ventilator at 23)) HR = 688 | ||
* VAP Rate per 1000 days = (5 / 688) * 1000 = 7.3% | |||
==Data Sources== | ==Data Sources== | ||
*Daily data for Invasive are taken on [[TISS28]] element # | *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. | ||
* | * | ||
==SAS Program== | ==SAS Program== | ||
Part of X:\Julie\SAS_CFE\CC_reports\ChartReport\prepCCChart.sas | Part of X:\Julie\SAS_CFE\CC_reports\ChartReport\prepCCChart.sas | ||
| Line 51: | Line 50: | ||
Critical Care Directors and Site Managers | Critical Care Directors and Site Managers | ||
[[Category:TISS28]] | [[Category:TISS28]] | ||
[[Category: | [[Category:VAP - Ventilator Associated Pneumonia]] | ||
[[Category:Arrive DtTm]] | [[Category:Arrive DtTm]] | ||
[[Category:Dispo DtTm]] | [[Category:Dispo DtTm]] | ||
Revision as of 15:08, 2017 June 12
Ventilator Associated Pneumonia (VAP) Rate is the number of VAP cases per 1000 invasive ventilator days
| Indicators | |
| Indicator: | Ventilator Associated Pneumonia (VAP) Rate |
| Created/Raw: | Created |
| Program: | not stated |
| 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 |
QI domain
- Safe
Reported as
Number of VAP per 1000 Ventilator-days
Significance
- VAP is a device-associated infection, the device being the artificial airway-ventilator-circuit system. VAP defined using CDC definition. 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 via ET Tube or tracheostomy at 2300HR
- 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 VAP occur.
- 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 23)) 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.
SAS Program
Part of X:\Julie\SAS_CFE\CC_reports\ChartReport\prepCCChart.sas
Report Users
Critical Care Directors and Site Managers