Ventilator Associated Pneumonia Rate
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 |
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
- 100% sampling for all patients on invasive mechanical ventilation as indicated by presence of Invasive mechanical ventilation at 2300 hrs (TISS Item)
- 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 VAPoccurred.
- 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
- Daily data for Invasive are taken on TISS28 element 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 dates when VAP occurred are taken from the Tmp project called QAInfVAP which was later changed to QA Infection VAP.
SAS Program
Part of X:\Julie\SAS_CFE\CC_reports\ChartReport\prepCCChart.sas
Report Users
- Critical Care Directors and Site Managers
- Critical Care Quality Improvement Team (QIT)