Ventilator Associated Pneumonia Rate
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 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 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 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.
- The dates when VAP occurred are taken from the Tmp project called QAInfVAP and 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 QI Team