VAP Getting Started Kit - Safer Healthcare Now!

Safer Healthcare Now! Prevent Ventilator Associated Pneumonia Getting Started Kit
Measurement Period Length: Measure monthly.
Definition of Terms:
• Ventilator-Associated Pneumonia: Pneumonia occurring in patients requiring a device
intermittently or continuously to assist respiration through a tracheostomy or
endotracheal tube. Further, the device must have been in place within the 48-hour
period before onset of infection and for at least 2 consecutive days
• Ventilator Day: Total number of days of exposure to ventilators by all patients in the
selected population during the selected time period
COLLECTION STRATEGY:
Sampling Plan: Report the monthly VAP rate for the last several months (minimum three
months). This will serve as your baseline. Continue to track the measure monthly. If
possible, track the rate in an annotated run chart, with notes reflecting any interventions
you made to improve. If your organization’s infection control practitioner reports data
quarterly, we strongly encourage you to disaggregate this data and report monthly.
Rate per 1000 Ventilator Days
14
12
10
8
6
4
2
0
HSC General Hospital - Newfoundland and Labrador
VTE Rate
June 2012 48