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VAP Bundle Compliance Rate
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Indicator Name:VAP Bundle Compliance RateJANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC
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Numerator:No of VAP care bundle checklist complied Numerator
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Denominator:Total number of VAP care bundle audited per month Denominator
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RationaleTo comply with the care bundle checklists and to reduce the infection rateRate#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!#DIV/0!
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Inclusion CriteriaAll patients on mechanical ventilation via ET tube or tracheostomy Target-100%100%100%100%100%100%100%100%100%100%100%100%100%
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Exclusion CriteriaNon invasive ventilation (NIV/CPAP/BiPAP)
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Indicator Owner: Infection Control Nurse
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Selection criteria:□ High Risk □ High Volume □ IPSG √ Problem Prone □High Cost
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□ Contract Monitoring □ Regulatory Requirement
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□ Others: Accreditation requirement
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Type of Indicator:□ Structure √ Process □ Outcome □ Process & Outcome
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Frequency:√Monthly □ Quarterly □ Bi-Annual □ Annual
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Department/ Unit
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Sample Size: 60 VAP bundles / 100% of audited mechanically ventilated patients or representative sample (5% of population) if volume is high.
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Data collection method / Source The facilitator will audit the files for use and compliance of care Bundle checklist
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Data methodology:√ Retrospective □ Concurrent
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Unit of MeasurementPercentage
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Target:100%
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Benchmark (If Applicable)
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Data Analysis:
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Common variations
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Action plan:
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