Reporting - VAP

Patient safety remains the most important priority for TDMH and this involves ensuring that patients are not at risk for contracting healthcare-associated infections.

We have a number of practices in place to help prevent and control infections, including a comprehensive hand hygiene program. As of April 30, 2009, all Ontario hospitals are required to post quarterly VAP rates to further promote accountability and transparency within the health system.

What is a Ventilator Associated Pneumonia (VAP)?
For our public reporting purposes, ventilator associated pneumonia (VAP) is defined as a pneumonia (lung infection) occurring in patients in an intensive care unit (ICU), requiring external mechanical breathing support (a ventilator) intermittently or continuously, through a breathing tube for more than 48 hours.

VAP can develop in patients for many reasons. Because they are relying on an external machine to breath, their normal coughing, yawning, and deep breath reflexes are suppressed. Furthermore, they may have a depressed immune system, making them more vulnerable to infection.  ICU teams have many ways to try to assist patients with these normal breathing reflexes, but despite this, patients are still at risk for developing pneumonia.

What will be publicly reported?

  • The number of VAP cases. Where the number is zero or where the cases total 5 or more, the number will be posted. If the cases are fewer than 5 (e.g., 1 to 4 cases), it will state “<5 cases”.
  • The VAP rate (per 1000 ventilator days);
    total # of ICU cases of  VAP after 48 hours of mechanical ventilation X 1000
    total # of ventilator days for ICU patients 18 years and older

What is the rate at TDMH?

The TDMH rate from January- March 2018 is 0 per 1000 ventilator days.  This represents 0 cases
The TDMH rate for October 1 - December 31 2017 is 0 per 1000 ventilator days.  This represents 0 cases.
The TDMH rate for July 1 - September 30 2017 is 0 per 1000 ventilator days.  This represents 0 cases. 
The TDMH rate for April 1 - June 30 2017 is 0 per 1000 ventilator days.  This represents 0 cases. 
The TDMH rate for January 1 – March 31 2017 is 0 per 1000 ventilator days. This represents 0 cases.