Page 83 - MALAYSIAN PATIENT SAFETY GOALS
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TECHNICAL SPECIFICATIONS OF MALAYSIAN PATIENT SAFETY GOALS &
KPIs
Patient Safety Goal To reduce Ventilator Associated Pneumonia In the ICU*
No. 12
Rationale The prevention of VAP can help reduce the time that the
patient is on the ventilator, ICU and hospital stay as well
as costs and mortality
Strategies &
Implementation To implement VAP Care Bundle:
The ventilator care bundle has four key components:
1.Elevation of the head of the bed to between 30- 45
degrees
2.Daily “sedation vacation”
3.Peptic ulcer disease prophylaxis
4.Deep venous thrombosis prophylaxis (unless
contraindicated)
KPI No. 18 Rate of VAP (Number of VAP per 1000 ventilator days)
Ventilator-Associated Pneumonia (VAP):
Definition of Terms
Pneumonia that occurs after 48 hours of intubation
Numerator (N) No. of cases of VAP
Denominator (D) Total number of ventilator days for all ventilated patients
Formula (N/D) x 1000 ventilator-days
Target <10 per 1000 ventilator days
Data collection at Monthly
facility level
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