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Quality Positioning System (QPS)
Measure Description Display Information
0302: Ventilator Bundle
Ventilator Bundle
STEWARD:
Institute for Healthcare Improvement
Measure Description:
Percentage of intensive care unit patients on mechanical ventilation
at time of survey for whom all five elements of the ventilator bundle are documented and in place. The ventilator bundle elements are:
•Head of bed (HOB) elevation 30 degrees or greater (unless medically contraindicated)
•Daily “”sedation interruption” and daily assessment of readiness to extubate •Peptic ulcer disease prophylaxis
•Deep Venous Thrombosis prophylaxis
•Daily oral care with Chlorhexidine
Numerator Statement:
Number of intensive care unit patients on mechanical ventilation at time of survey for whom all five elements of the ventilator bundle are documented and in place. The ventilator bundle elements are:
• Head of bed (HOB) elevation 30 degrees or greater (unless medically contraindicated); noted on 2 different shifts within a 24 hour period
• Daily “sedation interruption” and daily assessment of readiness to extubate; process includes interrupting sedation until patient follow commands and patient is assessed for discontinuation of mechanical ventilation; Parameters of discontinuation include: resolution of reason for intubation; inspired oxygen content roughly 40%; assessment of patients ability to defend airway after extubation due to heavy sedation; minute ventilation less than equal to 15 liters/minute; and respiratory rate/tidal volume less than or equal to 105/min/L(RR/TV< 105)
• Peptic ulcer disease prophylaxis
• Deep venous thrombosis prophylaxis
• Daily oral care with Chlorhexidine
Numerator Details:
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Denominator Statement:
Total number of intensive care unit patients on mechanical ventilation.
Denominator Details:
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Exclusions:
Patients less than 18 years of age at the date of ICU admission
Exclusion Details:
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Risk Adjustment:
No risk adjustment or risk stratification
Classification:
Measure Type:
Composite
Measure Format:
measure
Condition:
Critical Care: Critical Care, Infectious Diseases (ID): Infectious Diseases (ID), Respiratory: Pneumonia, Infectious Diseases (ID): Pneumonia and respiratory infections, Respiratory: Respiratory
Non-Condition Specific:
Safety: Healthcare Associated Infections, Safety: Safety
Care Setting:
Inpatient/Hospital
National Quality Strategy Priorities:
Patient Safety
Current Use:
Public Reporting, Quality Improvement (Internal to the specific organization)
Planned Use:
Data Source:
Electronic Health Records: Electronic Health Records, Other, Paper Medical Records
Level of Analysis:
Facility
Target Population:
Elderly
Measure Steward Contact Information:
For additional measure specification information, please contact the Measure Steward.
Measure Steward Organization:
Institute for Healthcare Improvement
Primary Measure Steward Contact:
Measure Steward Copyright:
2
0
Status
Most Recent Activity:
Measure Retired and Endorsement Removed Infectious Disease Endorsement Maintenance Project
Initial Endorsement:
Nov 15, 2007
Last Endorsement Date:
Nov 15, 2007
Next Planned Maintenance Review:
N/A
Corresponding Measures:
Not Available
View Specifications:
Measure History:
Measure(s) Considered in Harmonization Request
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NQF Disclaimer:
Measures may be used for non-commercial implementation and/or reporting of performance data. Contact the Measure Steward if you wish to use the measure for another purpose. NQF is not responsible for the application or outcomes of measures.