CAUTI/VAP/UE Metrics Dictionary (Operational)
Purpose
Standardize metric names, definitions, and numerator/denominator logic used in monthly SICU reporting.
CAUTI Metrics
1) Foley Device Utilization Ratio
- Definition: catheter-days / patient-days
- Source: nursing device day counts
- Frequency: monthly
2) Foley-Days with Documented Indication
- Definition: percent of Foley-days with explicit indication documentation
- Numerator: Foley-days with documented indication
- Denominator: total Foley-days
3) Non-Indicated Urine Culture Rate
- Definition: urine cultures ordered without documented qualifying indication
- Numerator: non-indicated cultures
- Denominator: total urine cultures ordered in SICU
VAP Process Metrics
4) Oral-Care Interval Compliance
- Definition: percent of required oral-care intervals completed/documented
- Numerator: completed required intervals
- Denominator: scheduled required intervals
5) SAT/SBT Early Compliance
- Definition: percent of eligible vented patients with SAT/SBT completed (or contraindication documented) by 08:00
- Numerator: eligible patients meeting standard
- Denominator: all eligible vented patients
6) Subglottic ET Utilization (Eligible Cases)
- Definition: percent of eligible intubations using subglottic-capable ET tubes
- Numerator: eligible intubations with subglottic tube
- Denominator: all eligible intubations
UE Metrics
7) UE Event Rate per 100 Ventilator Days
- Definition: (UE count / vent days) x 100
- Numerator: number of UE events in period
- Denominator: total vent days in period
8) UE Form Completion Compliance
- Definition: percent of UE events with complete RN+RT+provider form within 1 hour
- Numerator: UE events with complete form on time
- Denominator: total UE events
9) UE Huddle Compliance
- Definition: percent of UE events with documented bedside huddle within 1 hour
- Numerator: UE events with timely huddle
- Denominator: total UE events
