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