Antimicrobial-free-Days-AFD - Health Quality Ontario (HQO)

INDICATOR NAME

Name

ICU Antimicrobial Utilization - Antimicrobial-free Days (AFD) (Retired)

Alternate Name

Antimicrobial-free Days (AFD)

INDICATOR DESCRIPTION

Description

This indicator measures the number of antimicrobial-free days (both antibacterial and antifungal) in ICU for the reporting period.

Antimicrobial-free days: Number of patient-days when both antifungal and antibacterial therapies were not administered (for the selected reporting period and entity)

HQO Reporting tool/product

Quality Improvement Plans (QIPs)

Dimension

Safe

Type

Process

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Rate per 1,000 patient-days

Calculation Methods

The rate is calculated as: numerator divided denominator times 1000

Numerator (short description i.e. not inclusions/exclusions)

Total number of antimicrobial-free days (sum of all ICU patient days where number of antibacterial and antifungal therapy days = 0)

Denominator (short description i.e. not inclusions/exclusions)

Total patient days in ICU for the reporting period

Adjustment (risk, age/sex standardization)- generalized

None

Data Source

Critical Care Information System (CCIS)

OTHER RELEVANT INFORMATION

Caveats and Limitations

Since it is generally accepted that 30-50% of antimicrobials used in acute care are unnecessary or inappropriate, the desired directionality is an upward trend in the number of antimicrobial- free days. However, for mature ASPs where ICU stewardship efforts have been optimized, this metric would be expected to plateau and the target should be to maintain.

Comments Summary

This is an additional QIP indicator for 2018/19. Current performance reporting period: recent quarter available, with monthly trends. To access data: Critical Care Information System (CCIS) ICU Reports, 10.2b Antimicrobial Free Days (Trend) This indicator was retired in the 2019/20 QIP.