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.
TAGS
Sector
Acute Care/Hospital
Type
Process
Topic
Other
Dimension
Safe
Source
Critical Care Information System (CCIS)
PUBLISH
Publish Datetime
05/03/2019 17:43:00