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A multinational survey on the infrastructural quality of paediatric intensive care units

Gert Warncke1, Florian Hoffmann2, Michael Sasse3

  • 1Department of Pediatric and Adolescent Surgery, Medical University of Graz, Auenbruggerplatz 34, 8036, Graz, Austria. gert.warncke@medunigraz.at.

Annals of Intensive Care
|November 8, 2018
PubMed

Insights

Paediatric intensive care units (PICUs) in Germany, Austria, and Switzerland show deficits in structural quality and personnel, impacting patient safety. Addressing these infrastructure and staffing gaps is crucial for improving care standards.

Area of Science:

  • Pediatric Critical Care Medicine
  • Healthcare Quality Improvement
  • European Healthcare Systems

Background:

  • Paediatric intensive care units (PICUs) are vital for critically ill children.
  • Compliance with European Society of Intensive Care Medicine (ESICM) infrastructure guidelines is essential for optimal care.
  • The D-A-CH region (Germany, Austria, Switzerland) represents a significant area for pediatric critical care.

Purpose of the Study:

  • To evaluate the adherence of PICUs in Germany, Austria, and Switzerland to ESICM infrastructure guidelines.
  • To identify specific areas of non-compliance within PICU infrastructure.
  • To provide data for improving pediatric critical care standards in Central Europe.

Main Methods:

  • A survey-based study conducted between July 2016 and May 2017.
  • Questionnaires assessed structural quality, diagnostic/therapeutic equipment, personnel, and organization.
  • Data collected from PICUs in Germany (106), Austria (12), and Switzerland (8).

Main Results:

  • Response rates varied: Germany (67%), Austria (61%), Switzerland (100%).
  • Adherence to infrastructure guidelines: structural quality (62-75%), equipment (87-91%), personnel (65-87%), organization (73-88%).
  • Germany showed notable deficits in structural quality (62%) and personnel (65%).

Conclusions:

  • PICUs in the D-A-CH region exhibit deficiencies in structural quality across all surveyed countries.
  • Germany and Austria require urgent improvements in personnel and organizational aspects, respectively.
  • Addressing these identified gaps is critical for enhancing patient safety and treatment quality in pediatric intensive care.
Abstract

Keywords:
InfrastructureIntensive careOrganizationPaediatricPersonnelQuality management

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