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Related Experiment Video

Updated: Jun 18, 2025

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Establishing a paediatric critical care core quality measure set using a multistakeholder, consensus-driven process.

Jessica A Schults1,2,3,4,5, Karina R Charles1,2,3,4, Johnny Millar6,7

  • 1Herston Infectious Diseases Institute, Metro North Hospital and Health Service, Queensland, Australia.

Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine
|July 29, 2024
PubMed
Summary

A 51-item core quality measure set for paediatric critical care was developed, aligning with patient and clinician priorities. This aims to improve healthcare quality monitoring and reduce data collection burdens.

Keywords:
ConsensusCritical carePatient safetyPediatricsQuality indicatorsSurveillance

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Area of Science:

  • Healthcare quality improvement
  • Paediatric critical care research
  • Health services research

Background:

  • Monitoring healthcare quality in paediatric critical care is complex due to varied measures and data collection challenges.
  • Establishing consistent quality metrics is vital for improving patient outcomes and care standards.

Purpose of the Study:

  • To develop a core set of quality measures for paediatric critical care.
  • To ensure measures are meaningful to both consumers (patients/families) and clinicians.
  • To promote aligned use and collection of quality measures across the field.

Main Methods:

  • A multi-stakeholder Delphi study combined with a consumer prioritisation survey.
  • Involved Australian and New Zealand paediatric critical care survivors, families, clinicians, and policymakers.
  • Triangulation of survey data preceded a consensus meeting to finalize the measure set.

Main Results:

  • Consumers prioritized nurse-patient ratios, visible patient goals, and long-term follow-up.
  • Clinicians agreed on a 51-item core measure set, prioritizing nurse-patient ratios, staff turnover, and long-term follow-up.
  • Feasibility was rated low due to data collection burden and lack of standardized definitions.

Conclusions:

  • A 51-item core measurement set for paediatric critical care has been defined, reflecting clinician and consumer priorities.
  • Implementation and evaluation of this set are recommended for quality programs.
  • Future work should address measure feasibility and consider retiring redundant measures.