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Consumer Perspectives on PICU Safety and Quality.
Karina R Charles1,2,3, Debbie A Long3, Anna Lake4
1School of Nursing, Midwifery and Social Work, The University of Queensland, St Lucia, Queensland, Australia.
Nursing in Critical Care
|February 1, 2026
Summary
Parents prioritize nurse staffing and communication for paediatric intensive care unit (PICU) safety. Their input highlights key themes for improving care quality and patient safety in PICUs.
Area of Science:
- Pediatric Intensive Care
- Patient Safety
- Healthcare Quality Improvement
Background:
- Paediatric intensive care units (PICUs) require robust safety and quality measures.
- Understanding parental perspectives is crucial for enhancing PICU care.
- Existing safety metrics may not fully capture patient and family priorities.
Purpose of the Study:
- To investigate consumer perceptions and priorities for safety and quality in PICUs.
- To inform the development of effective safety measurement tools and quality improvement strategies.
- To incorporate the patient and family voice into PICU safety initiatives.
Main Methods:
- A cross-sectional, co-designed survey was distributed to parents/caregivers with experience in Australian and New Zealand PICUs.
- Quantitative data were collected on measurement priorities.
- Qualitative data were analyzed using inductive content analysis to identify safety themes.
Main Results:
- One hundred and seventeen parents/caregivers participated.
- Three key safety themes emerged: foundations for safer care delivery, understanding as a foundation for safety, and shared voices, safer choices.
- Nurse staffing and communication were the most frequently selected quantitative measurement priorities.
Conclusions:
- Parental input provides valuable insights into PICU safety and quality.
- Prioritizing nurse staffing and communication is essential for improving PICU safety.
- Co-designed approaches are effective in gathering patient and family priorities for healthcare quality improvement.
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