LAUSR

Key Points Question In the absence quality metrics for end-of-life care in pediatric cardiac intensive care units (CICUs), how do interdisciplinary staff perceive quality of dying and death (QODD)? Findings In this cross-sectional survey study of 713 medical professionals involved in 60 deaths in the CICU, the pediatric intensive care unit (PICU)–QODD instrument was a reliable and valid measure of QODD in CICUs, with overall positive perceptions of QODD yet negative perceptions of the 7 days prior. Lower PICU-QODD scores were reported by nursing or allied health staff, by less experienced staff, for patients with cardiac-surgical admissions and comorbidities, and for deaths following treatment limitation or misaligned with family wishes. Meaning These data could guide strategies to improve staff well-being and end-of-life experiences.