What question did this study set out to answer?

To develop and validate the PICU-QODD-J instrument for assessing end-of-life care in pediatric intensive care units in Japan.

April 4, 2026Open Access

Japanese Version of the Quality of Dying and Death in the PICU Instrument: Development and Validation in Eight Centers in Japan

Key Points

To develop and validate the PICU-QODD-J instrument for assessing end-of-life care in pediatric intensive care units in Japan.
Instrument development across eight centers in Japan.
Validation of reliability and validity metrics.
Evaluation of inter-rater reliability (IRR) in assessments.
Demonstrated good overall reliability and validity of the PICU-QODD-J instrument.
Noted low inter-rater reliability, indicating variability in assessments.
Emphasized the importance of multiple perspectives in evaluating end-of-life care.

Abstract

The PICU-QODD-J instrument demonstrated good reliability and validity and can be used to assess and improve end-of-life care in PICUs in Japan. However, given the low IRR, evaluations should be interpreted from multiple perspectives rather than a single assessment.

Japanese Version of the Quality of Dying and Death in the PICU Instrument: Development and Validation in Eight Centers in Japan

Key Points

Abstract

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