Establishing new Pediatric Intensive Care Unit (PICU) using “Seven Ps” model: novel strategic insight and review of the evidence

Establishing a Pediatric Intensive Care Unit (PICU) extends beyond infrastructure, requiring a comprehensive approach that integrates clinical demands, family-centered care, and long-term sustainability. This manuscript introduces the “Seven P’s” model—Premises, Personnel, Protocolization, Procurement, Promotion, Performance, and Profits—as a structured framework to guide PICU development. A comprehensive literature review was performed through PubMed and Google Scholar, in addition to other references that were identified through manual searches and citation tracking. Best practices from the literature were synthesized with institutional needs and international guidelines to inform each domain of the model. The model effectively encompassed key components essential for modern PICU design. Spatial planning included single-patient, same-handed rooms with decentralized nursing stations and integrated infection control features. Staffing plans reflected patient acuity and emphasized 24/7 interdisciplinary coverage and leadership. Protocols adhered to global standards and incorporated structured communication and real-time documentation. Procurement strategies ensured age-appropriate equipment and diagnostics at the bedside. Outreach and promotion enhanced visibility, while a performance dashboard monitored clinical and operational metrics. Financial planning emphasized cost efficiency and sustainability. The Seven P’s model offers a practical, evidence-informed roadmap for establishing high-performing PICUs. Its first documented application in this context highlights its potential as a strategic blueprint adaptable to various healthcare settings.