Exploring patient safety culture and opportunities for improvement: a mixed-methods study in a Dutch paediatric intensive care unit

The patient safety culture at the PICU of Sophia Children's Hospital improved over the years, although areas for improvement remain. Sustained improvements in patient safety culture require continuous investment in interprofessional communication, workplace conditions and staffing. This study not only highlights long-term trends but also presents actionable strategies proposed by staff to address persistent challenges. Effective implementation and ongoing evaluation of these interventions are essential to strengthen safety culture, enhance staff well-being and ultimately improve patient outcomes.