As expected, hospital safety and security is important to both family and patient satisfaction, both directly and indirectly. If the paths from the construct of hospital safety are followed, six significant relationships are seen on the patient model, and six are found on the family model. In the family models, the path coefficients are somewhat stronger than in the patient model. For families, feelings of being safe and secure in the hospital are significantly related to high ratings of ICU staff, both in terms of their sensitivity and responsiveness (0.37), as well as communication, particularly nurse and physician communication (0.21). Feeling safe and secure is also a predictor of higher ratings of nursing care (0.17), physician care (0.16), and overall family satisfaction (0.30). For patients, hospital safety is significantly related to nursing care (0.40), physician care (0.18), staff sensitivity and responsiveness (0.17), the communication construct (ie, information provided to family) [0.03], and, ultimately, to overall patient satisfaction (0.24).