TABLE 3.

Top indicators per domains: the highest rated capacity and quality indicators by the focus group

Domains	Top indicators
National context	Presence of a national, publicly funded healthcare program (endorsed by the Ministry of Health) that provides coverage for pediatric critical illness.
Facility and local context	Presence of a designated PICU area (designated area within a hospital), separated from other inpatient locations (eg. general ward).
Personnel	Availability of a pediatric critical care physician as part of the primary medical team responsible for the care of critically ill PHO patients. Availability of a pediatric hematology‐oncology physician as part of the primary medical team responsible for the care of critically ill PHO patients. Availability of nursing staff trained in pediatric critical care as part of the primary medical team responsible for the care of critically ill PHO patients.
Service capacity	Timely transfer (within 4 hr.) of hospitalized PHO patients who require escalation of care to the PICU from other hospital units (eg. general floor).
Service integration	Daily multidisciplinary patient care rounds led by a pediatric critical care physician for hospitalized critically ill PHO patients.
Supportive services	Frequency of inadequate pediatric critical care nurse staffing affecting the management of critically ill PHO patients.
Medication and equipment	Consistent access to first line antibiotics for critically ill PHO patients presenting with fever and neutropenia. Consistent access to monitoring equipment with alarm systems indicating critical values and continuous monitoring capabilities at each bedside of critically ill PHO patients.
Outcomes	Presence of a patient data registry that includes mortality of hospitalized PHO/BMT patients in the PICU/IMCU.

Abbreviations: BMT, bone marrow transplant; IMCU, intermediate medical care unit; PHO, pediatric hematology‐oncology patient; PICU, pediatric intensive care unit.