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institution Flexibility in personnel, equipment, and medication availability leads to better outcomes FIGURE 11.3 An example of a pretransport safety checklist (Used with permission, © The Children’s Hospital of Philadelphia, Philadelphia, PA.) Orr et al in 2001 presented predictive models to help appropriately triage and critically assess pediatric transport systems Their research suggests several factors are useful in predicting in-hospital mortality for transported patients These include blood pressure, respiratory rate, oxygen requirement, and altered mental status They also found that the risk of mortality increases with performance of major interventions, as did the occurrence of unplanned events Some researchers have looked at the Shock Index (SI) in an attempt to determine stability and level of illness, while others use specific triage tools to determine optimal response required (Advanced Life Support [ALS], level of CCT) for each