Implementation of an electronic registry to monitor quality of care for febrile episodes in pediatric patients with cancer in Central America and the Caribbean

A heterogeneous group of centers successfully implemented a common registry and achieved high data completeness. However, workforce shortages and competing clinical demands contributed to intermittent registry use and delayed entry, highlighting the need for institutional investment in data management. Registry data have already informed local quality improvement projects; future work should identify factors that sustain long-term use.