Generalizable items and modular structure for computerised physician staffing calculation on intensive care units

doi:10.5492/wjccm.v6.i3.153

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World Journal of Critical Care Medicine

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2220-3141

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Crit Care Med. Aug 4, 2017; 6(3): 153-163
Published online Aug 4, 2017. doi: 10.5492/wjccm.v6.i3.153

Table 7 Calculation of physician staffing in shift work

Characteristics of shift work							Demand of physicians
Duty hours (shift)					06:00-14:54
Public holidays/year					11		Carryover of table total calculation, total time
Rest allowance in %					19.5		plus RA, LS, PT, CME, SA =
Working hours without break per day (h)					8.4		Sum net annual working time desired (h)				24511
Standard weekly hours of full-time employee (FE) in h					42		Sum number full-time physicians (net total) desired				14.5
Gross annual time per full-time employee FE (h)					2192
Net annual time per full-time employee FE (h)(without public holidays, holidays, illness)					1691
Shift	Days	Shiftmodel	Start	End	Break h	Working hours without break h	Physician/shift	Demand/week		Physicians	Demand /year
Shift	Days	Shiftmodel	Start	End	Break h	Working hours without break h	Physician/shift	Workdays/week (n)	Workhours/week	Workdays/ year (n)	Workhours/ year net (h)	Full-time employees/year net

a. m. shift	Weekday	8 h	6:00	14:54	0.5	8.4	5	5	210	250	10500	6.2
p. m. shift	Weekday	8 h	14:00	22:54	0.5	8.4	2	5	84	250	4200	2.5
night shift	Weekday	8 h	22:00	6:54	0.5	8.4	2	5	84	250	4200	2.5
a. m. shift	Weekday	8 h	6:00	14:54	0.5	8.4	2	2	33.6	104	1747.2	1
p. m. shift	Weekday	8 h	14:00	22:54	0.5	8.4	2	2	33.6	104	1747.2	1
night shift	Weekday	8 h	22:00	6:54	0.5	8.4	2	2	33.6	104	1747.2	1
a. m. shift	Public holiday	8 h	6:00	14:54	0.5	8.4	2			11	184.8	0.1
p. m. shift	Public holiday	8 h	14:00	22:54	0.5	8.4	2			11	184.8	0.1
night shift	Public holiday	8 h	22:00	6:54	0.5	8.4	2			11	184.8	0.1
Senior physician	Weekend/public holiday		8:00	10:00	0	2	1	2	4	115	230	0.1
Inhouse special duty			0:00	0:00					0		0	0
								Sum	482.8		24926	14.7
								Net demand			-415.4	-0.2

Take care for legal regulations: e.g., at maximum 12 h shift + 45 min handing over! Take care for legal working regulations: e.g., at maximum 48 h/wk in shift work! CME: Continuing medical education; FE: Full-time employee; LS: Leadership, PT: Postgraduate training; SA: Staff appraisal.

Citation: Weiss M, Marx G, Iber T. Generalizable items and modular structure for computerised physician staffing calculation on intensive care units. World J Crit Care Med 2017; 6(3): 153-163
URL: https://www.wjgnet.com/2220-3141/full/v6/i3/153.htm
DOI: https://dx.doi.org/10.5492/wjccm.v6.i3.153