id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-297886-kxb17zx4	Kluger, Dan M.	Impact of healthcare worker shift scheduling on workforce preservation during the COVID-19 pandemic	2020-07-20		.txt	text/plain	1722	84	52	We ran Monte Carlo simulations modeling the spread of SARS-CoV-2 in non–COVID-19 wards, and we found that longer nursing shifts and scheduling designs in which teams of nurses and doctors co-rotate no more frequently than every 3 days can lead to fewer infections. In summary, pandemics necessitate widespread reassessment of workforce planning to ensure backup of sufficient uninfected HCWs. Using various input variables for our simulations for non-COVID-19 services, we make 3 primary observations: (1) Having all HCWs work at least 3 consecutive days reduces the chance of team failure, (2) longer nursing shifts (12 versus 8 hours) decreases the rate of HCW infection, and (3) avoiding staggering of rotations of attendings, house staff, and nurses reduces the number of infected HCWs. When applying this model to the real-world challenge of staffing hospital units, clinical setting variables such as trainee presence, patient acuity, stay length, and nurse-patient ratio will need to be considered.	./cache/cord-297886-kxb17zx4.txt	./txt/cord-297886-kxb17zx4.txt