Development of a handoff continuity score to improve pediatric ICU physician schedule design for enhanced physician and patient continuity

Table 7 Handoff Continuity Score results^a

	Pre-redesign	Post-redesign		Integer program
		Score	Percentage increase^b	Score	Percentage increase^b
HCS of all shifts	0.57	0.68	19% (P = 0.0011)	0.79	39% (P < 0.001)
HCS of service shifts only	0.64	0.76	19% (P = 0.0244)	0.78	22% (P = 0.0104)
HCS of night call shifts only	0.50	0.61	22% (P = 0.008)	0.80	60% (P < 0.001)
HCS of attending physicians only	0.52	0.67	29% (P < 0.001)	0.84	62% (P < 0.001)
HCS of fellows only	0.62	0.70	13% (P < 0.001)	0.74	19% (P < 0.001)
Night call shifts without an on-service physician (n = 175)	30% (52)	4.6% (8)		3.4% (6)

^aMetrics reported for schedules covering 6 months. ^bPercentage increase over pre-redesign schedule. HCS, Handoff Continuity Score.

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