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

Table 8 Handoff Continuity Scores for alternative service schedules generated by the integer program

Service schedule structure and description		HCS	HCS of attending physicians only	HCS of fellows only	Night call shifts without an on-service physician
1	7-day blocks for attending physicians and overlapping 14-day blocks for fellows	0.79	0.85	0.74	8
2	Overlapping 7-day blocks for attending physicians (Mon.-Sun. or Fri.-Thurs.) and overlapping 14-day blocks for fellows	0.79	0.84	0.73	19
3	Overlapping 4-day blocks for attending physicians and overlapping 14-day blocks for fellows	0.73	0.73	0.73	1
4	Overlapping 14-day blocks for fellows but no predefined service block structure for attending physicians	0.83	0.93	0.73	21
5	No predefined service block structure for attending physicians or fellows	0.85	0.92	0.77	16

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