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Wouldn't the handoff suffer more at the 11th compared to the 8th hour. I wonder if they take employee constant sleep deprivation transferring into patient experiences vs legal coverage when making these decisions.



The trade-off is whether patients see tired staff vs patients rotate through more staff with no context (= multiply chance of onboarding mistakes, more delays, ...). Tempering this a bit, a lot of smaller-staffed late shift care is more about handling emergencies and otherwise keeping folks fine until the bigger day shift comes in.

Most software IT/ops is luckily generally much smaller in time scale of most incidents, and much more tolerant of hand-off errors and delays. Ex: For 24/7, you get an instant email acknowledgement of ticket receipt, someone triages it, and if on a boundary, OK for current shift to ignore and leave for the next one. Likewise, for bigger incidents, better for throughput for the same person to pick across shifts to avoid hand-off errors, even if that introduces delays when it spans shifts. But not universally true across orgs, nor for incident types. Ex: For tricky & sensitive incidents that take 8-24 hours, the hospital results show longer shifts might make sense, so I'd want to see experiments before making assumptions!




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