· 5 min read
Why your schedule looks fine on paper and breaks in practice: shrinkage and coverage
The schedule closes in the spreadsheet and breaks on the floor. Most of the time the culprit is ignored shrinkage.
Content
Technical articles on sizing, scheduling and labor rules, focused on healthcare operations.
· 5 min read
The schedule closes in the spreadsheet and breaks on the floor. Most of the time the culprit is ignored shrinkage.
· 5 min read
ART (Resolution 782/2025) and COFEN Normative Opinion 01/2024 changed the rules of nursing workforce sizing. Here is what changed and how to move past the spreadsheet.
· 8 min read
How many people does your operation really need? Demand-driven (Erlang) and fixed-post (HC = posts × shifts × factor × shrinkage) sizing with examples.
· 8 min read
11h inter-shift rest, 35h weekly rest, intra-shift break, Sundays, daily limits and night work. The 6 universal CLT rules that protect any schedule from penalties.
· 6 min read
12-hour shift followed by 36 hours of rest (42h weekly average). Art. 59-A CLT, validated by the Supreme Court in 2023, and the mistakes that create 5-year retroactive liability.
· 7 min read
PEC 221/2019 approved in the Chamber on 05/27/2026. Understand the deadlines, the coverage factor moving from 1.17 to 1.40 and how to redesign the operation for 5x2.
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