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The first clerk is very well organized; she asks for preferences, and nurses have two weeks to complete the typical schedule defined by the recurring sequence of shifts for each nurse. The preferred schedule is that schedule which contains only preferences of nurses. The clerk in the second hospital has no defined process: he/she accepts changes to the schedule every single day while working directly on the schedule, until the official schedule is posted. This process is very timeconsuming, not efficient and certainly not optimized. No recording of the preferences is thus available.
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