Electronic time recording
Scheduled versus actual hours, overtime, early departures, rest and auditable corrections.
Safe medical work · intelligent use of clinical resources
Real working time and real resources should shape medical schedules.
Medical Integrity Romania links electronic time recording, fatigue safeguards, predictable dynamic schedules, operating-room and clinic capacity, balanced performance measures and fair access to training.
Six connected measures
Measure the system as well as the professional.
Fatigue safeguards
No new elective case after the applicable threshold; safe handover, rest and documented emergency exceptions.
Dynamic schedules
Predictable shifts aligned with operating rooms, clinics and the complete clinical team.
Operating-room capacity
Allocation based on clinical priority, waiting time, readiness, resources and documented causes of delay.
Balanced performance
Access, flow, safety, risk-adjusted outcomes, continuity, training and teamwork — never one public doctor ranking.
Training equity
Transparent distribution of operating-room access, case complexity, supervision and protected teaching time.
Evidence
Sources and limits stay together.
Romanian law, EU working-time rules, ACGME 2026, NHS electronic staff scheduling, GIRFT theatre guidance and public reporting are used within their stated scope.
Public reporting
Aggregate transparency, protected individual data.
Individual records support fair internal management and correction. Public reporting remains aggregated and does not expose patient data or nominal doctor rankings.