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Methodology

How the hospital demo is grounded

Every number in the demo comes from either the synthetic PBJ-shaped fixture set, the benchmark harness, or the cached QPU trace written into the repository.

Evidence

Regulatory sources

  • CMS Payroll-Based Journal public staffing distributions for the roster shape and hour mix.
  • AACN ICU staffing guidance for critical-care coverage assumptions.
  • AORN perioperative staffing guidance for scrub and circulating nurse requirements.
  • The Joint Commission HR competency expectations for certification-driven coverage constraints.

Solvers

Solver settings

  • Classical path: OR-Tools CP-SAT on the live backend.
  • Hybrid path: repair-window QUBO with a cached QPU trace and an Aer-backed fallback.
  • QAOA defaults: reps=1, maxiter=12, shots=256, seed=1234.
  • Penalty policy: hard lambda = 10x the max objective coefficient; soft weights tuned in the repository fixture file.

Artifacts

Evidence files

  • benchmarks/hospital_results.csv
  • demos/hospital_restaffing/data/qpu_trace.json
  • demos/hospital_restaffing/data/calibration.md

Hardware

Cached QPU trace

Production demo replays a recorded IBM Quantum run for recording-safe deployments. Live QAOA remains available for research environments.