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Micromanagement is heavily used in Theme Hospital, and it can influence both the hospital's efficiency and its reputation.
The player must arrange and furnish the rooms to minimize the time required for the doctors to perform their tasks and satisfy the needs of their patients.
These needs include a comfortable temperature ( neither too hot nor too cold ), a clean environment, benches to sit on, and access to drinks and toilets.
Furthermore, the player can manually pick up members of the staff and drop them where their intervention is needed ( e. g. place a doctor in a room left unattended to visit a patient, or a caretaker over a vomit pool to clear it up ), as happens in Dungeon Keeper.
With no player intervention tasks are completed much more slowly, since in many levels the staff members have to travel from one end of the hospital to another.
The player can also advance a patient in a queue for a room or dismiss them, in order to avoid a death in their hospital, which negatively affects the hospital's reputation and reduces the number of end-of-year awards.

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