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https://www.urbandictionary.com/define.php?term=save%20scumming
https://tvtropes.org/pmwiki/pmwiki.php/Main/SaveScumming
https://www.youtube.com/watch?v=BVSgVAoUm8s
I believe the OP means save slots while a foundation/campaign is in progress. So you could have a save say, when you first open a hospital, and another one an hour or so into playing, and have access to both so you can choose which state you wish to load the hospital in (or go back to if you mess up).
Hope that makes sense!