Managing bottlenecks in the perioperative setting: Optimizing patient care and reducing costs.

Mihalj, Maks; Corona, Andrea; Andereggen, Lukas; Urman, Richard D; Luedi, Markus M; Bello, Corina (2022). Managing bottlenecks in the perioperative setting: Optimizing patient care and reducing costs. Best practice & research. Clinical anaesthesiology, 36(2), pp. 299-310. Elsevier 10.1016/j.bpa.2022.05.005

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Bottlenecks limit the maximum output of a system and indicate operational congestion points in process management. Bottlenecks also affect perioperative care and include dimensions such as infrastructure, architectural design and limitations, inefficient equipment and material supply chains, communication-related limitations on the flow of information, and patient- or staff-related factors. Improvement of workflow is, therefore, becoming a priority in most healthcare settings. We provide an overview of bottleneck management in the perioperative setting and introduce dimensions, including aligned strategic decision-making, tactical planning, and operational adjustments.

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