• Best Pract Res Clin Anaesthesiol · Aug 2022

    Review

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

    • Maks Mihalj, Andrea Corona, Lukas Andereggen, Richard D Urman, Markus M Luedi, and Corina Bello.
    • Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. Electronic address: maks.mihalj@insel.ch.
    • Best Pract Res Clin Anaesthesiol. 2022 Aug 1; 36 (2): 299-310.

    AbstractBottlenecks 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.Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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