Simulation based alternatives for overall process improvement at the cardiac catheterization lab

Cardiac catheterization is one of the critical procedures in patient care. It is pertinent for all process related issues in this department to be handled with due priority. This research is a cross-functional effort with a leading hospital that was in its planning stage to implement an overall process improvement at its cardiac catheterization lab department. It has been determined that significant process delays exist in this department. One of the identified key factors to process improvement was to reduce patient turnaround time. Process mapping was used to study the system and identify potential sources of delays in the system. A set of qualitative recommendations were put forward. These recommendations, include the reduction of wait time of outpatients and inpatients and the reduction of non-value-added times such as transfer time of patients, were evaluated using a discrete event simulation approach. The simulation study shows that the daily operating hours at the catheterization lab could be reduced, aiding to reallocate staff for discharging other duties, as the hospital may require.