The document discusses design patterns for efficient DevOps processes including value stream mapping, release engineering, test automation, and change management. It provides recommendations such as collecting current state information directly, ensuring release engineers understand intended deployments, automating error-prone steps, centralizing test coordination, and making change management a priority integrated within the DevOps pipeline. Design patterns that increase efficiency include continuous delivery pipelines, testing all levels from unit to integration to functionality, and establishing different change modes to balance speed, quality, and risk.