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Thyroid Disorders


This topic is intended to help anyone who is interested in quality improvement surrounding Thyroid Disorders.

Available toolkit projects are listed below. Many of the approaches described are evidence based - some are not. These approaches have not been approved by APSA.


Mott Children’s Hospital

Mott developed the multispecialty pediatric endocrine surgery (MPES) protocols to standardize the care provided by physicians, nurses and house staff while caring for children with endocrine surgery problems.


Stakeholders: pediatric endocrinology, pediatric anesthesiology, pediatric surgery, MPES nurses

Challenges and solutions: One surgeon and two endocrinologist developed and participate in the MPES clinic. The surgeon performs all of the operations. However, all of our surgeons and all of our endocrinologists care for these patients while in the hospital following their surgery. This lead to variation in practice while dealing with postoperative issues. These protocols standardized and publicized our care for the MPES patients.

Submitted by Steven Bruch

Nemours / Dupont

They created a clincial practice guideline for the preoperative work up and postoperative management of hypocalcemia, EPIC order sets with labs and medications embedded and a preoperative checklist for patients with thyroid neoplasms to confirm the correct surgery is being done and clarify areas of lymph node involvement.


Submitted by Loren Berman

Last updated: May 7, 2019


"Thyroid Disorders." PedSurg Resource, 2019. APSA Webapp, www.pedsurglibrary.com/apsa/view/PedSurg Resource/1884027/all/Thyroid_Disorders.
Thyroid Disorders. PedSurg Resource. 2019. https://www.pedsurglibrary.com/apsa/view/PedSurg Resource/1884027/all/Thyroid_Disorders. Accessed August 20, 2019.
Thyroid Disorders. (2019). In PedSurg Resource. Available from https://www.pedsurglibrary.com/apsa/view/PedSurg Resource/1884027/all/Thyroid_Disorders
Thyroid Disorders [Internet]. In: PedSurg Resource. ; 2019. [cited 2019 August 20]. Available from: https://www.pedsurglibrary.com/apsa/view/PedSurg Resource/1884027/all/Thyroid_Disorders.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Thyroid Disorders ID - 1884027 Y1 - 2019/05/07/ BT - PedSurg Resource UR - https://www.pedsurglibrary.com/apsa/view/PedSurg Resource/1884027/all/Thyroid_Disorders DB - APSA Webapp DP - Unbound Medicine ER -