Abstract：
Surgeons request intraoperative parathyroid hormone (PTH) monitoring during parathyroidectomy procedures to confirm identification of abnormal gland tissue. Generally, a 50% decrease in the baseline PTH level indicates the abnormal tissue has been removed. A delay in collecting and processing PTH blood samples can complicate intraoperative decision making and prolong the procedure. The purpose of this quality improvement project was to develop tools to facilitate the specimen management process (eg, requesting, transporting, analyzing) for PTH blood samples and decrease the average total time required for transit and assay. We implemented a two-pronged initiative that involved improving the laboratory requisition form and creating a parathyroid tote box to contain all the needed information and supplies. The average total time for transit and assay decreased from 31.36 minutes before implementation to 22.06 minutes after implementation. Perioperative nurses expressed satisfaction with the changes and continue to use the revised process.
摘要：
外科医生要求在甲状旁腺切除术过程中进行术中甲状旁腺激素（PTH）监测，以确认异常腺体组织的识别。一般来说,基线PTH水平下降50%表明异常组织已被切除.收集和处理PTH血液样品的延迟可能使术中决策复杂化并延长程序。这个质量改进项目的目的是开发工具来促进标本管理过程(例如，请求,运输,分析）用于PTH血液样本，并减少运输和测定所需的平均总时间。我们实施了一项双管齐下的计划，包括改进实验室申请表，并创建一个甲状旁腺手提箱，以包含所有所需的信息和用品。转运和测定的平均总时间从实施前的31.36分钟减少到实施后的22.06分钟。围手术期护士对更改表示满意，并继续使用修订后的流程。
