Date of Graduation

Fall 12-18-2015

Document Access

Restricted Project/Capstone - USF access only

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


Background: The objective of this project is to assess the safety and feasibility of advocating for outpatient thyroidectomies when requested as inpatient. In short, we addressed the question of how to improve patient outcomes and reduce costs by encouraging physicians to perform thyroidectomies on an outpatient basis. The project was implemented in a prior authorization department consisting of nurses and physicians who reviewed elective and urgent procedure requests. Unit data analysis in conjunction with interviews from nursing staff were used to determine the need for this study. Methods: Various approaches were taken to meet the goals and objectives for this project. A high-level process map was created to understand and analyze the overall goal and aim. Results: A decrease of inpatient thyroidectomies was seen between the months of October and November of 2015 with the use of the decision tree to initiate a conversation with the provider who was requesting the inpatient thyroidectomy. A total of 2 thyroidectomies were performed as inpatient between those months compared to the twelve the previous month.

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