Asma M Moheet1, Sarah L Livesay2, Tamer Abdelhak3, Thomas P Bleck2, Theresa Human4, Navaz Karanjia5, Amanda Lamer-Rosen6, Joshua Medow7, Paul A Nyquist8, Axel Rosengart6, Wade Smith9, Michel T Torbey10, Cherylee W J Chang11. 1. Cedars-Sinai Medical Center, Los Angeles, CA, USA. asma.moheet@csmc.edu. 2. Rush University, Chicago, IL, USA. 3. Spectrum Health, Grand Rapids, MI, USA. 4. Washington University, St. Louis, MO, USA. 5. University of California, San Diego, San Diego, CA, USA. 6. Cedars-Sinai Medical Center, Los Angeles, CA, USA. 7. School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA. 8. Johns Hopkins, Baltimore, MD, USA. 9. University of California, San Francisco, San Francisco, CA, USA. 10. The Ohio State University, Columbus, OH, USA. 11. The Queen's Medical Center, University of Hawaii, Honolulu, HI, USA.
Abstract
Neurocritical care is a distinct subspecialty focusing on the optimal management of acutely ill patients with life-threatening neurologic and neurosurgical disease or with life-threatening neurologic manifestations of systemic disease. Care by expert healthcare providers to optimize neurologic recovery is necessary. Given the lack of an organizational framework and criteria for the development and maintenance of neurological critical care units (NCCUs), this document is put forth by the Neurocritical Care Society (NCS). Recommended organizational structure, personnel and processes necessary to develop a successful neurocritical care program are outlined. Methods: Under the direction of NCS Executive Leadership, a multidisciplinary writing group of NCS members was formed. After an iterative process, a framework was proposed and approved by members of the writing group. A draft was then written, which was reviewed by the NCS Quality Committee and NCS Guidelines Committee, members at large, and posted for public comment. Feedback was formally collated, reviewed and incorporated into the final document which was subsequently approved by the NCS Board of Directors.
Neurocritical care is a distinct subspecialty focusing on the optimal management of acutely ill patients with life-threatening neurologic and neurosurgical disease or with life-threatening neurologic manifestations of systemic disease. Care by expert healthcare providers to optimize neurologic recovery is necessary. Given the lack of an organizational framework and criteria for the development and maintenance of neurological critical care units (NCCUs), this document is put forth by the Neurocritical Care Society (NCS). Recommended organizational structure, personnel and processes necessary to develop a successful neurocritical care program are outlined. Methods: Under the direction of NCS Executive Leadership, a multidisciplinary writing group of NCS members was formed. After an iterative process, a framework was proposed and approved by members of the writing group. A draft was then written, which was reviewed by the NCS Quality Committee and NCS Guidelines Committee, members at large, and posted for public comment. Feedback was formally collated, reviewed and incorporated into the final document which was subsequently approved by the NCS Board of Directors.
Entities:
Keywords:
Consensus; Critical care; Critical care unit; Intensive care; Intensive care unit; Neurocritical care; Neurocritical care unit; Performance improvement; Quality; Quality improvement; Quality indicator; Standards
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