Medina Neurological Program

Medina Vascular Group Units (MVGU)

Methods:

1- Opening a Medina Provence-wide vascular group,
with 20 MVGUs distributed throughout the area (any hospital with > 50 beds is a possible candidate).

2- Each unit should have at least one NVMU bed in the ICU or ER equipped with tele-health system. All these units are connected with MSH tele-neurovascular program and Tele-cardiovascular Program.

3-Treating acute vascular (cardio + neuro) cases locally. Through MSH TNVP/TCVP, guests to be evaluated and treated under supervision of MSH on call teams.

4-Transferring acute tertiary cases to MSH.

5-MVGU operating room on-call 24/7, to receive calls from MVGUS, EMS, and cases with symptoms suggestive NVE/CVE.

Suggested Vascular Group Units distributed all over Medina Provence:

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Medina Vascular Group Units (MVGU)

Aim

To conduct Medina Vascular Group Program (MVGP), in providing urgent Cardiovascular and neurovascular management on spot to ensure the maximum benefit and reduce possible side effects, and to provide telehealth services to ensure fair distribution of specialized high quality health care.

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Quality Assurance Unit (QAU)

Aim

To ensure superior quality of care, and to minimize malpractice incidences.


Methods

1- Three consultants from the neuroscience center are assigned every 3 years to be quality assurance officers , members of the QAU .

2-They will present their reports monthly in QA meeting .QA secretary to receive the physicians and patients notices and complaints related to the quality of the service .

3-A weekly mortality and morbidity round will be made for educational purposes and to improve quality of care.

4-Database will be implemented to compare the MSH neurovascular unit experience with international standards.

5-This database will be reviewed annually and comparison studies will be implemented. In order to control for variables so that accurate comparisons can be made, the following will be measured:

·The guests age, s*x, medical record number (MRN), the time of NVE, the type of NVE, who brought the guest to MVGU, National Institute of Health Stroke Scale (NIHSS) for ischemic and hemorrhagic stroke, Hunt and Hess stroke for subarachnoid hemorrhage. Response times for the NV team, MRI/CT, laboratory, and door-to-needle time for cases that receive rTPA for ischemic stroke. Stroke treatments implemented while in-house. Outcomes at discharge, 30days, 90 days and 1 year, and mortality rates.

6-An in-guest NV database (Acute NV Data Sheet-ANVDS) to be collected as soon as NVU start. The data is entered by the NVU nurses

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Al-Madinah program of Medicine and Neurosurgery - تفاصيل Specialty team of neurologists, neurosurgeons, neuropsychiatrists, neuro-physiatrists and neuroradiologists working in different specialized...

Vascular Multidisciplinary Clinic (VMC)

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Medina Cardiovascular and Neurovascular Research Center (MCNRC)

Mission Statement

To be a translational research facility dedicated to the study of Cardiovascular, Neurovascular and peripheral vascular diseases. MCNRC will perform outstanding research from "Molecules to Populations" aimed at preventing, detecting and curing cardio/neuro-vascular diseases. MCNRC will thereby enhance patient care and contribute to the education of scientists and cardio/neur-vascular healthcare professionals.