Quality improvement initiative and its impact on the management of patients with acute myocardial infarction.

Abstract
THERE IS wide variation in the practice patterns for management of acute myocardial infarction (AMI) in the United States.1-3 Many studies4-7 have shown disappointing adherence to key goals in the management of patients with AMI, attesting to the failure of traditional methods of medical quality assurance in the pursuit of widespread excellence in treating this common condition. Data also suggest that this variation in care can be directly linked to outcomes after AMI.1,2

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