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Heart 2000;84:116-117; doi:10.1136/heart.84.2.116
Copyright © 2000 BMJ Publishing Group Ltd & British Cardiovascular Society
Heart 2000;84:116-117 ( August )

Editorial

Responding to the requirements of the National Service Framework for coronary disease: a core data set for myocardial infarction

The first 150 words of the full text of this article appear below.

Clinical audit---the systematic assessment and improvement of the quality of care---is now an essential requirement of all clinicians by the government. Clinical audit of the process of myocardial infarction has been performed both in this country and elsewhere for several years,1-3 although the majority of work is performed within individual hospitals rather than in collaboration with colleagues in other hospitals. It has tended to concentrate on the use of thrombolytic treatment. Recent evidence from 15 hospitals examined between 1993 and 1997 showed only patchy improvement in delays from a call for help to treatment. Some hospitals where there were long delays before thrombolytic treatment showed no improvement over that time.4 It was clear from these data that in some hospitals either the incentive or the facilities to improve performance, at least in this area, was lacking.

The National Service Framework for Coronary Heart Disease,5 has been compiled with advice from cardiologists . . . [Full text of this article]


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eLetters:

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National Service Framework – core data set
Richard A Lawrance
Online, 18 Aug 2000 [Full text]
Re: National Service Framework – core data set
J S Birkhead
Online, 18 Aug 2000 [Full text]

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