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NICOR: National Institute for Cardiovascular Outcomes Research

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The development of a clinical audits to assure and improve quality of care was largely response to clinicians to the recognition that there were significant, and unsupportable variations in care of patients with a heart attack, at a time when an evidence base approach to practice  - provision of primary PCI -  was being introduced (see Figure 1).  

ppci-map

Figure 1 presents a number of primary PCIs  per million population by Local Area Team in 2012/13.

About heart attacks
The role of the audit
Data collection
Using audit data