Abstract
Sir, Variable and suboptimal treatment of myocardial infarction are both common. Whether cognitive biases1 such as the perceived availability of a treatment might affect the quality of care, is not known. We prospectively evaluated the quality of management for myocardial infarction at Hadassah Medical Center (a major teaching institution in Jerusalem, Israel), which operates at two sites: the Ein-Kerem campus, which has the angiographic facilities, and the Mt Scopus hospital, which has the cardiac rehabilitation unit. Both are under the same division of Cardiology. In addition to various quality indicators, we measured (in both sites) the rate of reperfusion treatments and their time delays, and the proportion of patients referred to …
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