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Supervisors at most hospitals that perform primary percutaneous coronary intervention for ST-segment-elevation MI (STEMI) track their institutions’ door-to-balloon (D2B) times and try to reduce those times with quality improvement initiatives. In this study, investigators compared median D2B time in 164 consecutive STEMI patients during two time periods at a community hospital. During the first period (October 2004 through August 2005), a cardiologist activated the catheterization lab after evaluating the patient in the emergency department (ED), and transfer to the catheterization lab was not initiated until a catheterization room was available (during regular hours) or until catheterization lab personnel arrived (during off hours). During…