2018-post QI implementation; door-to-groin puncture time (red), door-to-door time (ER to endovascular lab (blue), national goal for DTG time (green). 2018-post QI implementation; door-to-groin puncture time (red), door-to-door time (ER to endovascular lab (blue), national goal for DTG time (green) Robin Dharia et al. BMJ Open Qual 2018;7:A34-A35 © 2018, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions