The Three Translations Required to Improve the Quality of Program Precutaneous Coronary Intervention (PCI) in Patients with Acute Myocardial Infraction.

Translational Tier	Type of Research	Products of Research
T1	Clinical efficacy research	Proof that primary PCI is more effective than fibrinolytic therapy in controlled clinical trials
T2	Comparative-effectiveness and health services research	Establishment of a 90-minute standard for the interval between arrival in the emergency department and the initiation of coronary intervention
T3	Implementation research	Identification of hospital-based strategies to reduce the time to PCI and establishment of consortium to guide local integration of strategies