The Myocardial Ischaemia National Audit Project (MINAP).

UNLABELLED

AIMS OF MINAP: To audit the quality of care of patients with acute coronary syndrome and provide a resource for academic research.

QUALITY OF CARE INTERVENTIONS

Feedback to hospitals, ambulance services and cardiac networks regarding benchmarking of performance against national standards and targets.

SETTING

All 230 acute hospitals in England and Wales. Years: 2000-present.

POPULATION

Consecutive patients, unconsented. Current number of records: 735 000.

STARTPOINTS

Any acute coronary syndrome, including non-ST-elevation myocardial infarction, ST-elevation myocardial infarction and unstable angina.

BASELINE DATA

123 fields covering demographic factors, co-morbid conditions and treatment in hospital. No blood resource.

DATA CAPTURE

Manual entry by clerks, nurses or doctors onto Lotus Notes; non-financial incentives at hospital level.

DATA QUALITY

Hospitals perform an annual data validation study, where data are re-entered from the case notes in 20 randomly selected records that are held on the server. In 2008 data were >90% complete for 20 key fields, with >80% completeness for all but four of the remaining fields.

ENDPOINTS AND LINKAGES TO OTHER DATA

All-cause mortality is obtained through linkage with Office for National Statistics. No other linkages exist at present.

ACCESS TO DATA

Available for research and audit by application to the MINAP Academic Group. http://www.rcplondon.ac.uk/CLINICAL-STANDARDS/ORGANISATION/PARTNERSHIP/Pages/MINAP-.aspx.